Anal pain in stool without blood can be considered in the following cases: one case is due to poor diet resulting in dry stool, and anal pain caused by excessive force during defecation resulting in stimulation of the skin around the anal canal. One is caused by the patient’s hemorrhoids, which are mostly due to long-term constipation or a posture that does not move, causing abnormal blood circulation in the veins around the anus to form varicose veins, which can cause anal pain when the symptoms worsen. It may also be due to anal fistula, the main symptom of which is pain in the anus during stool but no blood is present. In addition to the above conditions some other perianal diseases such as perianal abscess, perianal eczema, etc. may also appear this symptom, it is recommended to go to the hospital anorectal department for further examination, and then according to the results to do targeted treatment.