Anal pain is caused by diseases in the anal area and can be treated with pain relief therapy options, such as oral pain relieving tablets. Patients with hemorrhoids who experience pain due to thrombosed external hemorrhoids may opt for saline sitz baths to improve their symptoms. Most patients with anal pain can be considered to be due to anal fissures or thrombosed external hemorrhoids and perianal abscesses. Patients with anal fissures are caused by frequent intake of spicy and irritating foods, which can cause dry stools. The fissures can be caused by excessive forceful defecation, resulting in severe anal pain during defecation, bright red stools, or blood on paper. If it is difficult to sleep due to anal fissure, it can be treated symptomatically by taking oral Nimesulide dispersible tablets or oral aminoglutethimide tablets. Hemorrhoid attacks due to embedded or acute thrombosed external hemorrhoids causing pain can be treated by warm salt water sitz bath at night, which can temporarily relieve local pain symptoms, and if necessary, you can choose to go to the hospital for surgery.