Anal fissures may be present when the anus sometimes hurts like pins and needles. Its most prominent manifestation is the pain that is obvious during bowel movements, and the specific pain sensation is mostly tearing-like. In addition, perianal abscess may also cause a painful sensation like pins and needles at the anal opening, mainly due to the gathering of pus, which stimulates the anal skin and produces a painful sensation like pins and needles. It is recommended to go to the anorectal department and do anal finger examination and anoscopy to see if there are any anal diseases such as hemorrhoids, perianal abscesses and anal fissures. If the examination is normal, neuropathic pain needs to be considered. If the test reveals an anal disease, treatment should be given for the specific disease. During an attack of anal disease, it is especially important to keep the bowels open and the area around the anus dry and hygienic, and to avoid prolonged sitting and standing. It is not advisable to eat cold, spicy or stimulating food, drink more water and keep the stool soft.