Rectal cramping can occur in conditions such as hemorrhoids, proctitis, and anterior rectal protrusion. When hemorrhoids occur, due to the prolapse of the nucleus, the entire muscular layer of the anus and the supporting structures undergo an overall downward shift, and these structures are medically referred to as the downward shift of the anal cushion tissue as a whole, resulting in a more pronounced discomfort of cramping. Proctitis, due to aseptic inflammation such as ischemia of the rectal mucosa, causes congestion and edema of the rectal mucosa due to the stimulation of inflammatory substances, causing abnormalities in the internal rectal physeal nerve sensation and producing unspeakable anal cramping sensations, which in severe cases may result in an increase in the number of bowel movements, but does not relieve the cramping sensation. Anterior rectal protrusion is also a condition that can cause frequent episodes of rectal cramping, mainly in women who have given birth. The tissue between the rectum and vagina is called the rectovaginal septum, and this structure becomes weak over time, causing rectal prolapse and changes that can result in symptoms such as anal cramping and constipation. There are numerous reasons why rectal sagging occurs, and it needs to be identified and given treatment.