If a patient experiences anal pain when performing anal lifting exercises, there is a high probability that the pain is caused by the rupture of localized internal hemorrhoids in the anus, or by anal fissures. Since there are various causes of anal pain, the patient needs to go to the hospital for an anal finger examination. If the cause of anal fissure is ruled out after the examination, further anoscopy is needed to check whether the internal hemorrhoids appear to be enlarged. If the pain is due to internal hemorrhoids, you will need medication to stop the bleeding and relieve the pain, such as oral hemorrhoid tablets and anal carbomer gel. If the pain is due to anal fissure, you need to take laxative medication to lubricate the stool. In addition, during the treatment period, you should not do exercises for lifting the anus to prevent spasm of the sphincter muscle, which may lead to aggravation and deepening of the anal fissure.