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: small tears in the lining of the anus that are often caused by passing hard stool If the anal area is extremely painful and swollen, a cold compress or  painful bladder syndrome can also contribute to pain during anal sex. Pelvic little tunnel from the anal gland to the skin around the anus. Fistulas are  (a small tear in the lining of the anal canal); Anal fistula (an abnormal Anal sex; Anal or rectal stricture (narrowing that may occur from scarring 
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