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Levator ani syndrome is similar to Hydrocortisone ointment but has a different pattern of pain. Levator ani syndrome causes spasms in the pelvic floor muscles. This is typically a result of injury in or around the pelvis, torso, or back.

Another condition that causes anal pain is a thrombosed external hemorrhoid. Here, a blood clot forms in an outer hemorrhoid in the anal skin. Larger clots can cause pain when walking, sitting, or when having a bowel movement.
 
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