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Although proctitis may arise due to various causes, the concern lies with sexually transmitted infections, especially if there is anal intercourse. most causes of anal swelling are benign, but some can be more serious. Learn about the causes of anal swelling and what treatment options are available. many factors can cause anal swelling, or a swollen anus, which can be itchy or painful. proctitis, also known as rectal inflammation is a condition that can cause great discomfort, pain and anal bleeding. The causes are varied such as stis, crohns disease or even salmonella. However, in most cases recovery occurs promptly and without complications if you follow your doctors recommendations. causes of anal pain include anal cancer anal fissure (a small tear in the lining of the anal canal) anal itching (pruritus ani) anal sex anorectal fistula (an abnormal channel between the anus or rectum usually to the skin near the anus) coccydynia or coccygodynia (tailbone pain) constipation crohns disease (a type of inflammatory bowel.). Examples of possible causes of anal itching include hemorrhoids, anal fissures, pinworms (enterobius vermicularis), spicy foods, and medications. Additional symptoms associated with anal itching include burning and pain if the anal skin is traumatized by scratching. The diagnosis of the cause of pruritis ani requires examination of the anus for. inflammation and sores in the digestive tract can cause severe pain, malnutrition, intestinal scarring, bleeding, and weight loss. Perianal fistula is a disorder in which the anus, rectum, and perineal regions of a dog or cat are inflamed and irritated. This disorder is often painful for the animal, as well as progressive. If you would like to learn more about how this disorder affects cats, please visit this page in the petmd health library.