They include hemorrhoids, abscesses, fissures (cracks), and cancer. You may be embarrassed to talk about your anal troubles. But it is important to let your doctor know, especially if you have pain or bleeding. The more details you can give about your problem, the better your doctor will be able to help you. The five common symptoms of anal disease Pain This is usually caused by: Anal Fissure Peri-Anal Abscess Prolapsed Thrombosed Piles Peri-Anal Haematoma Cancer Invading The Sphincters. Prolapse Three things may prolapse through the anus – polyps, the rectum and haemorrhoids, which are the most common. The treatment of prolapsing haemorrhoids is either rubber-band ligation as an outpatient or surgical removal in theatre. Surgical removal provides durable results, but at the cost of significant postoperative pain and the possibility of surgical complications. Discharge This is a symptom of anal fistula, mucosal/haemorrhoidal prolapse or incontinence, which is beyond the scope of this article. Hidradenitis and pilonidal sinus are not usually in the immediate peri-anal region but should also be considered. Bleeding Indications for colonoscopy in patients with rectal bleeding: No Local Cause Identified A Patient 50 Years Or Older Any Alert Symptoms: Change In Bowel Habit Loss Of Weight Iron Deficiency Anaemia Family History Of Colorectal Cancer.