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The most frequent causes of a pain-related presentation to the proctologist are anal venous thrombosis and anal fissure. Both of these conditions typically result from difficult defecation。

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3. Pruritus ani (anal itch) Symptoms. Tingling and itchiness in the anus or area around it; May cause a burning pain or soreness; Pruritus ani is itching or burning pain in the aanalschmerznus or area。

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