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Hemorrhoids are a very common cause occasional anal sphincter pain rectal pain. The only muscle that should feel tight is the muscle at the anal sphincter or the vagina. Anal, colorectal, and colon cancers are usually painless in the beginning. In most cases, tests cannot confirm a diagnosis of proctalgia fugax specifically. There are several treatments for proctalgia. Latest news Home remedies for premature ejaculation. Give today.