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Hi! My pain has been extreme since Feb.2017. I thought I had hemorrhoids and saw a protoclogist... This is embarrassing for me to type... She diagnosed Pruritus Ani (idiopathic) but I never scratch... I have had stool sample cultures done--no yeast or parasites. I've tried increasing fiber intake, dietary changes, sitzs baths, and topical medications (many topical prescription medications)--no help with my pain, burning, fullness...! My anus/rectal area is not red or damaged. My pain is of a searing burning nature in my rectal region/anus area. Also the muscles across my lower back seem very tight. Could I be experiencing compressed nerves, causing referred pain to my rectum? I was diagnosed with sacroiliac dysfunction many years ago. It is definitely flaring up right now. I'm tired of suffering! Has anyone else had rectal pain or burning from lower back issues? The little 'sane' voice inside my head is telling me this is; due to, nerve pain or tight muscles in my back. I plan to see a chiropractor this week for x-rays. Next course of action is to see spine specialist. Could I have injured my tailbone? I have found standing is more comfortable for me--sitting or being stretched out on my back is painful in the recital region. Also, I exercise and lift weights. Strained muscles??? Nerve damage? I am miserable and don't know what to do. Has anyone else suffered from constant rectal burning? Help! Sorry for repeating myself! Thank you in advance for your help!