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Sinnistar Screaming Painful Anal Do you like getting jackhammered till your hole is raw? If you're still having pain with anal penetration, you may want to see your health care provider about using rectal dilators. This is where it gets juicy: This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. The majority of hemorrhoids, however, are internal, developing an inch or more above the anus.