*Graphic Content Warning*TLDRPain with bowel motions is never normal. There is almost always a medical cause. You should see a doctor.Anal fissures are the most common cause of pain while pooping amongst working age adultsAnal fissures are a two part problem - initial damage to the anal skin, and muscle spasm causing reduced blood flow and preventing healing of the original damageTo treat fissures, you need to prevent further damage to the anal skin by regulating your bowels. Your doctor can ...