I've been having some trouble with my anal area lately. It feels like it gets really tight and ends up hurting during bowel movements. It almost feels like the walls are tearing. What could be causing this, and how can I make it better?

The symptoms you're describing, including a narrowing of the anal opening, pain during bowel movements, and anal tears, suggest a possible diagnosis of anal stenosis or anal fissures; consult a gastroenterologist, proctologist, or a general surgeon for a thorough examination, which may include a digital rectal exam, anoscopy, or colonoscopy, to determine the underlying cause and develop an appropriate treatment plan, which may involve topical creams, stool softeners, or surgical interventions.