Hi, thanks for using healthcare magic
If you are not constipated (decrease in how many times you stool or hard stool) and experiencing severe pain
when you stool then it is possible that there may a small tear or fissure at the anal opening.
If your doctor is not willing to examine your anal region to find the cause of the intense pain, then , if possible, you need to find another doctor who will do a proper assessment.
If present , you will be referred and easily treated
Hope this helps