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"Anal" is short for "Anal Retentive," which is a medical term people used to use to mean someone who had trouble with being potty trained as a baby. Supposedly, those people grow up to be control-freaks who have to have every little detail of everything totally perfect. So if you call someone "anal," you're implying that they need to calm down and not try to control everything.
"Anal" can also be short for anal sex.
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