Pain in buttocks when sitting: Causes and treatments

A person may experience pain in their buttocks when sitting for many reasons, including, minor injuries and bruises and more severe conditions, such as sciatica and damaged disks.

People spend a lot of time sitting down, and experiencing pain in the buttocks when sitting can cause concern. Pain in this area can be temporary due to a bruise or minor injury, but it can also result from a more serious, long-term condition.

In this article, we discuss possible symptoms and causes of buttock pain, diagnosis, and when a person should seek medical attention.

Symptoms may vary depending on the cause and location of the pain and can include:

• bruising or discoloration
• numbness and tingling
• tingling in the legs
• a sore tailbone (coccyx)
• swelling
• difficulty moving the muscle
• difficulty moving from a sitting to a standing position

Sometimes, the pain may go away on its own. Other times, medical treatment may be necessary.

There is a variety of reasons a person may experience pain in the buttocks when sitting down.

Conditions that may cause pain in the buttocks include:

Sciatica

Sciatica is a condition that results from compression or obstruction of the sciatic nerves. These are the two largest nerves in the body. They run from the lower spine, through the buttocks, to the knees.

Compressions due to a disk prolapse or the narrowing of the spinal canal can put pressure on the sciatic nerve, causing pain and discomfort.

Sciatica can cause shooting pain, tingling, or numbness anywhere from the buttocks to the legs.

People may find that symptoms worsen when they sit for long periods, move, sneeze, or cough. Sciatica often resolves in 4–6 weeks, but sometimes it can last longer.

Treatment may include:

• over-the-counter (OTC) pain relief, such as acetaminophen or ibuprofen
• exercises and stretches
• heat packs
• physical therapy
• pain relief injections
• a procedure to prevent nerves in the back from sending pain signals
• surgery

Learn more about how sciatica causes buttock pain here.

Piriformis syndrome

The piriformis muscle is a pear-shaped muscle in the buttocks that extends from the base of the spine to the top of the thigh. Piriformis syndrome develops when the piriformis muscle irritates or compresses the sciatic nerve.

According to the National Academy of Sports Medicine, symptoms may include:

• pain in the buttocks
• pain down the back of the leg or thigh
• pain when sitting
• pain when walking up stairs or hills
• reduced motion of the hip joint

Treatment may include:

• OTC pain relievers
• stretches
• gentle exercise
• cold and heat therapy

Learn about nerve flossing exercises to relieve pain from sciatica and piriformis syndrome here.

Coccydynia

The coccyx is the last bone at the bottom of the spine, also known as the tailbone. Coccydynia is the medical name for pain in the tailbone. It can occur if a person injures or strains their coccyx or the surrounding muscles and ligaments.

Common causes of coccydynia may include:

• childbirth
• an injury or accident, such as a fall
• repeated or prolonged strain on the coccyx
• poor posture when sitting
• having overweight or underweight

Symptoms may include:

• pain that is dull and achy most of the time
• occasional sharp pain

People may find that the pain is worse when they sit down, move from sitting to standing, stand for extended periods, or bend down.

Coccydynia can also make having sex painful, and it can make it difficult to carry out everyday activities, such as passing the stool or driving.

Treatment may include:

• using a doughnut cushion
• OTC pain relief medicine
• prescription pain medication
• injections of anti-inflammatories, such as corticosteroids, or pain relievers into the coccyx or surrounding area
• surgery, in extreme cases

However, the primary treatment for coccydynia is time. Doctors advise people to manage the symptoms and wait for it to resolve. It usually takes a few weeks to a few months to fully heal.

Learn more about treatments for a painful tailbone here.

Bruising

Bruises are patches of discoloration that may appear on a person’s skin after an injury. Bruises happen when tiny blood vessels called capillaries break or burst underneath the skin, creating small amounts of internal bleeding.

Symptoms may include:

• blue or purple patches on light skin
• dark purple, brownish, or black patches on darker skin

Learn more about bruises on dark skin here.

Treatment is usually not necessary for bruises but can include:

• OTC pain relievers
• a cold compress or ice pack

Bruises usually go away by themselves within a couple of weeks, but people should seek medical attention if a bruise persists. A person should also contact a doctor if they have sudden unexplained bruising, as this could be due to an underlying condition.

Learn more about bone bruises here.

Other causes

Other causes of pain in the buttocks may include:

• a pilonidal cyst
• arthritis
• bursitis
• muscle strain
• sacroiliac joint dysfunction
• degenerative disk disease

To diagnose the cause of pain in the buttocks, a doctor will likely carry out a physical examination.

Sometimes, the reasons for the pain are evident. For example, a person has had a fall or experienced another type of injury. However, if there is no obvious reason, a doctor may need to carry out tests.

They may recommend an X-ray to rule out a break or fracture, or an MRI scan or CT scan to help identify other causes of the pain, such as arthritis.

If a doctor cannot make a diagnosis, they may refer the person to a specialist, such as a rheumatologist, orthopedic specialist, or physical therapist.

Learn about what to expect during a physical exam here.

There are many things a person can try at home to relieve pain in the buttocks, including:

• avoiding prolonged sitting
• moving around and stretching the legs regularly
• using a doughnut cushion
• applying hot packs to the lower back
• applying cold packs to the lower back
• wearing loose-fitting clothing
• taking nonsteroidal anti-inflammatory drugs

People can also try stretches or even yoga to try to relieve pain in the buttocks.

Learn about how to stretch out the tailbone here.

People should seek medical advice if:

• the pain does not start to improve within a few weeks
• simple home treatments do not relieve the pain
• the pain is severe

They should also contact a healthcare professional immediately if the pain co-occurs with:

• bleeding
• a high temperature
• pain in other areas than just the buttocks
• numbness or weakness in the legs
• difficulty controlling the bowels or bladder
• sharp stabbing or shooting pain

It could be that the cause of the pain is a fracture or an infection and needs further medical intervention.

Learn more about high temperature and fever here.

A number of factors can cause pain in the buttocks, but most are not a cause for concern.

The pain is usually due to an injury or a fall where a person has landed on their buttocks. People may wish to try some simple home treatments to alleviate the pain.

However, if the pain does not ease over time, people should seek medical attention, as it could be a sign of an underlying condition.

Pain in buttocks when sitting: Causes and treatments

A person may experience pain in their buttocks when sitting for many reasons, including, minor injuries and bruises and more severe conditions, such as sciatica and damaged disks.

People spend a lot of time sitting down, and experiencing pain in the buttocks when sitting can cause concern. Pain in this area can be temporary due to a bruise or minor injury, but it can also result from a more serious, long-term condition.

In this article, we discuss possible symptoms and causes of buttock pain, diagnosis, and when a person should seek medical attention.

Symptoms may vary depending on the cause and location of the pain and can include:

• bruising or discoloration
• numbness and tingling
• tingling in the legs
• a sore tailbone (coccyx)
• swelling
• difficulty moving the muscle
• difficulty moving from a sitting to a standing position

Sometimes, the pain may go away on its own. Other times, medical treatment may be necessary.

There is a variety of reasons a person may experience pain in the buttocks when sitting down.

Conditions that may cause pain in the buttocks include:

Sciatica

Sciatica is a condition that results from compression or obstruction of the sciatic nerves. These are the two largest nerves in the body. They run from the lower spine, through the buttocks, to the knees.

Compressions due to a disk prolapse or the narrowing of the spinal canal can put pressure on the sciatic nerve, causing pain and discomfort.

Sciatica can cause shooting pain, tingling, or numbness anywhere from the buttocks to the legs.

People may find that symptoms worsen when they sit for long periods, move, sneeze, or cough. Sciatica often resolves in 4–6 weeks, but sometimes it can last longer.

Treatment may include:

• over-the-counter (OTC) pain relief, such as acetaminophen or ibuprofen
• exercises and stretches
• heat packs
• physical therapy
• pain relief injections
• a procedure to prevent nerves in the back from sending pain signals
• surgery

Learn more about how sciatica causes buttock pain here.

Piriformis syndrome

The piriformis muscle is a pear-shaped muscle in the buttocks that extends from the base of the spine to the top of the thigh. Piriformis syndrome develops when the piriformis muscle irritates or compresses the sciatic nerve.

According to the National Academy of Sports Medicine, symptoms may include:

• pain in the buttocks
• pain down the back of the leg or thigh
• pain when sitting
• pain when walking up stairs or hills
• reduced motion of the hip joint

Treatment may include:

• OTC pain relievers
• stretches
• gentle exercise
• cold and heat therapy

Learn about nerve flossing exercises to relieve pain from sciatica and piriformis syndrome here.

Coccydynia

The coccyx is the last bone at the bottom of the spine, also known as the tailbone. Coccydynia is the medical name for pain in the tailbone. It can occur if a person injures or strains their coccyx or the surrounding muscles and ligaments.

Common causes of coccydynia may include:

• childbirth
• an injury or accident, such as a fall
• repeated or prolonged strain on the coccyx
• poor posture when sitting
• having overweight or underweight

Symptoms may include:

• pain that is dull and achy most of the time
• occasional sharp pain

People may find that the pain is worse when they sit down, move from sitting to standing, stand for extended periods, or bend down.

Coccydynia can also make having sex painful, and it can make it difficult to carry out everyday activities, such as passing the stool or driving.

Treatment may include:

• using a doughnut cushion
• OTC pain relief medicine
• prescription pain medication
• injections of anti-inflammatories, such as corticosteroids, or pain relievers into the coccyx or surrounding area
• surgery, in extreme cases

However, the primary treatment for coccydynia is time. Doctors advise people to manage the symptoms and wait for it to resolve. It usually takes a few weeks to a few months to fully heal.

Learn more about treatments for a painful tailbone here.

Bruising

Bruises are patches of discoloration that may appear on a person’s skin after an injury. Bruises happen when tiny blood vessels called capillaries break or burst underneath the skin, creating small amounts of internal bleeding.

Symptoms may include:

• blue or purple patches on light skin
• dark purple, brownish, or black patches on darker skin

Learn more about bruises on dark skin here.

Treatment is usually not necessary for bruises but can include:

• OTC pain relievers
• a cold compress or ice pack

Bruises usually go away by themselves within a couple of weeks, but people should seek medical attention if a bruise persists. A person should also contact a doctor if they have sudden unexplained bruising, as this could be due to an underlying condition.

Learn more about bone bruises here.

Other causes

Other causes of pain in the buttocks may include:

• a pilonidal cyst
• arthritis
• bursitis
• muscle strain
• sacroiliac joint dysfunction
• degenerative disk disease

To diagnose the cause of pain in the buttocks, a doctor will likely carry out a physical examination.

Sometimes, the reasons for the pain are evident. For example, a person has had a fall or experienced another type of injury. However, if there is no obvious reason, a doctor may need to carry out tests.

They may recommend an X-ray to rule out a break or fracture, or an MRI scan or CT scan to help identify other causes of the pain, such as arthritis.

If a doctor cannot make a diagnosis, they may refer the person to a specialist, such as a rheumatologist, orthopedic specialist, or physical therapist.

Learn about what to expect during a physical exam here.

There are many things a person can try at home to relieve pain in the buttocks, including:

• avoiding prolonged sitting
• moving around and stretching the legs regularly
• using a doughnut cushion
• applying hot packs to the lower back
• applying cold packs to the lower back
• wearing loose-fitting clothing
• taking nonsteroidal anti-inflammatory drugs

People can also try stretches or even yoga to try to relieve pain in the buttocks.

Learn about how to stretch out the tailbone here.

People should seek medical advice if:

• the pain does not start to improve within a few weeks
• simple home treatments do not relieve the pain
• the pain is severe

They should also contact a healthcare professional immediately if the pain co-occurs with:

• bleeding
• a high temperature
• pain in other areas than just the buttocks
• numbness or weakness in the legs
• difficulty controlling the bowels or bladder
• sharp stabbing or shooting pain

It could be that the cause of the pain is a fracture or an infection and needs further medical intervention.

Learn more about high temperature and fever here.

A number of factors can cause pain in the buttocks, but most are not a cause for concern.

The pain is usually due to an injury or a fall where a person has landed on their buttocks. People may wish to try some simple home treatments to alleviate the pain.

However, if the pain does not ease over time, people should seek medical attention, as it could be a sign of an underlying condition.

Pain in the anus – the causes of occurrence, in what diseases it occurs, diagnosis and methods of treatment

Hemorrhoids

Pancreatitis

Gastritis

Diarrhea

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19July

Pain in the anus: causes of occurrence, in which diseases it occurs, diagnosis and methods of treatment.

Definition

Pain that occurs in the anus (anus) is accompanied by significant discomfort, and its intensity is due to the presence of a significant number of nerve endings here.

Types of pain in the anus

Pain in the anus can be characterized as dull and aching, burning, sharp, piercing, spasmodic, radiating to the lower abdomen, coccyx and perineum. Often, a doctor can make a preliminary diagnosis based on the nature of the pain.

Pain may disturb when walking, sitting for a long time, at the time of defecation and immediately after it.

Possible causes of pain in the anus

The main causes of pain in the anus are diseases of the rectum. An assessment of their prevalence brings hemorrhoids to the first place. The initial symptoms of hemorrhoids are a feeling of incomplete emptying after defecation, discomfort and itching in the anus.

Pain with hemorrhoids appears only with a complication of the disease – prolapse and thrombosis of the hemorrhoid.

The development of hemorrhoids is caused by hereditary factors, as well as an unhealthy lifestyle, poor nutrition, and certain diseases, such as cirrhosis of the liver. Prolonged sitting, hot baths, heavy lifting, tight clothing – all these factors lead to venous congestion in the pelvic area and the formation of hemorrhoids. If at the same time the feces have a dense consistency due to a lack of fluid and plant fibers in food, then the act of defecation is accompanied by prolonged straining, which, in turn, contributes to the prolapse of nodes into the lumen of the rectum.

Hemorrhoids can occur with the abuse of laxatives and cleansing enemas.

Protrusion or prolapse of hemorrhoids, their infringement is accompanied by a feeling of pulling pain, fullness, itching. Symptoms are worse after spicy food, heavy physical labor, heavy lifting. Rupture of blood vessels leads to persistent bleeding, while clots of scarlet blood are clearly visible on the feces. A long-term disease leads to pain in the anus with any physical activity, being in an upright position or walking.

Among the diseases that cause pain in the anus, the second place is occupied by sphincteritis – inflammation of the mucous membrane of the circular obturator muscle. Sphincteritis most often develops against the background of diseases of the gastrointestinal tract: pancreatitis, peptic ulcer of the stomach and duodenum, chronic gastritis and duodenitis, irritable bowel syndrome. Constipation or diarrhea that accompanies these diseases increases the risk of developing inflammatory processes in the rectum. In the initial stage of the disease, patients complain of pain in the anus, burning and itching, which are aggravated by defecation. Then there are false urges to defecate and purulent discharge from the anus, so foaming mucus or pus is found on the feces. Sometimes pain can radiate to the perineum and neighboring organs.

The third place in the prevalence of diseases of the rectum, which give severe and persistent pain in the anus, is occupied by rectal fissures . This pathology is characterized by pain during and after defecation, and a small amount of blood may be released.

Cracks can be caused by congestion in the vascular network, a violation of neuromuscular regulation, and injuries. The latter are most often caused by damage to the intestinal mucosa with solid feces.

Often, cracks are combined with hemorrhoids, which is accompanied by prolapse of nodes and more profuse bleeding. The combination of these conditions leads to the formation of a vicious circle: pain during bowel movements causes spasm of the anal sphincter muscles, and spasm increases pain. Minor bleeding due to anal fissure occurs during or after a bowel movement. In the absence of timely treatment, the disease becomes chronic and is accompanied by inflammation of the surrounding tissues. Sometimes a crack leads to a fistula (fistula) – a pathological passage between the rectum and the surface of the skin near the anus.

Paraproctitis also leads to the formation of a fistula of the rectum. This is an acute inflammation of the tissues surrounding the rectum.

Paraproctitis is evidenced by increased pain, swelling in the anus, an increase in body temperature to 38 ° C and above.

The fistula may not close for several months, and then recur.

Malignant tumors that form in the anal region are characterized by pronounced symptoms: red blood in the stool, mucus admixture, pain in the anus (first during defecation, and then throughout the day), radiating to the genitals, thigh, bottom belly. Clinical symptoms of hemorrhoids and malignant tumors are similar to each other.

Pain in the anus is not necessarily associated with diseases of the rectum. It can be caused by pathologies of adjacent organs and tissues, in particular, epithelial coccygeal passage , which manifests itself as pain in the sacrum only in case of inflammation. This formation is formed during the period of embryonic development and is a narrow channel lined with epithelium, inside of which there are hair follicles and sebaceous glands.

Another cause of pain in the anus – coccygodynia – inflammation in the coccyx.

Most often, coccygodynia is caused by trauma to the coccyx as a result of a blow or fall.

In a significant proportion of cases, coccygodynia is a spasm of the deep muscles of the pelvic floor as a result of irritation of pain receptors in surrounding tissues during radiculopathy, difficult childbirth, and inflammatory diseases of the pelvic organs. Pain in the anus appears at a certain position of the body, during inclinations or the act of defecation.

Pain in the anus is also characteristic of prostatitis . In acute prostatitis, in addition to acute pain in the perineum, groin and in the anus, an increase in body temperature, painful urination and defecation are possible. However, more often prostatitis develops gradually, acquiring a chronic form. In this case, the patient is concerned about the same symptoms, but their severity is significantly reduced.

Diagnostics and examinations for pain in the anus

Diagnostics begins with a thorough questioning of the patient, during which the doctor specifies the intensity, duration and nature of the pain syndrome, previous and concomitant diseases. In addition, without fail, the doctor gives directions for clinical and biochemical blood tests, a general urine test.

Clinical blood test: general analysis, leukoformula, ESR (with microscopy of a blood smear in the presence of pathological changes)

Synonyms: Complete blood count, UAC. Full blood count, FBC, Complete blood count (CBC) with differential white blood cell count (CBC with diff), Hemogram.
Brief description of the study CBC: general a…

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General urinalysis (Urine analysis with sediment microscopy)

Method of determination

Determination of physical and chemical parameters is carried out on an automatic analyzer using the “dry chemistry” method.

Hardware microscope…

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If anal pain is suspected, the doctor will perform a digital examination of the rectum. In the presence of a chronic crack, not only its localization is determined, but also the type of edges. With a digital examination, you can notice a fistula with a purulent discharge and determine the spastic contraction of the sphincter. In the presence of hemorrhoids, sigmoidoscopy is necessary.

If the digital examination reveals tenderness of the inner surface of the coccyx and its mobility, the doctor may prescribe an x-ray, which can detect subluxation of the coccyx, especially when dynamically examined in a sitting and lying position.

Radiography of the lumbar and sacral spine

X-ray examination to assess the condition and structural integrity of the vertebrae of the lumbosacral-coccygeal spine.

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If pelvic pain is suspected, an ultrasound of the abdominal cavity and small pelvis is prescribed, and for men, an ultrasound of the prostate gland.

Ultrasound of the pelvic organs (uterus, adnexa)

Ultrasound scanning of the female reproductive system to assess the shape and size, as well as exclude pathology.

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Ultrasound of the prostate

Ultrasound scan of the prostate, giving an idea of ​​the condition of the prostate and the presence of pathology.

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Which doctors to contact for pain in the anus

If you experience pain in the anus, you should contact a proctologist or gastroenterologist. Women should be examined by a gynecologist. If a neurological nature of the pain is suspected, a consultation with a neurologist is required, and if the oncological nature of the pain is suspected, an oncologist or an oncourologist is involved in the treatment.

What to do in case of pain in the anus

Any diseases of the gastrointestinal tract are based on an unhealthy lifestyle and diet, therefore, when pain occurs in the anus, it is necessary first of all to correct the diet and drinking regimen. The next step is to reduce congestion in the veins by increasing physical activity, therapeutic exercises. When standing, it is advisable to use compression stockings and do gymnastics for the legs.

Treatment of pain in the anus

There are so many causes of pain in the anus that there is no one and the same way to treat all its varieties. Symptomatic treatment, that is, taking analgesics, can reduce the severity of pain, but does not eliminate its cause. Etiotropic therapy is selected individually and only after an accurate diagnosis has been made. It may include antibiotics, venotonics, hemostatic agents, antiplatelet drugs, etc.

Sources:

1. Kadyrov Z.A., Kryachko A.A., Aliev Z.O., Faniev M.V., Ishonakov Kh.S. Chronic inflammatory diseases of the rectum and prostate gland (literature review). Andrology and genital surgery, journal. T. 17, 2016. S. 12-19.
2. Clinical recommendations “Anal fissure”. Developed by: Association of Coloproctologists of Russia. – 2021.
3. Clinical guidelines “Polyp of the anal canal”. Developed by: Association of Coloproctologists of Russia. – 2020.
4. Clinical guidelines “Hemorrhoid”. Developed by: Association of Coloproctologists of Russia. – 2020.

IMPORTANT!

The information in this section should not be used for self-diagnosis or self-treatment. In case of pain or other exacerbation of the disease, only the attending physician should prescribe diagnostic tests. For diagnosis and proper treatment, you should contact your doctor.
For a correct assessment of the results of your analyzes in dynamics, it is preferable to do studies in the same laboratory, since different laboratories may use different research methods and units of measurement to perform the same analyzes.

Pain in the anus – causes and treatment

Varieties of pain in the anus and rectum

Pain in the anus can be different: sharp, shooting or aching, constant or intermittent. It can occur regardless of what a person is doing, or with reference to certain actions (for example, appear during a long sitting or after a bowel movement). In addition to pain, a person may complain of itching or burning.

Pain, burning or itching in the anus can greatly reduce quality of life and in some cases indicate serious health problems. Therefore, if any discomfort occurs, it is recommended to consult a doctor: timely therapy will alleviate symptoms and prevent complications.

Discomfort of any degree in the anus is not the norm, such a condition should not be tolerated. In addition, most symptoms disappear within a few days after the start of treatment.

Possible causes of pain in the anus

Unpleasant sensations in the anus may occur due to hemorrhoids, anal fissures, fistulas or abscesses, infectious inflammations, helminthic invasion, polyps or malignant formations.

Parasitic infection (pinworms) – one of the causes of severe itching in the anus, especially at night. Worms live in the intestines and feed on the food that a person eats. Itching is due to the worms crawling out to lay eggs and irritate the skin around the anus. Other symptoms of infection may include abdominal pain and blood in the stool.

Pinworms can cause severe itching around the anus at night

Hemorrhoids are one of the manifestations of varicose veins. It is accompanied by the formation of venous nodes in the lower part of the rectum – in front of the anus or around the anus from the outside. Most of the time, hemorrhoids may not cause discomfort, but during the period of exacerbations, the nodes swell and increase in volume, itching and pain appear in the anus, traces of blood may remain on the toilet paper.

Characteristic symptoms of hemorrhoids: pain and itching in the anus, formation of venous nodes, bleeding

Anal fissure is a violation of the integrity of the rectal mucosa in the anus. Anal fissures are characterized by sharp cutting pain in the anus and a burning sensation that occurs during defecation, and then can persist for several more hours. There is usually a small amount of bright scarlet blood on toilet paper.

Anal fistula – an infectious disease in which pus accumulates in the subcutaneous fatty tissue in the region of the rectum, and then exits through the formed canal near the anus. The formation of a fistula is accompanied by irritation of the skin around the anus, constant throbbing pain is possible, traces of blood and pus may remain on the toilet paper.

Anal polyp is a neoplasm in the anal canal that often accompanies chronic inflammatory processes in the large intestine. Signs of a polyp may include rectal bleeding, a change in the nature of the stool (atypical constipation or diarrhea that does not go away for more than a week), pain in the anus, a general feeling of fatigue.

Anal Cancer is a rare disease that may have no symptoms or may have symptoms similar to hemorrhoids or anal fissure. Pain or itching around the anus, discharge of mucus or blood, lumps around the anus, changes in the nature of the stool (may become more liquid or loose), and in some cases, the inability to control bowel movements (fecal incontinence).

Crohn’s disease (inflammatory bowel disease) is a chronic autoimmune disease in which deep slit-like ulcers appear in different parts of the gastrointestinal tract. Crohn’s disease is often accompanied by diarrhea, general fatigue, and weight loss.

Ulcerative colitis is an inflammatory bowel disease in which ulcers are found only in the large intestine (including the rectum). Pathology may be accompanied by pain in the anus and diarrhea with blood.

Ulcerative colitis is characterized by the formation of ulcers on the lining of the colon

Other reasons. Pain may not only be due to damage or inflammation of the anal canal and surrounding areas. Unpleasant pulling, pressing or shooting sensations in the anus (as well as in the perineum, lower back and even in the legs) sometimes occur with pathologies of the genitourinary system or gastrointestinal tract, for example, with renal colic, appendicitis.

In women, pain and a feeling of fullness in the anus may occur during menstruation – this condition is physiological and is considered a variant of the norm.

In men, pain in the anus can be a symptom of an exacerbation of prostatitis – inflammation of the prostate gland located between the intestines and the bladder.

Pain, itching or burning in the anus do not always indicate pathological conditions: sometimes discomfort can occur as a reaction to a cosmetic product, fabric dye or a spicy dish eaten the day before. Also, pain can be caused by damage resulting from careless sexual contacts.

What to do if you experience pain in the anus

If the anus hurts due to minor injuries, reactions to cosmetics or spicy food, no action is needed: the discomfort will go away on its own in 1-2 days.

If discomfort persists, see a doctor. He will conduct an examination to exclude damage and pathologies, prescribe treatment or additional studies to establish the cause of discomfort.

Seek medical attention as soon as possible if symptoms worsen or cause concern.

Symptoms that require immediate medical attention:

• very severe pain in the anus;
• pain that persists for several days;
• blood in stool (on toilet paper) that does not go away for several days;
• massive anal bleeding during defecation;
• pain accompanied by high fever with chills and general deterioration of well-being;
• stool color change to black or dark red.

These are signs that indicate dangerous conditions, such as internal bleeding, inflammation, or the development of neoplasms.

Diagnostics

Diagnosis of diseases that may have caused pain or discomfort in the anus includes a physical examination and laboratory tests.

During a physical examination , the doctor checks the condition of the external surface of the anus and palpates the anal canal and rectum – this allows you to detect a violation of the integrity of the mucous membranes (anal fissures), benign neoplasms (polyps) or malignant tumors, inflammation of the rectal mucosa (proctitis ) or adipose tissue surrounding the rectum (paraproctitis), as well as rectal prolapse, hemorrhoids, fistulas and other disorders.

laboratory tests help to clarify the diagnosis – for example, to identify inflammation, identify the pathogen, exclude damage to intestinal tissues.

Clinical blood test with leukocyte formula and ESR (with microscopy of a blood smear when pathological changes are detected) (venous blood)

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C-reactive protein

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Occult blood (FOB Gold), feces, count.

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Calprotectin in feces

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To find out if there is an infection with worms, scraping, fecal or blood tests are prescribed.

Helminth eggs

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Cal 0 ₽ 9000 3 Differential diagnosis of helminthiases IgG (n/col)

Ven. blood (+140 ₽) 105 3 days

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Ven. blood 140 ₽

Protozoa

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Cal 0 ₽ 9000 3 Blastocysts

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Examination of scraping for enterobiosis

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If oncological diseases are suspected, a number of tests are prescribed that allow to identify pathology or predisposition to it at an early stage.

CEA (colon, rectum)

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Colon cancer, non-polyposis (type 2) MLh2: His329Pro (h429P)

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Take (2) +480 ₽

Ven. blood 140 ₽

DNA extraction 340 ₽

Which doctors to contact for pain in the anus

Since pain, itching and burning in the anus can be caused by various pathologies and conditions, it may be necessary to consult several specialists.

First of all, you should contact a proctologist – a doctor who deals with the treatment and prevention of diseases of the colon and anal area. He will conduct an examination to exclude anal fissures, hemorrhoids, polyps and malignant neoplasms.

If no proctological pathology is identified, the doctor may recommend a visit to other specialists, such as a dermatologist or urologist.

Pain in the anus during pregnancy

During pregnancy, pain in the anus can be caused by increased uterine pressure on the intestines and inferior vena cava, hormonal changes, or digestive disorders. The most common causes are exacerbated hemorrhoids and damage to the mucous membrane of the anus and rectum (anal fissure).

Pain in these pathologies can be either slight, aching or pressing, or sharp and very strong. For any discomfort in the anus during pregnancy, you should contact a proctologist. He will carefully examine the anus area, determine the cause of discomfort and prescribe therapy.

As a rule, the treatment of pregnant women with pain in the anus is limited to the use of topical preparations (ointments or rectal suppositories) containing healing and analgesic components. In addition, the doctor may prescribe home remedies (baths with herbal decoctions, contrast douches) and a diet for regular, soft stools that do not injure damaged mucous membranes.

Pain in the anus in children

Discomfort in the anus is common in children who attend kindergarten or elementary school. If it is inconvenient for a child to go to the toilet in a public place, a habit is formed to endure until home, constipation may occur. At the same time, the rectum is constantly filled, and its contents press on the anus.

The habit of enduring until home leads to constipation in a child

Infection with worms can also cause pain, burning or itching in children. If the child does not yet speak (or is embarrassed to share intimate details with parents), the pathology can be determined by indirect signs: irritability, tearfulness, redness in the anus.

Even with severe symptoms suggestive of worm infestation, parasites can be difficult to identify. Therefore, the doctor may prescribe several tests at once: scraping, examination of feces and even blood.

Helminth eggs

Cal 34 1 day

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340 ₽

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1 day

Cal 0 ₽ 9000 3 Differential diagnosis of helminthiases IgG (n/col)

Ven. blood (+140 ₽) 105 3 days

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Ven. blood 140 ₽

Protozoa

Cal 31 1 day

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310 ₽

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Cal 0 ₽

Blastocysts

Cal 35 1 day

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350 ₽

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Cal 0 ₽

Examination of scraping for enterobiasis

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For treatment, antihelminthic drugs are prescribed – the doctor selects them according to the results of the tests, taking into account the characteristics of the parasites, as well as the age, weight and health of the child. As an additional therapy, enterosorbents are indicated (these drugs remove toxins from the body formed during the destruction of parasites), probiotics to restore normal intestinal microflora and antihistamines.

Treatment

Treatment of pain in the anus depends on what causes it. In most cases, local preparations are sufficient, but sometimes systemic drugs (for example, antibiotics) or surgical treatment must be used.

Conservative therapy

In case of damage to the mucous membranes, painkillers and healing ointments or suppositories are prescribed. With irritation in the anus, the doctor may also recommend herbal tea baths to relieve inflammation and soothe the skin.

If the pain is caused by constipation, a diet is prescribed so that the stools are softer and the trips to the toilet are regular. If necessary, the doctor will recommend laxatives.

If the pain is caused by infection, a course of antibiotics will be required.

To get rid of hemorrhoids, the doctor may suggest conservative methods of treatment – sclerotherapy (injection of a special solution into the hemorrhoid, which causes the node to shrink), electrotherapy (exposure to the nodes with an electric current), infrared coagulation (exposure to the nodes with infrared light, which slows down the blood supply to the node and contributes to its reduction).