What causes pain in the buttocks when sitting. How to identify symptoms of buttock pain. What are the most effective treatments for buttock pain when sitting. When to seek medical attention for persistent buttock pain.

Understanding Buttock Pain: Common Causes and Symptoms

Experiencing pain in the buttocks when sitting can be both uncomfortable and concerning. This discomfort may stem from various causes, ranging from minor injuries to more serious underlying conditions. Understanding the potential causes and associated symptoms is crucial for proper diagnosis and treatment.

Common symptoms of buttock pain include:

• Bruising or discoloration
• Numbness and tingling
• Tingling sensation in the legs
• Soreness in the tailbone (coccyx)
• Swelling
• Difficulty moving the affected muscle
• Trouble transitioning from sitting to standing

While some cases of buttock pain may resolve on their own, others may require medical intervention. It’s essential to pay attention to the duration and intensity of the pain, as well as any accompanying symptoms, to determine the appropriate course of action.

Sciatica: A Common Culprit of Buttock Pain

Sciatica is a prevalent condition that can cause significant discomfort in the buttocks when sitting. But what exactly is sciatica, and how does it affect the body?

Sciatica occurs when the sciatic nerves, which are the two largest nerves in the body, become compressed or obstructed. These nerves run from the lower spine, through the buttocks, and down to the knees. Compression can result from various factors, including:

• Disk prolapse
• Narrowing of the spinal canal
• Muscle tension or inflammation

Symptoms of sciatica may include:

• Shooting pain from the buttocks to the legs
• Tingling or numbness in the affected area
• Worsening pain when sitting for extended periods
• Discomfort during movement, sneezing, or coughing

How long does sciatica typically last? In most cases, sciatica resolves within 4-6 weeks. However, some individuals may experience prolonged symptoms that require more extensive treatment.

Treatment Options for Sciatica

Several treatment options are available for managing sciatica-related buttock pain:

1. Over-the-counter pain relievers (e.g., acetaminophen, ibuprofen)
2. Targeted exercises and stretches
3. Application of heat packs
4. Physical therapy
5. Pain relief injections
6. Nerve block procedures
7. Surgery (in severe cases)

It’s important to consult with a healthcare professional to determine the most appropriate treatment plan for your specific case of sciatica.

Piriformis Syndrome: When a Tiny Muscle Causes Big Problems

Piriformis syndrome is another condition that can lead to buttock pain when sitting. This syndrome develops when the piriformis muscle, a small pear-shaped muscle in the buttocks, irritates or compresses the sciatic nerve.

What are the key symptoms of piriformis syndrome? According to the National Academy of Sports Medicine, individuals with this condition may experience:

• Pain in the buttocks
• Discomfort radiating down the back of the leg or thigh
• Pain when sitting
• Increased pain when walking up stairs or hills
• Reduced range of motion in the hip joint

Effective Treatments for Piriformis Syndrome

Managing piriformis syndrome often involves a combination of therapies:

1. Over-the-counter pain relievers to reduce inflammation and discomfort
2. Targeted stretches to alleviate muscle tension
3. Gentle exercises to improve flexibility and strength
4. Alternating cold and heat therapy to reduce inflammation and promote healing

For those seeking additional relief, nerve flossing exercises may help alleviate pain associated with both sciatica and piriformis syndrome. These exercises involve gentle movements that help mobilize the sciatic nerve and reduce compression.

Coccydynia: When Your Tailbone Becomes a Pain in the Butt

Coccydynia, or tailbone pain, is a condition that can cause significant discomfort when sitting. The coccyx, located at the bottom of the spine, can become painful due to various factors.

What are the common causes of coccydynia? Some potential triggers include:

• Childbirth
• Injuries or accidents, such as falls
• Prolonged strain on the coccyx
• Poor posture while sitting
• Being overweight or underweight

Symptoms of coccydynia may include:

• A persistent dull, achy pain
• Occasional sharp pain
• Increased discomfort when sitting, moving from sitting to standing, or bending down
• Pain during sexual intercourse
• Difficulty performing everyday activities, such as driving or passing stool

Treatment Approaches for Coccydynia

While time is often the primary treatment for coccydynia, several options can help manage symptoms:

1. Using a doughnut cushion to reduce pressure on the tailbone
2. Over-the-counter pain relief medications
3. Prescription pain medications for severe cases
4. Injections of anti-inflammatories or pain relievers into the affected area
5. Surgery in extreme cases

How long does it take for coccydynia to heal? The recovery period for coccydynia can vary, but it typically takes a few weeks to a few months for complete healing. During this time, managing symptoms and following medical advice is crucial for a successful recovery.

Bruising: A Common Cause of Temporary Buttock Pain

Bruising is a frequent cause of temporary pain in the buttocks. These discolored patches appear on the skin after an injury, resulting from broken capillaries beneath the skin’s surface.

How can you identify a bruise on different skin tones? Bruises may appear as:

• Blue or purple patches on light skin
• Dark purple, brownish, or black patches on darker skin

In most cases, bruises do not require specific treatment and will heal on their own within a couple of weeks. However, there are ways to manage the associated pain and promote faster healing:

1. Using over-the-counter pain relievers to reduce discomfort
2. Applying a cold compress or ice pack to reduce swelling and numb the area
3. Elevating the affected area to minimize blood flow and reduce swelling

When should you seek medical attention for a bruise? While most bruises are harmless, it’s important to consult a healthcare professional if:

• The bruise persists for more than two weeks
• You experience sudden, unexplained bruising
• The bruise is accompanied by severe pain or swelling
• You notice signs of infection, such as warmth, redness, or pus

Other Potential Causes of Buttock Pain When Sitting

While sciatica, piriformis syndrome, coccydynia, and bruising are common culprits of buttock pain, several other conditions can cause discomfort in this area. Understanding these potential causes can help in seeking appropriate medical attention and treatment.

Pilonidal Cyst

A pilonidal cyst is an abnormal pocket in the skin that usually occurs near the tailbone. These cysts can become infected and cause pain, especially when sitting. Symptoms may include:

• Swelling and redness near the tailbone
• Pain or tenderness when sitting or applying pressure to the area
• Drainage of pus or blood from the affected area

Treatment for pilonidal cysts may involve antibiotics, drainage procedures, or surgery in severe cases.

Arthritis

Various forms of arthritis can affect the joints in the pelvis and lower back, leading to buttock pain when sitting. Common types of arthritis that may cause this discomfort include:

• Osteoarthritis
• Rheumatoid arthritis
• Ankylosing spondylitis

Treatment for arthritis-related buttock pain may include pain management techniques, physical therapy, and in some cases, medications to slow the progression of the disease.

Bursitis

Bursitis occurs when the small, fluid-filled sacs (bursae) that cushion bones, tendons, and muscles near joints become inflamed. In the buttocks, this condition is often referred to as ischiogluteal bursitis. Symptoms may include:

• Pain that worsens when sitting or lying down
• Tenderness when applying pressure to the affected area
• Stiffness in the hip or buttock region

Treatment for bursitis typically involves rest, ice or heat therapy, anti-inflammatory medications, and in some cases, corticosteroid injections.

Muscle Strain

Overuse or injury to the muscles in the buttocks can lead to strain and resulting pain when sitting. Common causes of muscle strain in this area include:

• Intense exercise or physical activity
• Improper lifting techniques
• Sudden, forceful movements

Treatment for muscle strain often involves rest, ice therapy, gentle stretching, and over-the-counter pain relievers.

When to Seek Medical Attention for Buttock Pain

While many cases of buttock pain when sitting can be managed at home, certain situations warrant professional medical attention. It’s important to recognize these red flags to ensure proper diagnosis and treatment.

When should you consult a healthcare provider for buttock pain? Consider seeking medical attention if:

• The pain persists for more than a few weeks despite home treatment
• You experience severe pain that interferes with daily activities
• The pain is accompanied by fever, chills, or other signs of infection
• You notice unexplained weight loss or fatigue along with the pain
• There is visible deformity or severe swelling in the affected area
• You experience loss of bladder or bowel control
• The pain is accompanied by numbness or weakness in the legs

A healthcare professional can perform a thorough examination, order necessary diagnostic tests, and develop an appropriate treatment plan tailored to your specific condition.

Preventive Measures and Lifestyle Changes to Reduce Buttock Pain

While not all causes of buttock pain can be prevented, there are several lifestyle changes and preventive measures that can help reduce the risk of developing or exacerbating pain in this area.

Maintain Good Posture

Proper posture is crucial for preventing various types of buttock pain, especially when sitting for extended periods. How can you improve your sitting posture?

• Keep your feet flat on the floor or use a footrest
• Maintain a slight arch in your lower back
• Keep your shoulders relaxed and your head aligned with your spine
• Use ergonomic chairs or cushions designed to support proper posture

Regular Exercise and Stretching

Engaging in regular physical activity and stretching can help strengthen the muscles supporting the buttocks and lower back, reducing the risk of pain and injury. Consider incorporating the following into your routine:

• Low-impact aerobic exercises like walking, swimming, or cycling
• Strength training exercises targeting the core, glutes, and lower back
• Yoga or Pilates to improve flexibility and body awareness
• Gentle stretches for the piriformis muscle and hamstrings

Take Frequent Breaks from Sitting

Prolonged sitting can contribute to various forms of buttock pain. How can you reduce the impact of extended sitting periods?

• Stand up and move around every 30-60 minutes
• Use a standing desk or adjustable workstation to alternate between sitting and standing
• Perform simple stretches or exercises during breaks
• Consider using a sit-stand stool or active sitting chair to promote movement while seated

Maintain a Healthy Weight

Excess weight can put additional stress on the lower back and buttocks, increasing the risk of pain and discomfort. Maintaining a healthy weight through a balanced diet and regular exercise can help reduce this risk.

Use Proper Lifting Techniques

Improper lifting can lead to strains and injuries in the buttocks and lower back. When lifting heavy objects:

• Bend at your knees, not your waist
• Keep the object close to your body
• Avoid twisting your spine while lifting
• Use your leg muscles to lift, not your back

By incorporating these preventive measures and lifestyle changes, you can significantly reduce your risk of developing buttock pain when sitting and improve your overall musculoskeletal health.

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

82581

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…

Up to 1 business day

Available with house call

RUB 810

Add to cart

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…

Up to 1 business day

Available with home visit

410 RUB

Add to cart

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.

RUB 2,440

Sign up

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.

RUB 2,590

Sign up

Ultrasound of the prostate

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

RUB 2,190

Sign up

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)

Ven. blood (+140 ₽) 43 1 day

43 bonuses

430 ₽

Add to cart

1 day

Ven. blood 140 ₽

C-reactive protein

Ven. blood (+140 ₽) 33 1 day

33 bonuses

330 ₽

Add to cart

1 day

Ven. blood 140 ₽

Occult blood (FOB Gold), feces, count.

Cal 100 3 days

100 bonuses

1,000 ₽

Add to cart

Cal 0 ₽

Calprotectin in feces

900 02 Kal 270 5 days

270 bonuses

2,700 ₽

Add to cart

5 days

Cal 0 ₽

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

Helminth eggs

Cal 34 1 day

34 bonuses

340 ₽

Add to cart

1 day

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

Ven. blood (+140 ₽) 105 3 days

105 bonuses

1,050 ₽

Add to cart

Ven. blood 140 ₽

Protozoa

Cal 31 1 day

31 bonus

310 ₽

Add to cart

1 day

Cal 0 ₽ 9000 3 Blastocysts

Cal 35 1 day

35 bonuses

350 ₽

B basket

1 day

Cal 0 ₽

Examination of scraping for enterobiosis

Imprint 25 1 day

25 bonuses

250 ₽

Add to cart

1 day

Imprint 0 ₽

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)

Ven. blood (+140 ₽) 58 1 day

58 bonuses

580 ₽

Add to cart

1 day

Ven. blood 140 ₽

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

Collection (2 types, +480 ₽) 593 days

59 bonuses

590 ₽

Add to cart

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

34 bonuses

340 ₽

Add to cart

1 day

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

Ven. blood (+140 ₽) 105 3 days

105 bonuses

1 050 ₽

Add to cart

Ven. blood 140 ₽

Protozoa

Cal 31 1 day

31 bonus

310 ₽

Add to cart

1 day

Cal 0 ₽

Blastocysts

Cal 35 1 day

35 bonuses

350 ₽

Add to cart

1 day

Cal 0 ₽

Examination of scraping for enterobiasis

Imprint 25 1 day

25 bonuses

250 ₽

Add to cart

1 day

Imprint 0 ₽

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).