Why does one side of my butt hurt?

There are many reasons for buttock pain. Sometimes it may be caused by sleeping too deeply, lying on your side and pressing on one side, which causes long-term pressure on the buttocks and insufficient blood supply. It may also be caused by diseases, such as anal fissures, hemorrhoids, constipation and other anorectal diseases, which can cause discomfort in the buttocks. Patients with mild cases can reduce the pressure on their buttocks and avoid sitting for long periods of time. Patients with severe cases need to go to the hospital for treatment. This article introduces several diseases that can cause buttock pain. Let’s take a look.

1. Cause pain

Buttock pain can be caused by periodic pain due to bowel movements, which is the main symptom of anal fissure. When defecating, the feces stimulate the nerve endings on the ulcer surface, and the patient immediately feels a burning pain in the anus. But the pain will ease after a few minutes of defecation, and this period is called the pain interval. Later, severe pain will occur again due to spasm of the internal sphincter. This period can last from half an hour to several hours, making the patient restless and very difficult to bear. Until the sphincter fatigues, the muscles relax and the pain is relieved, but the pain will occur again when defecating again.

2. Cause constipation

This is the cause of buttock pain. The patient is unwilling to defecate due to anal pain, which causes constipation over time and the stool becomes drier and harder. Constipation can also aggravate anal fissures, forming a vicious cycle and making it difficult for anal fissures to heal.

3. Bleeding in the stool

When defecating, a small amount of fresh blood stains or drops of blood are often seen on the surface of the stool or on toilet paper, which can easily lead to anemia over time. What are the dangers of anal pain in Changzhou?

4. Anal pain quintuple syndrome

If buttock pain is not treated promptly in the early stages, three symptoms may appear: anal ulcers, hypertrophy of anal papillae, and sentinel piles. If it continues to develop, anal sinusitis and anal fistula may also occur. Together with the first three symptoms, they are collectively called the "Anal Pain Pentalogy." Once the Anal Pain Pentalogy is formed, the patient's condition will become more serious and the treatment will be more complicated.

Treatment of buttock pain includes both treatment of the cause and treatment of symptoms

1. Psychological factors (including neurological factors): For pain caused by psychoneurological factors, psychological treatment should be given first, and at the same time, vitamins and tranquilizers should be given appropriately for treatment. For anal pain caused by nerve factors, such as sciatica, it is necessary to diagnose the specific cause of sciatica, so as to eliminate the cause and the anal pain will disappear;

2. Intestinal infection, constipation and diarrhea: Use antibiotics or laxatives for symptomatic treatment. Once intestinal infection, constipation and diarrhea are controlled or cured, the buttocks will no longer hurt.

3. Infection or abscess around the anorectum: timely incision and drainage or radical surgery;

4. Anal diseases and anal tumors: timely cure of anal diseases such as hemorrhoids, fistulas, fissures, and surgical removal of anal tumors will naturally reduce buttock pain;

1. Good personal hygiene: Change underwear and wash the anus frequently every day to keep the skin around the anus clean and prevent infection by bacteria and viruses.

2. Reasonable eating habits: Eat a reasonable diet, do not overeat, eat less spicy, greasy and other irritating foods, eat more vegetables, fruits, etc., keep bowel movements smooth, and help the intestines to accelerate digestion. After getting up every day, you can drink a glass of honey water on an empty stomach to promote normal intestinal peristalsis.

3. Regular bowel movement habits: Develop a good habit of regular bowel movements at fixed times and locations, let your intestines get used to your work and rest schedule, and form a conditioned reflex bowel movement. It is not advisable to squat in the toilet for a long time, as it will hinder the normal circulation of venous blood and cause other complications.

4. Sitz bath fumigation: Fumigation for about 20 minutes every day can effectively relieve anal pain. The water temperature should be around 38 degrees, or Chinese medicine fumigation can be performed according to the doctor's advice, which will be more effective.

5. Happy mood: Relieve tension, combine work and rest, do more outdoor sports, adjust your mood, and enhance the patient's fighting power. A good attitude is conducive to relieving the brain's nervous system.

1. Anal fissure: Defecation can induce knife-like and tearing pain in the buttocks. Fresh blood or blood drops can be seen on the surface of the stool. The pain often persists for a period of time after defecation.

2. Hemorrhoids: There is a feeling of swelling in the buttocks, often with itching, redness, swelling and pain, and the swelling falls out after defecation.

3. Perianal abscess: severe pain in the buttocks, aggravated by touching or coughing, or accompanied by low fever

4. Rectal prolapse: There is a feeling of falling in the buttocks, and a feeling that defecation is not complete, accompanied by lower abdominal distension and pain, frequent urination, pain in the buttocks and perineum, accompanied by constipation, rectal pressure and abdominal pain.

5. Anal canal cancer: perianal ulcers, hardened texture, increased pain during rest, frequent urge to defecate, and fecal incontinence with pus and blood.

6. Anal sinusitis: pain and discomfort in the buttocks, accompanied by a feeling of incomplete defecation, and occasionally a small amount of light red secretions.

7. Neurogenic anal pain: pain in the buttocks, and examination shows no possible explanation for the pain.

1. Anal fissure

The pain caused is cyclical and often occurs during or after defecation. It is mainly caused by irritation from feces and expansion of the ulcer fissure. The pain is paroxysmal burning or knife-like pain and can last for several minutes; the pain subsides after the stool passes. In addition, due to the stimulation of defecation, the internal sphincter may be in continuous spasm, causing severe and persistent pain in the ulcer fissure; it can often last for several hours, and the patient is restless and in great pain; in severe cases, the pain can last for more than 24 hours. In addition to pain, anal fissures are often accompanied by symptoms such as bleeding and constipation.

2. Anal sinusitis

Generally, there is slight pain and heaviness in the buttocks. During defecation, the stool presses on the inflamed anal sinus, causing burning pain in the anus. If the sphincter contracts due to stimulation, the pain will intensify and radiate to the buttocks and posterior thigh. It is often accompanied by a small amount of purulent or mucous secretion with a foul odor, which may cause moisture, itching and other discomforts around the anus over time.

3. Thrombosed external hemorrhoids

In mild cases, there is a foreign body sensation, often accompanied by bloating and pain. Due to damage to the perianal veins, blood clots form thrombi, and purple round hard nodules appear under the outer skin of the anus, usually at 3 o'clock and 9 o'clock in the lithotomy position.

4. Perianal abscess

The main symptom is distension and pain, and when pus forms, the pain is like a chicken pecking at the skin. Due to different factors such as the location of perianal abscess, size of abscess, pathogenic bacteria and patient's body resistance, the symptoms and signs that appear are also different. Common ones include subcutaneous abscess around the anus, ischiorectal abscess, pelvic rectal abscess, retrorectal abscess, and tuberculous abscess. Doctors at Quanzhou Boshi Anorectal Hospital pointed out that except for the different main symptoms, these abscesses generally have fever, chills, constipation, and difficulty urinating. Unlike other parts of the body, more than 90% of perianal abscesses can form anal fistulas, which have a longer course of disease.

5. Internal hemorrhoids

The main symptoms are distension and burning pain, which is mostly caused by varicose veins, damaged blood vessels and thrombosis, which result in restricted tissue circulation and prolapse of the anus and cannot be retracted. It is common in stage II and III internal hemorrhoids. Therefore, it is necessary to reduce or surgically treat the tumor as soon as possible, otherwise the surface mucosa will easily bleed, be damaged, or even become infected.

6. External hemorrhoid edema

The main symptoms are distension and burning pain, manifested as a localized lump at the edge of the anus, which is hard, smooth, shiny and obviously tender. It is mostly caused by fatigue, straining during defecation, or surgical stimulation.

7. Rectal cancer

There is no pain in the early stage, but later as the lump grows and ruptures, the anus may feel heavy and painful. Common symptoms include changes in bowel habits, bloody stools, abdominal distension, abdominal pain, and weight loss.

8. Anal foreign body injury

Most of them are caused by foreign objects left in the body due to trauma or improper diet, fish bones or bone fragments stuck in the anal canal or rectum. Therefore, you need to ask a doctor to check carefully and remove the foreign objects, and the pain will be relieved. If the retention time is too long, it may cause local infection.