Why does the flesh on my butt hurt?

For some people who sit for a long time, they often have this feeling: back pain and buttocks pain. We should pay attention to the situation that some people experience pain in the buttocks even though they have not been sitting for a long time. This may be due to some disease. There are many factors that lead to buttocks pain, mainly caused by some anorectal diseases, such as anal fissure, anal inflammation, etc. We need to carry out corresponding treatments for different symptoms. Only with full understanding can we cope with them. Let’s learn about it together below.

What is the pain in the butt?

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.

Guidance suggestions:

1. Eat more fresh vegetables and fruits and drink plenty of water to promote metabolism. You can also drink honey water at home to moisten the intestines and promote bowel movements. I wish you a speedy recovery. If your condition changes, please go to the anorectal department of the hospital for a follow-up examination in time.

2. It is recommended that you go to the anorectal department of a regular public hospital for an examination under the guidance of a doctor and receive symptomatic treatment based on the examination results. Usually, you should drink more boiled water, eat more fresh fruits and vegetables, and keep your bowel movements smooth.

3. It is best to go to the hospital for a check-up. You can use external medications and should be able to recover along with regular conditioning. It is recommended that you drink more boiled water, especially a large glass of warm water on an empty stomach every morning, drink some honey water, eat more bananas, eat less spicy food, quit smoking and drinking, you can use a 1:5000 concentration of potassium permanganate to clean the anus, apply hot towels, apply Mayinglong hemorrhoid cream, and do more anal exercises.

4. It is recommended to pay attention to eating habits, drink more water, eat more fruits and vegetables, keep bowel movements smooth, develop the habit of daily bowel movements, avoid spicy, irritating, raw, cold, greasy foods, avoid sitting or squatting for long periods of time, change and wash underwear frequently, and keep the local area clean and dry.