What causes butt pain?

In our daily life, we often feel pain in the buttocks after sitting for a long time. This may be due to the pain caused by insufficient blood supply to the buttocks blood vessels caused by sitting for a long time. However, this is not the only reason that can cause buttocks pain. Diseases of the anorectal area can also cause buttocks pain, and diseases of the anorectal area have a great impact on the sitting and standing of the human body. There will be pain when walking and sitting, and there is more likely to be blood in the stool when defecating. So let’s introduce the reasons for buttocks pain below.

Causes

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.

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. At the same time, vitamins and tranquilizers should be given appropriately. For anal pain caused by nerve factors, such as sciatica, the specific cause of sciatica should be diagnosed, 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, and fissures, surgical removal of anal tumors, and natural relief of buttocks pain.