The pain can be localized to the anus but can radiate to the buttocks, upper posterior thighs, or lower back. Often the pain is triggered by a bowel movement, can last for hours, and can be severe. Bleeding is usually not significant. Most patients with fissures have a history of constipation.
Anal pain (pain in the bottom) can be distressing. But is often just the result of a minor, treatable condition. Many common causes of anal pain will improve with self-care treatments. See your GP if your pain is severe, doesn't improve after a few days or you have rectal bleeding.
There are many potential causes of rectal pain including hemorrhoids, anal fissures, inflammation from IBD, infection, and trauma. Cancer is also a potential cause, but it's much less common. Rectal pain is often easily diagnosed and managed.
Proctalgia is pain due to a spasm of the pelvic floor muscles, the muscles of the anal sphincter, or the muscles of the rectum. This causes severe stabbing pain like a knife sticking into the rectum. This type of pain may originate without warning. It may vary in severity and duration.
Piriformis syndrome is a condition in which the piriformis muscle, located in the buttock region, spasms and causes buttock pain. The piriformis muscle also can irritate the nearby sciatic nerve and cause pain, numbness and tingling along the back of the leg and into the foot (similar to sciatic pain).
Identifying a Pinched Nerve in Buttocks
Some will feel a tingling sensation, similar to a limb being “asleep” and numbness that runs down the legs. Others may experience weakness in the legs, pain that radiates down the legs, or simply a deep pain in the buttock.
Rectal pressure can make a person feel like they have poop stuck in their anus. Pressure in the rectum can be uncomfortable or even painful. Possible causes range from constipation to an abscess.
Take over-the-counter pain medications, and use a hot pack or a cold pack. Or alternate heat and ice on the area, 15 to 20 minutes at a time, several times a day. Try gentle daily stretches for your legs, hips and buttocks. To relieve pressure, use a cushion when you're sitting.
Sciatica refers to pain that travels along the path of the sciatic nerve. The sciatic nerve travels from the lower back through the hips and buttocks and down each leg. Sciatica most often occurs when a herniated disk or an overgrowth of bone puts pressure on part of the nerve.
Small amounts of pain that go away after a few days or a week are normal, but deep gluteal syndrome causes pain that is usually more severe and doesn't go away, even with rest and basic care at home. Some other conditions are similar to deep gluteal syndrome, part of it, or have many of the same symptoms.
Problems with the anus are common. They include hemorrhoids, abscesses, fissures (cracks), and cancer. You may be embarrassed to talk about your anal troubles. But it is important to let your doctor know, especially if you have pain or bleeding.
Ischial bursitis (ischio-gluteal bursitis) is a condition of inflammation of the bursa, which lies between the ischial tuberosity and the gluteus maximus muscle. It presents with gluteal pain or posterior upper thigh pain following exercise or sitting for a long time.
A proctologist is a surgeon that has completed a residency focused entirely on Proctology (Proctologic Surgery). Proctologists are specialized surgeons with expertise in treating a wide range of anal and rectal problems including diseases of the lower gastrointestinal (GI) tract, both surgically and non-surgically.
If you have rectal prolapse, you may notice a reddish lump that comes out of the anus, often while straining during a bowel movement. The lump may slip back inside the anus, or it may continue to be seen. Other symptoms may include: You cannot control your bowel movements, known as fecal incontinence.
Color: The stool may be bright red, maroon, or black and tarry, which indicates the presence of blood. Stools may contain more mucus than normal. Odor: The stool odor may be increasingly foul compared to the typical smell.
The chronic pain (pain lasting 6 months or longer) in IBS can be felt anywhere in the abdomen (belly), though is most often reported in the lower abdomen. It may be worsened soon after eating, and relieved or at times worsened after a bowel movement. It is not always predictable and may change over time.
Causes of anal discharge
Mucus-based discharge may be caused by: Infection due to food-poisoning, bacteria or parasites. An abscess due to infection or an anal fistula – a channel that can develop between the end of your bowel and anus after an abscess.
Anusitis or pruritis ani is the irritation of the skin around the anal opening, causing symptoms such as pain, burning, itching and blood visible on the toilet paper. Anusitis is rarely related to hemorrhoids, but is most commonly due to irritation of the anal canal caused by acidic foods in the diet.
Perianal Crohn disease (PCD) is defined as inflammation at or near the anus, including tags, fissures, fistulae, abscesses, or stenosis. The symptoms of PCD include pain, itching, bleeding, purulent discharge, and incontinence of stool.
You also have bursae in your buttocks called ischial bursa, which can become inflamed and cause ischial or ischiogluteal bursitis. This can result from sitting for a long time on a hard surface, direct trauma, or injury to the hamstring muscle or tendon from activities like running or bicycling.
Walking can be a really important part of recovering from sciatic pain or piriformis syndrome pain and can help improve back mobility, release endorphins, and help promote your body's natural healing processes.
Axial spondyloarthritis (axSpA) also causes joint inflammation — specifically inflammation of the sacroiliac (SI) joints that connect the bottom of your spine to the top of your pelvis. People with axSpA commonly report lower back pain as well as pain in the hips and buttocks.
Kidney pain can be acute or chronic and the discomfort typically radiates between the lowest rib and buttock in the back. It can be accompanied by other symptoms, such as: Painful urination.