Pain in Anus When Sitting

Anal pain – pain around your anus or rectum (perianal region) – is a common problem. Although the majority of causes of anal pain are benign, the pain itself can be severe due to the fact that of the lots of nerve endings in the perianal region. A lot of people have the pain when sitting (putting body weight on anal muscles).

Numerous conditions that cause anal pain when sitting might also cause rectal bleeding, which is usually more frightening than severe.

The causes of anal pain normally can be easily identified. Anal pain generally can be treated with non-prescription painkiller and hot water soaks (sitz baths).


Causes of anal pain when sitting include:

  • Proctalgia fugax (short lived pain due to rectal muscle convulsion).
  • Anal fissure (a little tear in the lining of the anal canal).
  • Injury.
  • Ulcerative colitis (a kind of inflammatory bowel disease).
  • Diarrhea (causing anal inflammation).
  • Fecal impaction (a mass of solidified stool in the rectum due to chronic constipation).
  • inflammation of the lining of the rectum or ulcer of the rectum.
  • Coccydynia or coccygodynia (tailbone pain).
  • Levator rectum syndrome (spasm in the muscles that surround the anus).
  • Crohn’s disease (a kind of inflammatory bowel disease).
  • pruritus ani.
  • Anal sex ( mentions, that you should avoid this tipe of sex in any case).
  • Hemorrhoids (swollen and irritated veins in your rectum or anal).
  • Anorectal fistula (an unusual channel in between the rectum or rectum usually to the skin near the rectum).
  • Ulcerative proctitis (a kind of inflammatory bowel disease).
  • Perianal hematoma (a collection of blood in the perianal tissue caused by a burst vein, often called an external hemorrhoid).
  • Perianal abscess (pus in the deep tissue around the anus).
  • Anal cancer
  • Thrombosed hemorrhoid (blood clot in a hemorrhoid).
  • Chronic constipation.

Seek Immediate Medical Attention

Have someone drive you to immediate care or the emergency room if you establish:

  • A significant quantity of rectal bleeding or anal spotting that will not stop, especially if accompanied by lightheadedness, dizziness or feeling faint.
  • Anal pain that gets much worse, spreads, or is accompanied by fever, chills or anal discharge.

Set Up a Doctor’s Visit

Make an appointment with your doctor if your pain lasts more than a few days and self-care remedies aren’t assisting. Likewise make an appointment with your doctor if anal pain is accompanied by a modification in bowel practice or rectal bleeding.

A hemorrhoid that develops quickly or is particularly painful may have formed an embolism inside (thrombosed). Removing the embolism within the first 48 hours typically provides the most relief, so request a timely visit with your doctor. The blood clot of a thrombosed pile, although painful, cannot break loose and travel, so it won’t cause any of the complications – such as stroke – associated with embolism that form in other parts of the body.

See your doctor for rectal bleeding, especially if you’re older than 40, to rule out uncommon however major conditions such as colon cancer.


Depending upon the cause of your anal pain when sitting, there are some measures you can try at home to get relief. They consist of:

  • Eating more fruits, vegetables and entire grains, exercising daily, and taking stool softeners, if needed, to help with defecation, reduce straining and alleviate pain.
  • Being in a tub of hot water up to your hips – known as a sitz bath – several times a day to ease the pain of hemorrhoids, anal cracks or rectal muscle convulsions.
  • Applying over-the-counter hemorrhoid cream for hemorrhoids or hydrocortisone cream for anal cracks.
  • Taking an over-the-counter painkiller such as acetaminophen (Tylenol, others), aspirin or ibuprofen (Advil, Motrin IB, others).
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