Pain is a crucial and early indicator that damage or sickness is occurring or has occurred in our body. The tissue metabolism’s balance will be disrupted and damaged locally. The reaction initiates a chain of repair mechanisms, beginning with inflammatory tissue hormones. These pain-creating hormones are followed by alleviating and repairing chemicals. The pain is our signal, to protect the harmed area and ensures the damaged area is fully concentrated. The discomfort disappears, when healing is possible, either with or without medical intervention.
Most pain-related problems can be openly discussed and are socially recognised, like headaches, neck pain, low back pain, and joint pain.
But, to speak about pain in the buttocks, more, in the anal area is not usual. The problem are trying to care for oneself in private. Sometimes discussed in private rounds if inevitable to search for help. Nevertheless, it is widely spread and directly affects social life and well-being. The concentrated work in the job is impaired and the private life.
1. There is one pattern of anal pain, that seems to be the most common.
Sharp and excruciating pain occurs with Bowel Movements, which can last for hours.
This pain is caused by an anal fissure if an acute or chronic one. It is vital for the treatment. A history of persistent constipation is known to have caused a tear in the anal canal midline, leading to the fissure in the majority of the affected people.
Stool regulation and creams can sometimes result in spontaneous healing. In other circumstances, the specialist can be consulted over an exquisite new non-operative strategy or, lastly,4 an operative treatment.
A Proctologist’s consultation is usually required and recommended in most circumstances.
2. Very often, but not so severe, is the pain, caused by an anal thrombosis, wrongly described as “external haemorrhoid”, as it has nothing to do with haemorrhoids.
It’s a blood clot in an external peri-anal vein, which is easy to access here.
This agony occurs instantaneously, In a matter of few seconds and is persisting for several days. The size and the pain are the only criteria for treatment. This thrombus or blood clot is not hazardous and usually dissolves on its own within a few weeks.
The blood cloth can be removed in local anaesthesia in cases of a big size and severe pain.
Not to mention, the acute prolapse of Haemorrhoids with immediate thrombosis development.
This is the most severe stage of Haemorrhoids and requires immediate surgical treatment.
3. The third and most severe type of pain is one, that is escalating and throbbing.
This type of pain signals an anal or buttock infection. Aside from some skin diseases, that cause less pain, an infection of the anal glands, known as an anal abscess, is possible.
These anal glands are lined up at the junction between the anal canal and the rectum.
They are a minor inheritance. However, they can become infected by our ordinary intestinal microbes at any moment during our lives for no apparent reason.
An infected anal gland develops into an acute fistula inflammation, which is bulging as an acute anal abscess with this [pain pattern
After describing the main and acute pain patterns and advising on the related diseases, I’d like to discuss other, quieter, and longer-lasting pain patterns.
4. Recurrent buttocks pain at night in bed. We should think in case of radiating pain about a disease of the lumbar spine, protrusion or prolapse of a disc.
Another illness to consider is tail bone inflammation.
Another reason can be enlarged Hemorrhoids of late third or fourth degree. Their symptoms are frequently hazy and less severe.
This is a prominent sign throughout the healing period of an anal illness.
5. A pain not directly around the anus, but in the cleft, occurs with a Pilonidal sinus and pilonidal fistula. These are skin infections and are often accompanied by discharge.
If a person has a large number of strong hairs, they can break and be collected in the shallow area above the sacrum and in the cleft. Furthermore, sweat and fatty skin form a sensitive skin area, where the broken hairs injure the skin’s surface. An begins to spread. The severity is proportional to the extent of skin damage.
A fistula or a cyst covers the hair. These structures must be taken down. The treatment is carried out surgically, beginning with the least intrusive procedure and progressing to full plastic adjustments.
6. The last pain pattern is related to the pain.
Other signs of enlarged Haemorrhoids include irritation, discharge and blood traces. These symptoms worsen as the stage of Haemorrhoids advances, and they also occur during Bowel Movements.
A thorough diagnostic investigation, including Proctoscopy, aids in the development of a tailored treatment strategy. From sclerosing injections through lifting surgeries, the strategy is stage-based.
Coccygodynia, the chronic inflammation of the tailbone, the final section of the spinal column, causes pain not just at night but also by sitting. An examination can be used to provide a diagnosis, and injections can help alleviate symptoms.
