Why does my buttock and anus hurt, making it painful even to walk, and what should I do?

The buttocks usually refer to the gluteal region. In general, pain in the buttocks and anal area that hurts even while walking may be caused by poor posture, overexertion, internal hemorrhoids, anal fissures, rectal prolapse, or other reasons. If any discomfort occurs, seek medical attention promptly and receive symptomatic treatment under the guidance of a qualified physician. Specific causes are analyzed as follows:

1. Poor Posture

Prolonged incorrect sitting posture or lack of appropriate physical activity may lead to muscle tension and impaired blood circulation in the buttocks and surrounding anal areas, thereby causing pain. It is recommended to stand up and move around frequently throughout the day, perform simple stretching exercises to promote blood flow, and avoid maintaining the same posture for extended periods—especially prolonged sitting.

2. Overexertion

Excessive exercise or physical strain can injure soft tissues such as muscles and ligaments around the buttocks and anus, potentially leading to pain. Adequate rest should be taken, strenuous activities avoided, and local heat or cold therapy applied to help relieve discomfort.

3. Internal Hemorrhoids

Internal hemorrhoids often result from prolonged sitting or standing, poor bowel habits, or an unhealthy diet, which cause congestion and dilation of the hemorrhoidal venous plexus. If the hemorrhoids become inflamed, they can stimulate nearby nerve endings. During walking, body weight and friction increase pressure on the hemorrhoids, worsening the pain. Symptoms may also include bleeding and itching. Patients may use medications such as Ma Yinglong Musk Hemorrhoid Ointment, Zi Hua Hemorrhoid Ointment, or Chlorhexidine Acetate Hemorrhoid Suppositories as directed by a physician.

4. Anal Fissure

Anal fissures are typically caused by chronic constipation or hard stools, resulting in mechanical injury to the anal canal skin. After the tear occurs, spasm of the anal sphincter muscle prevents proper healing. Movement during walking activates the sphincter muscle, irritating the fissure and causing severe pain. This condition may also present with intense pain during defecation and bleeding. Under medical supervision, treatments may include topical applications such as Lincomycin and Lidocaine Gel, Ibuprofen Cream, or Shengji Yuhong Ointment.

5. Rectal Prolapse

Rectal prolapse is commonly caused by increased abdominal pressure, weakened pelvic floor tissues, or loosening of the connective tissues surrounding the rectum. When the rectal wall protrudes outward, the anal sphincter and surrounding tissues endure additional pressure, potentially causing pain. Other symptoms may include difficulty with bowel movements and a sensation of heaviness or fullness in the anal area. Under a doctor’s advice, patients may use medications such as Mahren Soft Capsules, Dizhu Huaijiao Pills, or Mesalazine Enteric-coated Tablets.

To prevent buttock and anal pain, maintain cleanliness and comfort: gently wash the anal area with warm water, avoid vigorous wiping or using irritating cleansers, refrain from prolonged sitting, and maintain regular bowel habits.