Painful Swelling Around the Anus After Prolonged Sitting: Understand the Causes and Treatment

Sitting for long periods, whether at work or while driving, can cause annoying swelling and pain around the anus. If you feel a lump or burning sensation in the area after sitting, it's important to understand the real causes and how to deal with them. In this article, we'll outline the most likely reasons.

1. Anal Abscess

An anal abscess often appears as a red, painful, and warm swelling that resembles a boil. It becomes more noticeable after prolonged sitting as pressure on the area increases.

• For more details: Types of Anal Abscesses and How to Prevent Them. This article provides a complete description of an abscess, its features, and appropriate treatment. (Arabic)

2. Swollen External Hemorrhoids

External hemorrhoids, especially those with a blood clot (thrombosed), can swell and harden after sitting, causing severe pain and a prominent lump.

• Related article: Treatment of Swollen External Hemorrhoids and Their Causes. This article explains the causes of blood clots and how to treat them.

3. Anal Fistula

A fistula may be accompanied by painful swelling, especially if there is inflammation or pus forming around the external opening. Sitting increases pressure, which in turn worsens the pain.

• Comprehensive article: Anal Fistula: Symptoms, Causes, Prevention, and Treatment Methods. This article explains the symptoms of a fistula and the necessary medical procedures for its diagnosis and treatment. (Arabic)

4. Internal Hemorrhoids or Venous Congestion

Sometimes, a feeling of fullness or pressure inside the rectum due to congested veins (as with internal hemorrhoids) can manifest as swelling around the anal opening.

• Relevant article: The Difference Between Internal and External Hemorrhoids: How to Distinguish Them?. This article clarifies the difference between the two types of hemorrhoids and their symptoms. (Arabic)

5. Skin Irritation or Superficial Infection

Sitting for long periods can lead to relying on wipes or frequent friction, which may cause irritation to the skin around the anus. This can appear as a small lump or rash with painful itching.

• Explanatory link: Does an Itchy Anus Signal Danger?. This article highlights skin-related causes of itching or irritation and explains when to seek medical attention. (Arabic)

When Should You See a Doctor Immediately?

• Severe swelling with a fever or increasing pain after sitting.

• Yellow fluid or pus draining from the area.

• The swelling persists even after trying home remedies.

• The appearance of a fever or general fatigue.

In these cases, immediate medical follow-up is recommended for draining the abscess or undergoing appropriate surgical treatment.

Initial Steps for At-Home Relief

• Take a warm water bath (Sitz bath) for 10-15 minutes after prolonged sitting to reduce swelling.

• Use numbing or anti-inflammatory ointments as advised by a doctor.

• Avoid sitting on hard surfaces, or use a special doughnut cushion.

• Avoid scented wipes and use only water for cleaning.

• Eat enough fiber and water to prevent constipation and reduce pressure on the area.

Conclusion

Painful swelling around the anus after prolonged sitting can have multiple medical causes: from an anal abscess to internal or external hemorrhoids, a fistula, or skin irritation. The links provided in this article from the Hemocure website offer valuable details for each cause. If the pain continues or worsens, it's best to consult a specialist to evaluate your condition and determine the right treatment plan.