Welcome to Buoy Health

Learn about your severe butt pain, including causes and common questions. Or get a personalized analysis of your severe butt pain from our A.I. health assistant. At Buoy, we build tools that help you know what’s wrong right now and how to get the right care.

Severe Butt Pain Checker

Take a quiz to find out why you’re having severe butt pain.

Take a quiz
Your Severe Butt Pain May Also be Known as:
Bottom extremely painful
Bottom hurts extremely
Bottom hurts severely
Bottom hurts unbearably
Bottom severely painful
Bottom unbearably painful
Butt extremely painful
Butt hurts extremely
Butt hurts severely
Butt hurts unbearably

Top 6 Severe Butt Pain Causes

  1. 1.Piriformis Syndrome

    Piriformis syndrome is a condition when a muscle spanning the lower spine to the top of the thighbone presses upon the sciatic nerve, causing pain and numbness.

    You should visit your primary care physician, who would perform a physical exam, looking for other possible causes of your symptoms. Treatment involves NSAIDs (Ibuprofen), massage, and physical therapy.

    Rarity:
    Common
    Top Symptoms:
    pelvis pain, butt pain, pain when passing stools, leg numbness, back pain that shoots down the leg
    Urgency:
    Primary care doctor
  2. 2.Anal Fissure

    Anal fissures are splits or tears in the part of the anus closest outside of the body. They're very common and typically affect the young and middle-aged and both genders, equally. 11% of people will have an anal fissure in their lifetime.

    You can treat anal fissures "conservatively", meaning without need for prescription treatment. It consists of increasing fiber and water in your diet, taking sitz baths, and using a topical analgesic (pain-relieving cream). Stool softeners can also make passing stools less uncomfortable.

    Rarity:
    Common
    Top Symptoms:
    rectal pain, pain when passing stools, painful rectal bleeding, mild rectal bleeding, sharp pain when passing stools
    Symptoms that never occur with anal fissure:
    unintentional weight loss
    Urgency:
    Self-treatment
  3. 3.Colonic Neoplasm

    Colonic neoplasm is a disorder of the large intestine. It often causes abdominal pain, cramping, changes in bowel habits, and fatigue.

    You schedule a visit with your primary care physician (PCP). It is likely an endoscopy will be performed to examine the inside of the colon as well as blood tests.

    Rarity:
    Rare
    Top Symptoms:
    fatigue, stomach bloating, stool changes, diarrhea, constipation
    Urgency:
    Primary care doctor

    Severe Butt Pain Checker

    Take a quiz to find out why you’re having severe butt pain.

    Take a quiz
  4. 4.Normal Variation of Constipation

    Constipation is a very common condition affecting the large intestine. It is characterized by difficulty passing stool, or passing stool less often. Commonly it is linked to not eating enough dietary fiber, not drinking enough fluids, or not getting enough exercise. Some medications can cause constipation as well.

    For the short term, an over-the-counter laxative can help with your constipation. You can try to make changes at home to help prevent these symptoms. Dietary changes are typically effective: drink more fluids and eat more fiber (found in bran, root vegetables, nuts, and whole-grain flour). There are also over-the-counter fiber tablets that can help increase your dietary fiber.

    Rarity:
    Common
    Top Symptoms:
    abdominal pain (stomach ache), nausea, stomach bloating, constipation, abdominal cramps (stomach cramps)
    Symptoms that always occur with normal variation of constipation:
    constipation
    Symptoms that never occur with normal variation of constipation:
    vomiting
    Urgency:
    Self-treatment
  5. 5.Small Bowel Obstruction

    A small bowel obstruction is most often caused by adhesions after surgery, which make it difficult or impossible for food and fluid to pass through the bowel. This causes a blockage. Small bowel obstructions often cause nausea, vomiting, abdominal pain, and constipation.

    This condition requires hospitalization. Treatment depends on the severity of the obstruction but surgery is likely.

    Rarity:
    Uncommon
    Top Symptoms:
    abdominal pain (stomach ache), nausea, stomach bloating, abdominal cramps (stomach cramps), being severely ill
    Symptoms that always occur with small bowel obstruction:
    being severely ill
    Urgency:
    Hospital emergency room
  6. 6.Hemorrhoids

    Hemorrhoids are a very common condition that affects more 50% of the population, typically after the age of 30. Hemorrhoids are the "varicose veins of the anus and rectum" - enlarged, bulging blood vessels in the anus that can bleed or clot.

    You can treat this at home by eating more fiber and drinking more water, which loosens your stools and allowing the hemorrhoid to heal. Changing your health habits can also help - lose weight and exercise more and keep the anus clean. Topical creams and ointments can help with the pain, as would a warm water spray or sitz baths. If these treatments do not work after some time, simple surgical operations can be done in the primary care office. Or, for very severe cases of hemorrhoids, surgery may be needed to remove the hemorrhoid.

    Rarity:
    Common
    Top Symptoms:
    constipation, rectal pain, rectal bleeding, pain when passing stools, anal itching
    Symptoms that never occur with hemorrhoids:
    unintentional weight loss
    Urgency:
    Self-treatment

Questions Your Doctor May Ask About Severe Butt Pain

  • Q.How long has the pain around your buttocks been going on?
  • Q.Which of the following describes your physical fitness:
  • Q.Do your symptoms worsen when sitting?
  • Q.Any fever today or during the last week?

If you've answered yes to one or more of these questions, check our severe butt pain symptom checker.

Take a quiz

Severe Butt Pain Symptom Checker Statistics

  • People who have experienced severe butt pain have also experienced:

    • 10% Abdominal Pain (Stomach Ache)
    • 6% Lower Back Pain
    • 3% Fever
  • People who have experienced severe butt pain had symptoms persist for:

    • 28% Less Than a Week
    • 28% Over a Month
    • 23% Less Than a Day
  • People who have experienced severe butt pain were most often matched with:

    • 13% Piriformis Syndrome
    • 4% Anal Fissure
    • 4% Colonic Neoplasm

Severe Butt Pain Checker

Take a quiz to find out why you’re having severe butt pain.

Take a quiz