HomeAnswersInternal MedicineoverweightWhat causes pain in the butt crack?

I experience pain in the butt crack, which aggravates on sitting. Please help.

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At January 9, 2021
Reviewed AtJanuary 4, 2024

Patient's Query

Hello doctor,

For over a week now, I have been feeling pain right near my bum crack area. It is not a pile or hemorrhoid. The pain is right in between the bum crack. It tends to hurt when I sit sometimes and is painful to sit right down on my bottom as the pain is located there. I wonder what it is and what can be done for it to get better. I tried to research online and thought it could be coccydynia. Is it from bad posture? What is the cause? How can it get better? How long will it take? It can be quite sharp and painful to sit a lot of the time, and hurts if I squeeze my bottom cheeks together. Also, soemtimes it hurts when standing and walking too. I am 24 years old and weigh 60 kg.

Answered by Dr. Sugreev Singh

Hi,

Welcome to iclinic.com.

I can understand your concern. It can be due to weight, so most of the time, it gets better along with exercise and medications. Another common reason for such pain is due to calcium deficiency, which can be treated accordingly.

Bad posture can lead to pain but not at the tip of the spinal cord. Bad posture usually leads to pain in the lower back or neck. Nothing to worry about. It will be fine in a few weeks, so do pelvic exercise, and please take tablet Diclofenac 75 mg twice a day after meal five days, tablet Pantoprazole 40 mg once a day before meal for five days.

Please let me know after five days. If it does not improve, we will go for further investigation (calcium levels and x-ray of the coccyx) and treatment.

Since when do you have this pain? Did you recently gain weight? Are you taking any medicine currently? Do you do exercise daily?

The Probable causes

Weight gain.

Investigations to be done

X-ray of coccyx region.

Differential diagnosis

Coccydynia.

Probable diagnosis

Pain in coccyx region.

Treatment plan

Tablet Diclofenac 75 mg BD and Pantoprazole 40 mg OD.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sugreev Singh
Dr. Sugreev Singh

Internal Medicine

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Read answers about:

overweightcalcium deficiency

Ask your health query to a doctor online

Internal Medicine

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy