Inflammation of the gluteal fold


Inflammation in the area of ​​the gluteal fold / anal folds are not uncommon. Most people who go to a proctology doctor's office for such complaints do so because of skin problems on the anus. These skin problems are in most cases caused by inflammatory processes. Possible causes of inflammation at the Poritze / Pofalte range from simple haemorrhoidal disease to extensive fistulas. In addition, allergies or atopic dermatitis can lead to inflammation of the gluteal fold.

In most cases, the inflammatory processes in the anal region cause severe discomfort in the affected patients. The typical symptoms of inflammation of the gluteal fold include severe itching, burning pain and weeping, sore skin.

In general, inflammatory skin conditions in the area of ​​the gluteal fold are divided into three groups:

  • "Irritative-toxic"
  • atopic
  • allergic anal eczema

Causes of inflammation of the gluteal fold

Probably the most common cause for the development of inflammation at the buttock fold is the so-called "haemorrhoidal disease". The term hemorrhoids is understood to mean the enlargement of the vessel cushion in the area of ​​the rectum caused by a congestion. Due to the increasing increase in size of individual vessels, these sink downwards and emerge from the intestinal canal. The pathological change in the vessel cushion can have different degrees of severity, depending on the individual concerned.

Although the topic of "hemorrhoids" is taboo in society and therefore often concealed, it can be assumed that about 50 percent of German citizens suffer from such vascular changes.

The causes for the development of this disease are manifold. The most important risk factor for the occurrence of hemorrhoids with concomitant inflammation of the gluteal fold is a long-term high pressure on the anal area. Such an increase in pressure can be provoked, for example, by persistent blockage ( constipation ) and / or severe pressure during bowel movements. In addition, factors such as frequent sitting, obesity and physical inactivity are among the risk factors for the development of hemorrhoids, which can lead to inflammation of the gluteal fold. Also genetic influences ( heredity ) seem to play a certain role in the pathogenesis.

In addition to haemorrhoidal disease, inflammation of the gluteal fold may also be associated with atopic disease. Atopic anal eczema (a variant of atopic dermatitis) is even the second leading cause of inflammation of the gluteal fold.

In addition, bacterial skin infections or fungal infections can lead to inflammation of the gluteal fold.

Symptoms of inflammation of the gluteal fold

Inflammation of the gluteal fold presents symptoms typical of inflammatory processes. The entire skin surface of the pothole is clearly reddened in the affected patients. In addition, a strong warming of the skin can be detected when touching the buttock fold. If the inflammation at the Poritze / Pofalte is based on a pathological change in the anal vessels (haemorrhoidal disease), then the affected persons develop local skin irritation and itching quite early. In addition, it can come directly to the hemorrhoids to injuries of the mucosa. These are noticed in most cases, because after wiping blood deposits on the toilet paper can be found. In severe hemorrhoids, these blood deposits can even stick to the stool. Due to the pain insensitivity of the anus mucosa, pain in haemorrhoids of the 1st degree may be completely absent. For this reason, pain usually only occurs when the vessels from the anal canal (hemorrhoids of the second degree) bulge considerably.

On the other hand, atopic anal eczema, which can cause inflammation of the gluteal fold, tends to cause itching over several years. In addition, a pronounced change in the skin (for example reddening and / or scaling) also appears in this cause for the development of inflammation at the gluteal fold.

In fungal diseases associated with inflammation of the gluteal fold, white-yellowish deposits can often be observed.

Pain in inflammation of the gluteal fold

Pain usually affects people with inflammation of the gluteal fold when they sit down or lie on this spot.
In addition, the clothes can lead to pain through friction.
Pain caused by hemorrhoids usually occurs when going to the toilet or when pressing. These are usually burning pains.
If there is a purulent bump (abscess), the pain is particularly pronounced when touched or under pressure.

Pus or abscess on the gluteal fold

An abscess in the gluteal fold or anus is relatively common, although the exact cause is not clear.
Most of the inflammation is caused by ingrown hairs, but can also occur as a concomitant disease in Crohn's disease, a chronic inflammatory bowel disease.
An abscess is a pus-filled bump that forms at this site due to a bacterial infection. Patients feel a strong pressure pain while sitting and prefer to stand.
An abscess usually needs to be treated surgically. This is done under general anesthesia, as it is very painful to cut an abscess in the anal area. The abscess is cut out and rinsed. Usually, a drainage is placed so that the wound fluid can drain. In order to heal the inflammation, the wound is usually left open.
The aftercare of an abscess takes some time. The open wound must be checked regularly by a doctor to make sure that the inflammation goes down. It can take one to two months for the wound to grow over. However, it comes early to a symptom improvement and the strong pain usually disappear immediately after the operation.


Diagnosis in the presence of inflammation of the gluteal fold occurs in several steps.

The detailed doctor-patient interview (anamnesis) is probably the most important step. During this conversation, the affected patient should describe the perceived symptoms as accurately as possible to the attending physician. Even the description of the present symptoms can help narrow down the possible causes for the development of inflammation at the gluteal fold.

Following the doctor-patient interview is usually followed by a symptom-oriented physical examination. During this examination, the gluteal region is first inspected. The attending physician pays particular attention to skin symptoms, scars and swelling. In addition, the anus is considered for the possible presence of hemorrhoids.

Also, the so-called "digital rectal examination" plays a crucial role in the diagnosis of inflammation of the gluteal fold. In this examination, the attending physician asks the patient to squeeze as if defecating. In this way, the short-term emergence of low-grade hemorrhoids from the rectum can be provoked. Afterwards, the anal canal must be scanned with a finger and examined for abnormalities.

In addition, various smears and blood tests can help to rule out bacterial causes for the development of inflammation at the Poritze / Pofalte. Also, fungal infections are often diagnosed by a specific smear.

Treatment of an inflamed gluteal fold

Treatment with ointment

The treatment of inflammation at the gluteal fold depends primarily on the underlying disease. Patients diagnosed with haemorrhoidal disease during diagnosis are treated promptly in most cases. The so-called basic therapy is concerned above all with the avoidance or delay of the progression of the present symptoms.

A classic measure of this basic therapy is the intake of medications that influence the stool consistency and in this way enable a rapid defecation. Affected patients should also ensure that they are well hydrated and eat high-fiber foods. Physical exercise can also help prevent constipation.

The itching caused by the hemorrhoids and inflammation on the buttock fold can be alleviated by the regular use of so-called "hemorrhoidalia". These substances are drug complexes that are used exclusively for the treatment of hemorrhoidal complaints. Applying an ointment on a regular basis can help relieve itching as well as possible pain. In addition, the haemorrhoids-induced inflammation at the buttock fold with the use of hemorrhoidals nachweislich after. Most of the over-the-counter hemorrhoids are offered in the form of ointments or suppositories. Hemorrhoids of the 1st and 2nd degree, which can cause inflammation of the gluteal fold, can also be treated by infusing special fluids in the hemorrhoidal nodules. The solutions used have active ingredients that lead to locally limited inflammatory reactions and thus provoke the shrinkage of the hemorrhoids.

Pronounced hemorrhoids, which can lead to inflammation of the gluteal fold, can not usually be treated by these non-surgical treatment measures. The affected patients must undergo surgical treatment for this reason. On the other hand, anal eczema, which leads to inflammation of the gluteal fold, requires therapy with special cortisone preparations. The active ingredient is used in most cases in the form of ointments or creams. Cortisone-containing ointments inhibit the inflammatory processes and thus accelerate the natural healing process.


The duration may vary depending on the cause of the inflammation. If it is a fungal disease or eczema they can be treated within a few days so that the symptoms disappear.
Patients suffering from hemorrhoids can treat these symptoms within 1-2 weeks, thereby improving their symptoms. However, there is a possibility that the hemorrhoids and associated pain and itching may recur.
In the case of an abscess or a fistula (a small gait that leads from a cavity or hollow organ to the skin surface) in the buttocks area, the time to heal may be a few weeks or months, with appropriate therapeutic measures.


The prognosis for inflammation of the gluteal fold depends on both the causative disorder and the time the therapy is started. If an inflammation at the buttock fold is diagnosed early and promptly initiated appropriate treatment, the prognosis is very good. Complications are rarely seen in inflammation of the gluteal fold. However, depending on the causative disorder, there is the possibility that the inflammatory processes may spread to neighboring structures.

More information about this topic


Hemorrhoids are swelling of the vascular network in the rectum. Hemorrhoids may be associated with various symptoms, depending on their severity.
Click here for the topic: Hemorrhoids

Treat hemorrhoids successfully

Hemorrhoids can be associated with severe discomfort. To counteract the symptoms, treatment may be beneficial.
Here is the topic: Successfully treating hemorrhoids

skin fungus

There are different types of skin fungi, which differ mainly in their appearance. A fungal attack is usually based on a disturbance in the natural barrier function of the skin.
Click here for the topic: Skin fungus

anal eczema

Anal eczema is an inflammation of the skin on the anus. It can occur, among others, in the context of various skin diseases.
Click here for the topic: anal eczema

How to treat Piriformis Syndrome / Gluteal pain with Kinesiology taping (December 2019).

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