There are four main reasons for the pain that occurs when the two sides of the anus rub together: First, clothing is too tight. Many patients prefer to wear tight clothing, resulting in the skin on both sides of the buttocks having too close contact with the clothes. The repeated friction and squeezing between the buttocks and clothing when walking may lead to painful skin damage. Second, a lot of sweating. Long hours of sitting and standing or too intense activities in summer cause a lot of sweating around the buttocks and are not washed and dried in time. Clothes can easily stick to the anal skin and cause friction, which can damage the skin and cause pain. Soft tissue damage near the anus. Soft tissue contusions on the buttocks due to falls, etc., may also cause pain. Long-distance walking. Patients walk too long a distance resulting in a large amount of lactic acid deposition inside the hip muscles plus clothing stimulation. It is easy to have friction pain when walking.
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