Jul 2021

How Rectum Cramping May Be A Sign of Deeper Womb Issues

  • By: Samantha Denäe

Butt cramps. They come and go so fast you never have time to prepare for them. Sharp, shooting pain in the rectum that generally shows up when it’s time for your period. 

When your period is beginning, the endometrial cells (which lines the uterus) breaks down and gives off, prostaglandins. Prostaglandins is a hormone that can cause inflammation and contraction, including bowel and rectum muscle contractions. 

When pressure is put on the gluteal muscles from cramps, uterine swelling, and bloating tension will build, you may feel as if you have to urinate or have muscles spasms, which creates pain in the lower back, pelvis, and butt. 

According to some physicians, butt pain during your period is especially common if the uterus is tilted towards your back as the adjacent organs and body part nerves are interconnected. This will cause pain to stem from one place but might be felt in another. 

Typically, uteruses tilts towards the front, so they feel uterine cramping in the abdomen, but if the uterus tilts in reverse, (less common but still normal), you might experience cramping in the back or butt.

Unbeknownst to many, butt cramps can also be a link and sign to having Endometriosis. Having endometrial implants in the anus, can naturally cause discomfort when you're on your period. If Endo tissue is growing near a nerve connected to the butt, like the sciatic nerve, you could feel pain in the butt muscles. 

Resting on the pudendal nerve, which has endings all over the pelvis, Endo lesions (when irritated) will send shooting pain to the skin that lies around the anus, intensifying during the period. If Endo is located on the rectum, pelvic, colon, or other areas of the gastrointestinal tract, it can also sometimes cause pain in the bowels. 

Symptoms of bowel Endo include painful bowel movements, rectal bleeding, constipation, diarrhea, and bloating. 

It can mimic diseases like inflammatory bowel disease and irritable bowel syndrome. If the pain worsens during your period BUT persists all month long, it could actually be a sign of irritable bowel syndrome or hemorrhoids.

Another possible underlying cause of butt muscle pain is the enlargement of the uterus due to fibroids. Fibroids could cause the uterus to push against the back or butt. 

It is important to have a gastroenterologist and gynecologist work together to figure out the cause of butt cramping if continuous.

Most often than not, Endometriosis tale tell signs are painful bowel movements and urination. 

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