 [ Symptoms ] why would my butthole hurt  sometimes after having a bowel movement my butthole hurts to the point where it is very painful to sit down it is a sharp pain it will go away after awhile but it usually takes some time could this be a serious problem [ Disease ] it could be a serious problem if you ignore the symptoms so it would be wise to see a medical provider and have a proper examination a common cause would be an anal fissure   a tiny tear in the ring of the anus this is common in people who strain for bowel movements or who are prone to constipation hemorrhoids are another possibility less common but possible would simply be peri anal irritation caused by a bacterial or yeast infection rather than worry about the cause or wonder if you have something serious take the very next important step see a medical provider and know for sure