Pain when sitting


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Saw a colorectal surgeon today and he said he didn't see any pits or cysts. I still have pretty bad pain when sitting for a while. In the past I've had two open excisions done and the last one was over 10 years ago.

What could this be? Any tips to deal with this? It's only popped up in the last week or so. Could it be related to starting to use an exercise bike?