Discomfort in the Anal Region

Patient: So since I was around 12 – 13 I have had this issue with my rear end. The issue being that no matter what I feel like I have a wedgie and it is really really uncomfortable. I have tried things from lotions to calmoceptin and nothing seems to be working. Rather they just relieve the discomfort for a brief amount of time. If I have nothing there at all the discomfort is really high. I know one huge answer will be to see a doctor but I am for 1 really embarrassed and because of this issue and what I have been doing it has caused me to get social anxiety. Any ideas what this could be?

Symptoms: Discomfort with the feeling like I have a wedgie

Doctor: