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Dr. SH
Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8770
Experience:  Doctor of Medicine
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It is about 5 days that i have a great pain exactly above my

Resolved Question:

It is about 5 days that i have a great pain exactly above my as hole far under my tailbone. I can't sit or sleep or going bathroom
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. SH replied 3 years ago.
Dr. Shahzad MD :

Hi there. Thank you for your question. I will be helping you out with your queries

Dr. Shahzad MD :

You are most likely having coccydynia

Dr. Shahzad MD :

Coccydynia is a medical term meaning pain in the coccyx or tailbone area,

Dr. Shahzad MD :

It happens most commonly due to injury to the tailbone area knowingly or unknowingly.

Dr. Shahzad MD :

Sometimes the cause of this pain is never known.

Dr. Shahzad MD :

Here is an image of a cushion that can be used to help with the pain when sitting down:

Dr. Shahzad MD :

Click here for the image

Dr. Shahzad MD :

For the pain and inflammation anti-inflammatory medications such as NSAIDS or pain-relieving drugs may be prescribed. These include medications like ibuprofen, naproxen.

Dr. Shahzad MD :

Pain medicine specialists, by injecting a single local nerve block injection at the ganglion impar can give 100% relief of coccydynia when performed under fluoroscopic guidance.

Dr. Shahzad MD :

So if your symptoms do not resolve with conventional therapy then you may require an injection in that area i.e. a nerve block.

Dr. Shahzad MD :

Let me know if you have more questions.

Dr. Shahzad MD :

Scroll up to see my entire post.

Dr. Shahzad MD :

Do rate me for my services when you are done asking.

Dr. Shahzad MD :

Regards

Customer:

Thank you Dr.

Customer:

My question is if I continue with pain killers or you think i have to make that injection?

Customer:

any answer?

Customer:

Would you give me the medicine name that i can get it from counter and start treatment please?

Customer:

Should I close the chat or what should I do?

Dr. Shahzad MD :

No

Dr. Shahzad MD :

You can continue taking ibuprofen or pain killers.

Dr. Shahzad MD :

This usually settles in a two to four weeks.

Dr. Shahzad MD :

You should buy the cushion that I showed you above in a picture.

Dr. Shahzad MD :

and you should not sit on hard surfaces without a cushion.

Customer:

for how many more days?

Dr. Shahzad MD :

If your symptoms do not resolve in two to four weeks then you should consult a a pain medicine doctor.

Dr. Shahzad MD :

So give it two to four weeks to heal up.

Customer:

oh that is so painful

Customer:

i cant go bathroom

Customer:

hot towel compress could help too?

Dr. Shahzad MD :

Yes hot towels should help.

Dr. Shahzad MD :

You should try and keep your stool as soft as possible.

Dr. Shahzad MD :

Take more fiber in the form of ispaghula husk or benefiber or metamucil with more fruits and vegetables.

Customer:

ok thanks Dr.

Dr. Shahzad MD :

You are most welcome
Wish you all the best
Please do rate me for my services before you leave by clicking on one of the smilies below.
I hope I provided excellent services.
Goodbye :)

Dr. SH and 2 other Medical Specialists are ready to help you