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Dr. Nickols M
Dr. Nickols M, Board Certified Physician
Category: Medical
Satisfied Customers: 730
Experience:  Expert
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I have swere pain in the upper section of. 3 today is 3rd

Customer Question

I have swere pain in the upper section of butt.
JA: How long have you had the pain? What seems to make the pain better or worse?
Customer: 3 today is 3rd day
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: pain started with a hot water bath. And after that it’s getting worse. Voltral gel helps only oft couple of hours. After that it’s too painful
Submitted: 9 days ago.
Category: Medical
Expert:  Dr. Nickols M replied 9 days ago.

Hello, I am Dr Nickols M; it is a pleasure to attend to you

Customer: replied 9 days ago.
Hi. I have too much pain
Customer: replied 9 days ago.
Are you there?
Expert:  Dr. Nickols M replied 9 days ago.

can you tell me your age?

Customer: replied 9 days ago.
I’m 39 year old
Expert:  Dr. Nickols M replied 9 days ago.

Do you take any medication regularly?

Customer: replied 9 days ago.
No
Expert:  Dr. Nickols M replied 9 days ago.

Does this pain spread elsewhere?

Customer: replied 9 days ago.
I took Ibuprofen earlier on the same day.
Customer: replied 9 days ago.
On day one it was around tailbone. Then I took another warm water bath(I though at temperature unbalanced caused the pain) but it got worse and pain spreads.Today, I applied Votral and had ibuprofen again. But after couple of hours pain is too much.
Customer: replied 9 days ago.
It’s unbearable
Expert:  Dr. Nickols M replied 9 days ago.

From 1 to 10 What number best describes your pain? Where 10 is excruciating.


Customer: replied 9 days ago.
butt also feels swell. If not 10 the it’s 9 for sure
Customer: replied 9 days ago.
Prior to that I have haemorrhoids grade 4
Customer: replied 9 days ago.
I don’t know if that caused the problem
Expert:  Dr. Nickols M replied 9 days ago.

please give me a moment

Customer: replied 9 days ago.
Sure
Customer: replied 9 days ago.
I cannot sit because tailbone hurts so much.
Customer: replied 9 days ago.
I’m still waiting.
Customer: replied 9 days ago.
Are you there?
Expert:  Dr. Nickols M replied 9 days ago.

yes dear, i apologize, i had a problem with my internet but i am back

Customer: replied 9 days ago.
Okay, no problem. Do you have any diagnoses for me?
Customer: replied 9 days ago.
Still waiting for you
Customer: replied 9 days ago.
There?
Expert:  Dr. Nickols M replied 9 days ago.

Dear customer, it is a pleasure to serve you today, I want to tell you that it is best to be assessed in person by a doctor who can perform a thorough physical examination, however you should note that if there is redness, pain, swelling and tenderness in the affected region the most appropriate first of all is to delimit with a pen or a marker the region that is inflamed to be able to check day after day if it increases in size or leaves the margin delimited by the marker, then you should start with analgesics and anti-inflammatory drugs such as ibuprofen every 8 hours preferably in soft capsules of 600 mg which will help to have an absorption and a much faster effect and on the other hand also start treatment with a cream called mupirocin 2% applying a thin layer just in the affected area, In case of no improvement after 48 hours it is essential that you consider going to the doctor to study the possibility of starting antibiotic treatment which usually is usually done with amoxicillin in combination with clavulanic acid of one gram every 12 hours for 7 days or cephalexin 500 mg every 8 hours for 7 days but these drugs require a prescription since they are not over the counter, I would like you to keep me informed of your situation, I will be happy to assist you and guide you in everything I can, I will be attentive to any additional questions about it.

Customer: replied 9 days ago.
Thanks doc. I will follow your advice.
Expert:  Dr. Nickols M replied 9 days ago.

You are welcome, dear. Is there anything else I can help you with?

Customer: replied 9 days ago.
Just, is there any serious issue possible in this condition?
Customer: replied 9 days ago.
Like cancer or anything
Customer: replied 9 days ago.
I have spent whole night in extreme pain. Condition has gotten worse.
Initially pain felt on the surface now it feels from the bones like tailbone.
And even if I make a minor move radiating extreme pain starts and takes few mins to settle.But there is no redness on the skin.
Expert:  Dr. Nickols M replied 8 days ago.

Yes dear, of course it can be a serious condition and if there is no reddening of the skin then it may be a compression of a nerve ending at the lumbosacral level which should also be assessed by your doctor.

Customer: replied 7 days ago.
Okay. Thanks
Expert:  Dr. Nickols M replied 7 days ago.

you are welcome