Coccydynia: Pain and Bleeding After Tailbone Injury

Coccyx injury?

Today, I was pushed by a classmate and hit my coccyx against a sharp corner.
When I got home, I noticed blood while wiping after using the bathroom, and my coccyx is still a little painful.

qqq, 10~19 year old female. Ask Date: 2017/03/03

Dr. Li Yongheng reply Orthopedics

If the symptoms do not improve, you should promptly seek treatment from an orthopedic specialist and a colorectal surgeon.
Thank you.

Reply Date: 2017/03/03

More Info

Coccydynia, or tailbone pain, can be a distressing condition, especially following an injury to the coccyx. Your experience of pain and bleeding after a tailbone injury is not uncommon, and it can be attributed to several factors related to the injury itself.

When you sustain a direct impact to the tailbone, such as being pushed onto a sharp object or falling, the surrounding tissues, including muscles, ligaments, and the bone itself, can become bruised or damaged. This can lead to inflammation and pain in the area, known as coccydynia. The pain may be exacerbated by sitting, standing, or certain movements, and it can sometimes radiate to nearby areas, causing discomfort.

The presence of blood during bowel movements can be concerning. It may indicate that the injury has caused some trauma to the anal region or rectal area, potentially leading to a small tear or fissure. This can happen if there is straining during bowel movements, especially if you are experiencing pain and discomfort in the tailbone area. The pain from coccydynia can lead to changes in your posture or the way you sit, which can further complicate bowel movements and lead to straining.

Here are some recommendations for managing your symptoms:
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate pain and reduce inflammation. Applying ice to the affected area for 15-20 minutes several times a day can also help reduce swelling and numb the pain.

2. Sitting Position: Consider using a cushion or a doughnut-shaped pillow when sitting to relieve pressure on the tailbone. Avoid sitting for prolonged periods, and try to change positions frequently.

3. Bowel Health: To prevent straining during bowel movements, ensure you are consuming a high-fiber diet and staying well-hydrated. Foods rich in fiber, such as fruits, vegetables, and whole grains, can help soften stools and make bowel movements easier. If necessary, consider using a stool softener.

4. Avoiding Irritation: Be gentle when cleaning the area after bowel movements. Using moist wipes instead of dry toilet paper can help reduce irritation. If you notice persistent bleeding, it’s essential to consult a healthcare provider.

5. Follow-Up Care: If your symptoms persist or worsen, or if you experience significant bleeding, it is crucial to seek medical attention. A healthcare provider may perform a physical examination and possibly imaging studies to assess the extent of the injury and rule out any fractures or other complications.

6. Physical Therapy: In some cases, physical therapy may be beneficial to strengthen the pelvic floor muscles and improve flexibility, which can help alleviate pain and prevent future issues.

In conclusion, while coccydynia can be painful and concerning, many cases improve with conservative management. However, if bleeding continues or if you have any other alarming symptoms, do not hesitate to reach out to a healthcare professional for further evaluation and treatment.

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