Right-Sided Coccyx and Anal Pain: What to Tell Your Neurologist

Inflammation of the muscle on the right side near the coccyx and anus?

I'm sorry, doctor, it's me again...
I went to see a rehabilitation specialist, and the doctor (who took X-rays this time) confirmed that my spine and coccyx are fine.
He referred me to a proctologist, who prescribed an anti-inflammatory rectal suppository (INDOMETHACIN) for me.
When I was using the medication, I felt like I was recovering (I used it for seven consecutive days).
Today, I didn't use the medication; I felt okay in the morning, but by the afternoon, I started to feel strange (when I quickly turned my head to the left while sitting, my buttocks would hurt).
By the evening, the situation worsened; even without movement, I felt a dull pain in my buttocks! When I see the neurologist, is there anything extra I need to inform the doctor about? I'm also worried that they might prescribe me anti-inflammatory medication...

Yal, 20~29 year old female. Ask Date: 2013/09/11

Dr. Lan Shengxing reply Neurology

Dear picky_icy, if you are going to see a neurologist, you can simply describe your current symptoms.
Additionally, you should continue to follow up with the proctology department.

Reply Date: 2013/09/11

More Info

When you visit your neurologist regarding your right-sided coccyx and anal pain, it's essential to provide a comprehensive overview of your symptoms and any relevant medical history. Here are some key points to consider discussing during your appointment:
1. Symptom Description: Clearly describe the nature of your pain. Is it sharp, dull, throbbing, or burning? Does it radiate to other areas, such as your lower back or legs? Mention any specific triggers, such as sitting for extended periods, sudden movements, or specific positions that exacerbate the pain.

2. Duration and Frequency: Explain how long you have been experiencing this pain and how frequently it occurs. For instance, does the pain come and go, or is it constant? Note any patterns you’ve observed, such as whether it worsens at certain times of the day or after specific activities.

3. Previous Treatments: Inform the neurologist about the treatments you have already tried, including the use of indomethacin suppositories. Discuss how effective these treatments were and whether you experienced any side effects. This information can help your doctor understand what has or hasn’t worked for you.

4. Associated Symptoms: Mention any other symptoms that accompany your pain. For example, do you experience numbness, tingling, or weakness in your legs? Are there bowel or bladder issues, such as incontinence or changes in bowel habits? These details can help the neurologist assess whether your symptoms might be related to nerve issues or other underlying conditions.

5. Medical History: Provide a brief overview of your medical history, including any previous diagnoses related to your spine, nerves, or gastrointestinal issues. If you have a history of conditions such as herniated discs, sciatica, or inflammatory bowel disease, be sure to mention these.

6. Lifestyle Factors: Discuss any lifestyle factors that may contribute to your symptoms, such as prolonged sitting, physical activity levels, or stress. If you have a sedentary job or engage in activities that put strain on your lower back, this information could be relevant.

7. Concerns About Medication: Since you mentioned a fear of being prescribed anti-inflammatory medication again, express this concern to your neurologist. Discuss your experience with indomethacin and any side effects you may have encountered. This will help your doctor consider alternative treatment options that align with your preferences and medical history.

8. Questions for the Neurologist: Prepare a list of questions you may have regarding your condition. For example, you might ask about potential causes of your pain, whether further diagnostic tests (like MRI or nerve conduction studies) are necessary, and what treatment options are available beyond anti-inflammatory medications.

In summary, when you meet with your neurologist, aim to provide a detailed account of your symptoms, previous treatments, and any associated factors. This information will be crucial for your neurologist to make an accurate diagnosis and develop an effective treatment plan tailored to your needs. Remember, open communication is key to receiving the best possible care.

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