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Cause of pain during defecation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   My Wife just got back from a trip to Jamaica. A couple of day later she started having unusual vaginal bleeding but we thought nothing of it even though she had ended her period just 2 weeks before. A week later (2 weeks after getting back from Jamaica), which is tonight, she told me that she has a sharp pain right at her tail-bone and has not been about to defecate in about 4-5 days. She also feel faint. She also told me that she has stopped bleeding since about a week previous to now,but all of the other systems persist. Please help us
Doctor :   Hi
Doctor :   Dr xxxhere
User :   Hello
Doctor :   Let me read what you have typed
User :   ok
Doctor :   May i know her age?
User :   27
Doctor :   Does she have any other symptom?
User :   that is it
Doctor :   Any burning or itching?
User :   no burning or itching
Doctor :   Did she have any fall or injury?
User :   not that is she aware of
Doctor :   Is the pain continuous or periodic?
User :   but no significant falls
User :   periodic
User :   she only feels it when her body wants to use the rest room
Doctor :   Is she passing blood in the stools?
User :   no
Doctor :   It can be due to various causes as any injury, trauma, any nerve injury which supplies the rectal area or any inflammation
User :   ok
User :   If I take her to the hospital will they tell me just about what you have told me or is it best to wait it out?
Doctor :   You need to get herself examined by a general surgeon, he would use instruments like Rectoscope and colonscope to see any injury. Also she may require investigations like Stool test and blood counts
Doctor :   Also a X ray of the coccyx area may be requires.
User :   ok
User :   What is the worst that it could be?
Doctor :   If there is any infection or injury it may require some prescription antibiotics to get it cured.
Doctor :   It may be any nerve inflammation.
Doctor :   No need to worry.
User :   ok
Doctor :   Get her examined soon, its not an emergency but yes urgency is there
Doctor :   Have you followed what i have said?
User :   yes I have
Doctor :   Is there anything else you would like to know?
User :   I just don't want to be hit for a $3000 bill for a $50 prescription I can get at walgreens
User :   I think that is it. Thank you so much I will take her to the emergency room in the morning
Doctor :   Thanks for consulting me, bye for now
User :   goodbye
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