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What Causes Tailbone Pain, Sudden Burning Abdominal Pain Followed By Lower Backache?

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Posted on Mon, 22 Dec 2014
Question: I have been experiencing tailbone pain since XXXXXXX 2014. It is sore if pressed on and sometimes difficult to sit for long period of time. A week ago I began experiencing sudden burning/pain in my upper mid abdomen followed by an onset of lower back pain a few days later. I have been to the ER twice and have seen my PCP. The pain and burning have been constant, without much relief and eating anything seems to aggravate my symptoms. I had an abdominal CT Scan with contrast, blood work, urine test, and abdominal ultrasound focusing on the gall bladder. All have come back clear. I have a history of GERD and my doctors are leaning towards gastritis and have me on a treatment of prilosec but also have me scheduled for an endoscopy and flexible sigmoidoscopy in light of the intermittent rectal discomfort. My abdominal discomfort has spread to both the left and right side and today i began experiencing pain/soreness in my buttock (primarily right) if feels as if someone has punched me in that area. It is a deep soreness. I have not had any vomiting and from what I can tell no stools in my blood. Could this be a form of stomach or rectal cancer?
doctor
Answered by Dr. Moumita Chakraborty,MD (1 hour later)
Brief Answer:
Very less chances

Detailed Answer:
Hello Mam,

Welcome to Healthcare Magic.

I understand your concern and feel sorry for the pain you are going through.After reading your condition I could possible think of some bone inflammation in your spine causing tailbone pain as the number one cause,followed by Sciatica ,rectal and abdominal issues.

Tailbone pain can be due to trauma to the coccyx during a fall, prolonged sitting on a hard or narrow surface, degenerative joint changes, or vaginal childbirth.You might be having pain after eating because of the posture of your sitting during your meal.

It is good that you are going through sigmoidoscopy and endoscopy to rule out gastrointestinal causes.I would suggest you to go for an MRI LS spine to look for any bone spurs or degenrative diseases causing compression of nerves causing pain to radiate in your buttocks.

I would ask you to talk to your doctor regarding this.Meanwhile please maintain the following;

Applying ice or a cold pack to the area several times a day for the first few days after the pain starts.
Sit completely upright with proper posture,
Avoiding sitting for prolonged periods, or placing any pressure on the area, as much as possible.
A custom pillow(esp a donut shaped) to help take pressure off the coccyx when sitting
OTC pain killers.

Lastly I would like to mention there are very negligible chances of a rectal or stomach cancer causing this pain.

Hope this helped.Feel free to ask more.
Dr.Moumita Chakraborty


Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Moumita Chakraborty,MD (21 hours later)
I had an MRI done a few years ago and have a bulging disk between my l4 and l5.

As far as my gastrointestinal pain, could this be cancer? If it is gastritis- I have been on Prilosec since Tuesday. The pain/burning is still fairly constant. It is not keeping me up at night which is a relief. When I eat I become full quickly and my stomach feels bloated/full. I'm sure that I am probably making it worse by constantly thinkng and worrying about it. The er doctor and my pcp said i would not get immediate relief, but how long until i start feeling like myself again? Also are there any pain medications that are safe to take that will not aggrevate things more?
doctor
Answered by Dr. Moumita Chakraborty,MD (17 minutes later)
Brief Answer:
Minimal chances ,depends on risk factors

Detailed Answer:
Hello Mam,

Thank You for writing back.

At your age there are very minimal chances of you having cancer.But some risk factors could increase incidence,those are;

A diet high in salty and smoked foods,
A diet low in fruits and vegetables,
Family history of stomach cancer,
Long-term stomach inflammation,
Smoking.

Severe Gastritis takes months to years to heal completely with proper medications and diet.So your pain will decrease gradually.If you stress youself more ,more acid production will occur causing Stress ulcers in your stomach.

I would ask you not to worry and see what your endoscopy report says.Eat small meals 3-4 times a day with lots of veggies and fruits.Drink lots of water and continue taking prilosec for now.Pain medications such as Paracetamol aka Acetaminophen is considered safe in ulcers.

Wish you have a good report of endoscopy and have a speedy recovery from ulcers.If you have no further clarifications, please rate this answer and close this discussion.Thank You!
Dr.Moumita Chakraborty

Note: For further follow-up it is advisable to consult an emergency medicine specialist. Click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Moumita Chakraborty,MD

General & Family Physician

Practicing since :2010

Answered : 252 Questions

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What Causes Tailbone Pain, Sudden Burning Abdominal Pain Followed By Lower Backache?

Brief Answer: Very less chances Detailed Answer: Hello Mam, Welcome to Healthcare Magic. I understand your concern and feel sorry for the pain you are going through.After reading your condition I could possible think of some bone inflammation in your spine causing tailbone pain as the number one cause,followed by Sciatica ,rectal and abdominal issues. Tailbone pain can be due to trauma to the coccyx during a fall, prolonged sitting on a hard or narrow surface, degenerative joint changes, or vaginal childbirth.You might be having pain after eating because of the posture of your sitting during your meal. It is good that you are going through sigmoidoscopy and endoscopy to rule out gastrointestinal causes.I would suggest you to go for an MRI LS spine to look for any bone spurs or degenrative diseases causing compression of nerves causing pain to radiate in your buttocks. I would ask you to talk to your doctor regarding this.Meanwhile please maintain the following; Applying ice or a cold pack to the area several times a day for the first few days after the pain starts. Sit completely upright with proper posture, Avoiding sitting for prolonged periods, or placing any pressure on the area, as much as possible. A custom pillow(esp a donut shaped) to help take pressure off the coccyx when sitting OTC pain killers. Lastly I would like to mention there are very negligible chances of a rectal or stomach cancer causing this pain. Hope this helped.Feel free to ask more. Dr.Moumita Chakraborty