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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Painful Lump On His Coccyx?

friend has a lump where their coccyx is, has been complete agony to move, literally screaming the place down, dr gave them tramadol, hasn't helped, hospital gave him co-codemal for the pain and have done nothing else, after 4 days of having this, today it has discharge and some blood? - could this be a cyst?
Thu, 31 Jul 2014
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
A painful lump on the coccyx region with a discharge and bleed is suggestive of an infective lesion.
However, severe pain suggests that there could be associated nerve compression.
I would suggest you to get a MRI of the spine to know the status of the spine and the spinal nerves.
Also the relation of the lesion with the spine needs to be known.
In the mean while, you can continue with your painkillers for the severe pain.
Definitive treatment can be given after the results of investigations is received.
Consult an orthopedician for further workup.

Thanks and take
Dr Shailja P Wahal
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What Is The Painful Lump On His Coccyx?

Hello and welcome to HCM, A painful lump on the coccyx region with a discharge and bleed is suggestive of an infective lesion. However, severe pain suggests that there could be associated nerve compression. I would suggest you to get a MRI of the spine to know the status of the spine and the spinal nerves. Also the relation of the lesion with the spine needs to be known. In the mean while, you can continue with your painkillers for the severe pain. Definitive treatment can be given after the results of investigations is received. Consult an orthopedician for further workup. Thanks and take Dr Shailja P Wahal