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Suggest treatment for excruciating pain radiating from anal area to labia and lower back pain

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Posted on Fri, 29 May 2015
Question: Hi-
Question is I have low back pain MRI is clean, BUT have Femoroacetabular Impingement (FAI) in both hips. I am getting excruciating sharp pains all the way from my anus to the labia. Heat/Ice are not helping, it hurts to even sit, and I feel constantly like I need to have a BM. What should I do?
doctor
Answered by Dr. Indu Kumar (1 hour later)
Brief Answer:
You may need surgical intervention.

Detailed Answer:
Hello

Since you are not responding well to conservative treatment,you may need surgical intervention.
It is important to treat it early because it may cause premature osteoarthritis in hip.
You may need osteotomy(operation in which excess bony growth in femur or acetabulum is take out and angle is corrected).
Operation can be done by open method or by arthroscopic method.
It has been seen that surgery substantially improve symptoms.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (3 minutes later)
Do you think I should go to the Emergency Room tonight to get relief from my symptoms?
doctor
Answered by Dr. Indu Kumar (4 minutes later)
Brief Answer:
I suggest to take analgesic like ibuprofen SOS.

Detailed Answer:
Hello

It is not an emergency situation.
I suggest to take analgesic like ibuprofen SOS.You can also take antacid like pantoprazole 40 mg along with it.
Definitive management like surgery can be planned later on according to orthopedician's advise.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6727 Questions

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Suggest treatment for excruciating pain radiating from anal area to labia and lower back pain

Brief Answer: You may need surgical intervention. Detailed Answer: Hello Since you are not responding well to conservative treatment,you may need surgical intervention. It is important to treat it early because it may cause premature osteoarthritis in hip. You may need osteotomy(operation in which excess bony growth in femur or acetabulum is take out and angle is corrected). Operation can be done by open method or by arthroscopic method. It has been seen that surgery substantially improve symptoms. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX