I have severe pain in the right buttock. Why?
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am having pain in the right buttock and also pain below upper leg and below knee. I feel uncomfortable while sitting, standing as well as walking. First I met a general surgeon; he examined me and advised me to go to an orthopedician. Orthopedician took x-ray and blood test. He informed me that my blood sugar is in brim level (margin) and started treating me with Celecoxib two times daily for one month. He did not ask me to visit further. I want to know about my disease. Please help.
Hello,
Welcome to icliniq.com. Celecoxib is just for pain relief. In order to understand your condition, I want you to answer a few questions for me. Is the pain radiating in nature? Or dull aching without any radiation? Do you have any record of examination findings? Is there any area of sensory loss, numbness or tingling sensation? How long have these symptoms been present? Are you a diabetic? Or have any other chronic disease? Is there any other symptom apart from already mentioned here? Follow up with answers to these questions and then I will be in a better position to answer your query.
Patient's Query
Hello doctor,
Thank you for your reply. Please find my answers. The pain starts near the anal path. I will get severe pain before bowel movement. After bowel movements, my back hurts and there is irritation in anal path and also my leg starts to ache. Pain is radiating from buttock to knee. I am unable to differentiate whether radiating or dull aching. But, if I press bone near the anal path, I feel a severe pain in one point. Also the bone I could press is also paining if I press. My reports are not with me. I do not find any sensory loss. Also, I do not find any numbness or tingling. I feel pain. The symptoms have been there for three months. I am not diabetic; I am attaching my blood results for your reference. Yes, sometimes, I feel to go to motion but a small amount will be there. Three or four times in four hours it will be like that. I feel to urinate, but I am able to urinate only little bit in sitting position. After completion of my bowel movement, if I try to stand and urinate fully, I am unable to do so. But, a feeling to stop urination will be there. Also, I am having a chronic disease of psoriasis and I am taking treatment whenever required. Currently, I am taking Chlorpheniramine 4 mg, Dicloxacillin 500 mg, Famtac 20 mg and multivitamin tablets. If there is more constipation, it is associated with more pain. Always try to be in bed instead of sitting. If I take painkiller, then pain gets reduced.
Hello,
Welcome back to icliniq.com. Pain due to herniated disc is unrelated to bowel movements. But, after going through your history, there are a few salient points which I will highlight to point towards a provisional diagnosis. You have a history of incomplete emptying of the bowel, which can be due to constipation. On applying excessive pressure to empty your bowel, there is an excessive strain on herniated disc as well as causing the symptom of sciatica. In the case of herniated disc, there are symptoms of tingling, numbness, pin pricks or insect crawling like feeling, these symptoms arise as the disease progresses. Secondly, pain arising prior to emptying of bowels is not from spine, but from pathology related to the colon. There can be multiple causes for it such as colitis, irritable bowel syndrome, proctitis (inflammation of lining of rectum) and many more. Thirdly, if you have a history of passing blood per rectum, then it could be a case of anal fissure. Anal fissure is common in a person suffering from constipation and pain which is usually restricted to the anal region. But in certain cases, it can radiate to buttocks, upper part of thighs on its posterior (back) aspect. However, pain is not radiated to the knee in such cases. There could be an occurrence of two pathologies at the same time.
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Orthopedician and Traumatology
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