Suggest Treatment For Lower Back Pain And Frequent Urination

Posted on Wed, 13 Aug 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 13 Aug 2014 Answered on

Wed, 3 Sep 2014 Last reviewed on

Question : Every time I need to go to the bathroom (stool or urine but worse with stool) I experience lower back pain. I had a colonoscopy less than a year ago and everything came back normal. Is there another digestive reason (small bowel or intestines) that may be the source of the pain? Could it possibly be a pinched nerve that gets worse when I need to use the restroom?

I should state that I have done numerous testing with my gyn and nothing seems wrong.
To clarify, it is actually pelvic back pain and not lower back. It also hurts more than when I have to go to the bathroom. It seems worse when I have to go to the bathroom but I just may be more aware of it. Pelvic exam also came back clear.

Answered by Dr. Dr. Praveen Tayal (3 hours later)

Brief Answer:
Due to coccydynia

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The pain that you are having could be due to coccydynia. This is due to an inflammation of the coccygeal joints. The pain is usually intense if there is a hard stool. A few nerve fiber involvement is also likely. An MRI scan of the area will help in the proper diagnosis.
Follow these measures for relief from the symptoms:

1) Avoid sitting down for long periods of time. When seated, avoid sitting on hard surfaces. Also, lean forward and direct your weight away from the tailbone.

2) Take adequate rest and apply cold compresses, avoid any injury to the affected area and take some antiinflammatory and pain medications like ibuprofen(motrin) or diclofenac. Some severe cases with persistent coccydynia are treated with local cortisone injection and surgical resection of the coccyx.

3) You can also use a "doughnut" cushion or pillow to sit on. This cushion has a hole in the middle of it to prevent the tailbone from contacting the flat surface.

4) Also eat a high fiber diet foods to soften stools and avoid constipation.

Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar