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What Causes Coccyx Pain, Constant Urge To Defecate And Irregular Bowel Movement?

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Posted on Thu, 13 Aug 2015
Question: I am 34 years of age. I have a constant urge to defecate and have pain in my tail bone. My GI doc says it is most Probably IBS. He advised Miralax. I have been taking Miralax but has not helped much also gave Anucort supository which has not helped either. The tail bone pain increases when i sit or touch the tailbone right at the bottom. My stool is sometimes thin and some time pellet like. Though in morning it is still a bit better. i have had BM changes since last couple of years and have had to go bathroom 2-3 times in morning. But last one month I have been having lot of pressure in rectum area and I am having this constant urge to empty the bowl entire day. I sit for long and only pass small poop and may times nothing. I have my Colonoscopy next week as my father had colorectal cancer - metastasis as at age of 57.
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Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Colonoscopy will be diagnotic. possible coccydynia

Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
Read and understood your concerns about pain in coccyx, treatment, history of colon cancer in father.
My thoughts:
Colonoscopy will be diagnostic.
Since miralax and anucort have not help you, it is possibly the severe coccydynia spreading the inflammation to the rectun giving you the feeing of constant urge to defecate.
It is advisable to get clinical evaluation, actual per-rectal examination, proctoscopy to asses the problem, to be done by a General Surgeon/Proctologist. He can asses the problem well about tailbone pain and any related problems.
To go ahead with Colonoscopy and have additional tests like:
Tests of blood, urine, stool (for 3 consecutive days.
CT scan of the whole abdomen including that of pelvis and the Radiologist asked to study rectum and tail bone area in high resolution mode.

The diagnosis made this way can help you to get a proper treatment.
Please feel free to discuss further.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

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

General Surgeon

Practicing since :1984

Answered : 19778 Questions

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What Causes Coccyx Pain, Constant Urge To Defecate And Irregular Bowel Movement?

Brief Answer: Colonoscopy will be diagnotic. possible coccydynia Detailed Answer: Hi. Thanks for your query and an elucidate history. Read and understood your concerns about pain in coccyx, treatment, history of colon cancer in father. My thoughts: Colonoscopy will be diagnostic. Since miralax and anucort have not help you, it is possibly the severe coccydynia spreading the inflammation to the rectun giving you the feeing of constant urge to defecate. It is advisable to get clinical evaluation, actual per-rectal examination, proctoscopy to asses the problem, to be done by a General Surgeon/Proctologist. He can asses the problem well about tailbone pain and any related problems. To go ahead with Colonoscopy and have additional tests like: Tests of blood, urine, stool (for 3 consecutive days. CT scan of the whole abdomen including that of pelvis and the Radiologist asked to study rectum and tail bone area in high resolution mode. The diagnosis made this way can help you to get a proper treatment. Please feel free to discuss further.