Hello,
As per my clinical experience, there are various possible issues which have to be discussed as below. The pain in buttocks with
radiation towards vagina would be possible gluteal muscle ache from
fibromyalgia counterpart. However, a deep tear above
hemorrhoid with difficulty in walking is in concern with possible fissure in or around anus most likely. My guidelines at present:
- Consume more liquids and high fiber diet
- Avoid all spices, non-veg, junk foods
- Manage to have soft stool on regular basis with help of bulk forming laxative
- Check in drug basket of fibromyalgia for any drug (as
tramadol, hydrochloride or others) responsible for acute constipation
- Sitz bath (sitting in tub filled with lukewarm water) 5 minutes each, 3 times a day, particularly after passage of stool
- Local application of
Xylocaine (5%) jelly over anal part
- Must avoid anal intercourse (if applicable)
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Bhagyesh V. Patel, General Surgeon