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Doctor insights on: Causes Of Coccygeal Pain

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What is coccygeal pits? Serious?

What is coccygeal pits? Serious?

No : Dorsal dermal sinuses are relatively common lesions that frequently come to neurosurgical attention. They do not seem to be associated with significant risk of spinal cord and intra-spinal anomalies. Simple intergluteal dorsal dermal sinuses without other cutaneous findings do not require radiographic or surgical evaluation and treatment. ...Read more

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Is it safe to breastfeed after a coccygeal infiltration using 8 mg dexamethasone?

Is it safe to breastfeed after a coccygeal infiltration using 8 mg dexamethasone?

At that dose yes: Doses as high as 120 mg have not yielded significant levels in breast milk. ...Read more

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I had coccygeal nerve block 5days ago. I have had bad pain following. How long for it to subside. My husband and I leave on motorcycle trip next week.

I had coccygeal nerve block 5days ago. I have had bad pain following. How long for it to subside. My husband and I leave on motorcycle trip next week.

Hard to say: Many times if you have post procedure pain it can last a few days up to 1-2 weeks. If you are not feeling better, ask your doctor if they might give you something for this pain for the next few days while on your trip. ...Read more

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I have coccygeal pain when I sit down. I've been having constipation on and off. No bruises or hx of trauma. What could it be and what to do?

I have coccygeal pain when I sit down. I've been having constipation on and off. No bruises or hx of trauma. What could it be and what to do?

Use a cushion: You have a painful tailbone. This is a common condition. The treatment is to avoid direct pressure on your tailbone. Horseshoe-shaped cushions are the best. Don't sit on hard surfaces. If pain does not go away, then see an orthopedic surgeon. ...Read more

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I have a herniated disc at l-5 s-1 with an annular fissure sacroillitis in both si joints and coccyx pain. I have had this pain for over a year have had a surgery to remove a pillion ideal cyst which wasn't there.Have had 3 injections including a coccygea

I have a herniated disc at l-5 s-1 with an annular fissure sacroillitis in both si joints and coccyx pain. I have had this pain for over a year have had a surgery to remove a pillion ideal cyst which wasn't there.Have had 3 injections including a coccygea

These : These can be difficult problems to fix and often poorly respond to treatment including surgery. Patients that have failed conservative treatment you may consider the following options: 1. L5-s1 disk with annular tissue - recommend discogram to determine if this is the cause of the pain followed by either endoscopic discectomy or fusion surgery. Please see my health guides on endoscopic disk surgery. 2. Si joint pain - consideration for si joint fusion. 3.Coccyx pain - if pain is related to prior fracture sometimes surgical removal of the coccyx may give pain relief i would recommend seeing spine surgeon. Good luck! ...Read more

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What happens if I have l'hermitte how likely is it that it's caused by ms?

What happens if I have l'hermitte how likely is it that it's caused by ms?

Possible : But would check for B-12 issues, cord compression besides MS. In younger patients, higher possibility of MS, but at your age, maybe cervical stenosis or spondylosis. If not clearcut, evaluate possible Lyme disease, arteritis, lupus, HIV, etc. ...Read more

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Can just gaining some weight cause an elevated SGPT of 75U/L? Can it be serious?

Can just gaining some weight  cause an elevated SGPT of 75U/L? Can it be serious?

Yes: Hi. Yes, weight gain can cause elevated SGPT (aka ALT) in the neighborhood of 75. It is not uncommon for type 2 diabetics to have elevated SGPT due to fatty liver. However, many things can cause an elevated SGPT. You might want to talk with your doctor about your elevated SGPT and run tests as appropriate. High SGPT due to weight gain seldom causes severe liver problems, but other causes may. ...Read more

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Is a lactate level of 4.1 mmol/L (as distinct from 4.1 mg/dL) likely to cause pain?

Is a lactate level of 4.1 mmol/L (as distinct from 4.1 mg/dL) likely to cause pain?

Not likely: Lactic acidosis is not so much a cause of pain, but more a marker of poor perfusion, starvation, or other metabolic derangement. If we are still talking about the same patient as in the previous questions, low blood pressures and increased metabolic stress from critical illness can most definitely cause an increase in lactate levels. ...Read more