A pathological condition in which pain is constantly or periodically in the coccyx, is called anocoptic pain. Unpleasant symptoms can develop independently on the background of trauma or indicate other pathological conditions. In any case, you cannot postpone a visit to the doctor.
Description of the pathological process
You can suspect anocopy syndrome with prolonged pain in the perineum. Such a pathological process requires careful diagnosis to identify the exact cause. There are many factors that can trigger the appearance of unpleasant symptoms. Additionally, the patient may show anorectal pain. The nature of the discomfort may vary. If the tailbone hurts when you sit and get up, this may indicate a violation of the integrity of the bone structure. Constant aching pain may indicate the development of infection in the rectal area.
Anokopchikovy pain syndrome is almost never associated with osteochondrosis and diseases of the genitourinary system. Unpleasant sensations can appear suddenly and just as abruptly disappear with a change in body position. The most common pathologies in which a similar symptom occurs will be described below.
Diagnostics
In various pathological conditions, coccygodynia may occur. Diagnosis using various methods is of great importance. Properly conducted studies make it possible to prescribe appropriate therapy. The specialist needs to confirm or refute the tailbone injury, rectal diseases, neuralgic pathologies, sciatica, endometritis, etc.
The first thing a doctor needs to do is to examine the patient in the knee-elbow position and on the gynecological chair. A proctologist and gynecologist can participate in the study. Thanks to palpation, it is possible to detect the presence of cicatricial changes, signs of an inflammatory process. Of great importance are the feelings of the patient during the examination. With an injury or inflammatory process, the pain will intensify.
In order to exclude diseases of the colon, rectoscopy can be prescribed. The study provides an opportunity to get an idea of the state of the mucosa. During the diagnosis, hemorrhoidal nodes, cracks, erosion and polyps can be detected. If malignancy is suspected, an X-ray of the rectum is prescribed.
Tailbone injury
Anokopchikovy pain syndrome can be primary and secondary in nature. In the first case, we are talking about a pathological process that is not associated with other diseases. Most often, primary coccyalgia develops with a tailbone injury. This is a common damage that can occur in everyday life. The number of such injuries increases sharply in winter during icing. With a tailbone injury, a slight hematoma and edema occur. In addition, myositis may develop, which is also accompanied by pain.
A specialist can diagnose a tailbone injury based on complaints. The specialist confirms his guesses with the help of an X-ray examination.
What to do with a tailbone injury?
The treatment is carried out on an outpatient basis, and it begins at the emergency room. An ice container is applied to the affected area, and the patient is given pain medication.
During rehabilitation, the patient is not recommended to sit and lie on his back in order to avoid stress on the damaged area. In most cases, the prognosis is favorable. Within 7-10 days, the pain syndrome passes completely. In rare cases, post-traumatic coccyalgia develops. In this case, physiotherapeutic procedures (UHF, infrared radiation, electrophoresis), as well as physiotherapy exercises help to remove pain.
Hemorrhoids
Anokopchikovy pain syndrome (coccyalgia) can develop with advanced hemorrhoids. This disease is characterized by varicose veins of the anus. As a result, painful hemorrhoidal nodes are formed. This is the most common proctological pathology. The main factor in the development of the disease is circulatory disorders in the hemorrhoidal plexuses. As a result, nodes appear that become inflamed, pain occurs.
Hemorrhoids often develop in people suffering from constipation. Negative factors include excess body weight, a sedentary lifestyle, excessive consumption of fatty foods and alcohol. Occupational factors also matter. People who are forced to stay in a sitting position for a long time also often develop this ailment.
Tactics of treatment are selected based on the stage of the disease. In the acute period, anti-inflammatory drugs are prescribed, as well as hemostatic agents. The following medications show good results: Procto-Glivenorl, Relief, Proctosan, etc.
Anal fissures
An anal fissure is a nuisance that both adults and children can face. Statistics show that this disease is in third place among other proctological pathologies. Women face the problem more often than men. In children, anal fissures are rarely diagnosed. A crack is a defect in the mucosa of the anus. At this point, the shell is torn, the muscle layer opens. Against the background of the pathological process, coccyalgia can develop. Symptoms in women often appear after childbirth. In men and children, the disease can be caused by prolonged constipation.
Severe pain in the coccyx is manifested, as a rule, during the act of defecation or immediately after visiting the toilet. Most often, unpleasant sensations last 10-15 minutes, then go away. Another characteristic sign of anal fissures are streaks of blood in the stool.
If a crack has just appeared, you can try to let it heal on its own. It is important to monitor your diet to avoid constipation. Quickly relieve inflammation and heal the crack will help drugs such as Relief, Troxevasin.
Proctitis
The disease is associated with an inflammatory process in the area of the rectal mucosa. Most often, the pathological process develops against the background of malnutrition, the presence of parasites in the rectum, diseases of the gastrointestinal tract. Proctitis can develop in both men and women. In children, pathology is rarely diagnosed. Initially, the disease always develops in an acute form. One of the signs is pain in the coccyx and anus. If timely treatment is not given, the disease will become chronic.
In the acute form of the disease, the pain syndrome can be quite severe. Unpleasant sensations intensify at the time of defecation. The patient may also have symptoms of general intoxication, such as a slight increase in body temperature, weakness.
At the initial stage of proctitis, treatment can be done on an outpatient basis using anti-inflammatory suppositories. Additionally, a sparing diet and bed rest are prescribed.
Sigmoiditis
The disease is characterized by inflammation in the sigmoid colon. The pathological process can be both acute and chronic. The disease can occur in both sexes. Intestinal infections, dysbiosis, ulcerative colitis, Crohn's disease can provoke inflammation.
Pain in the coccyx is not the only sign of a pathological process. In the acute period of the disease, the patient may experience symptoms of an acute abdomen, often nausea and vomiting. For some symptoms, acute sigmoiditis may resemble appendicitis. It is possible to make an accurate diagnosis using endoscopy.
With sigmoiditis, patients are prescribed diet No. 4, it is necessary to abandon fried and spicy foods. If the disease is caused by bacterial microflora, broad-spectrum antibiotics are prescribed.
Prostatitis
If the tailbone hurts when you sit and get up, this is not always associated with pathologies of the skeletal system. In men, this symptomatology can be observed against the background of inflammation of the prostate. This is the most common pathology of the genitourinary system in the stronger sex. The disease can occur in both young men and older men. Overcooling, the presence of other chronic diseases in the body, constant constipation can provoke the appearance of unpleasant symptoms. Overweight men, leading a sedentary lifestyle, are more prone to the development of prostatitis.
Pain in the coccyx and perineum, problems with urination, fever - all this indicates the development of the inflammatory process. With a significant deterioration in the patient's well-being, therapy is carried out in a hospital setting. The patient is prescribed antibacterial therapy, non-steroidal anti-inflammatory drugs help to feel better. With secondary prostatitis, the underlying disease is treated.
Other causes of anoccopic pain
Symptoms, treatment, possible causes of the disease - this information is worth exploring for those who once encountered pain in the coccyx. It often happens that during a thorough diagnosis, no violations can be detected. Coccyalgia can develop in people who are forced to sit in the same position for a long time. Especially often, unpleasant symptoms are observed in the elderly. In this case, special treatment is not required. All you need is to move more.
Lack of stool for several days can also provoke coccyx disease (coccyalgia). How to treat constipation? You can use glycerin candles. It is also important to revise the diet, refuse fast food and convenience foods.