Conversation: The conversation between human and AI assistant.
[|Human|] I have severe pain in the lower back area (rectal region) that wakes me up from a sound sleep which occurs only at night with a frequency of one attack in a few months. Each attack lasts between 30 minutes to one hour approximately. At times I feel the urge to defecate to relieve the pain but it does not necessarily subside after doing so. I am unable to return to sleep until the attack is over as the pain is quite severe. Please do help.
[|AI|]  Hi welcome to Chat Doctor. I understand your query and concern. Nocturnal pain largely points to neurogenic origin. Your seem is unrelated to stool evacuation in my opinion. In order to arrive at a strong confirmation diagnosis I advise you to have an MRI spine of the lumbosacral region to detect any spine pathologies like disc prolapse or compression. Any compressive pathologies if detected can be treated by decompression surgeries like discectomy and laminectomy to offer long-lasting pain relief.Meanwhile, analgesics like diclofenac will help to control your pain. Treatment of any constipation and rectal impaction with laxatives like cephalic will also help to improve your condition. Post your further queries, if any. Thank you