Conversation: The conversation between human and AI assistant.
[|Human|] Good afternoon,I am experience moderate - intense lower back pain, dull ache, down near my tail bone, almost feels like it continues to flow down further into my bottom region.  It gets worse when I try to push to pass a stool, really strong pain sensation. i pass hard stools every two days, was wondering if the pain i am experiencing maybe related to my bowel or my kidneys, not sure, nurofen pain relief does not appear to work and this is occurring more frequently over the last few weeks.kind regards
[|AI|]  Hello and welcome to Chat Doctor, The pain that you are experiencing near your tail bone may be due to may be due to spinal problem rather than due to bowel or kidney problem. Herniation of disc or inter vertebral disc prolapse may lead to pain in the lower back. Pain is caused by compression of the spinal nerves. You need to get MRI study of the lower back. MRI gives a clear picture of soft tissue details. Any compression of the spinal nerves or prolapse of disc will be clearly seen on the MRI. You need to consult an orthopedic for this investigation and further management. Disc herniation and disc prolapse are managed conservatively initially by rest and painkillers. Thanks and take care Chat Doctor.