Conversation: The conversation between human and AI assistant.
[|Human|] 12 years ago I hurt my lower back after the birth of my very large baby. I went to doctor and they couldn t find anything. It continued to hurt on and off but was always controlled with ibuprofen. In the last couple months it has gotten worse and I must ice it every morning and now I m up too 1000 miligrams of ibuprofen and sometimes it works. The area around my tailbone is swollen. any ideas?wagner
[|AI|]  Hi you had a large baby 12 yrs back and are having back pain off and on and now for two months are having pain and swelling around tailbone which is not relieved by Ibuprofen. In my opinion the two problems are not connected. What you had earlier was probably Sacroiliacs, and now you are having coccydynia and/perianal abscess. Start painkillers and muscle relaxants and get an ultrasound pelvis + Blood counts. If there is no abscess then along with medicines start site bath(sit in hot water) and spinal extension exercises.