Conversation: The conversation between human and AI assistant.
[|Human|] friend has a lump where their coccyx is, has been complete agony to move, literally screaming the place down, dr gave them tramadol, hasnt helped, hospital gave him co-codemal for the pain and have done nothing else, after 4 days of having this, today it has discharge and some blood? - could this be a cyst?
[|AI|]  Hello and welcome to Chat Doctor, A painful lump on the coccyx region with a discharge and bleed is suggestive of an infective lesion. However, severe pain suggests that there could be associated nerve compression. I would suggest you to get an MRI of the spine to know the status of the spine and the spinal nerves.Also, the relation of the lesion with the spine needs to be known.In the meanwhile, you can continue with your painkillers for the severe pain. Definitive treatment can be given after the results of investigations is received. Consult an orthopedic for further workup. Thanks and take Chat Doctor.