Conversation: The conversation between human and AI assistant.
[|Human|] I have had for some time a small hole on the skin about at the tip of the coccyx, last week I fell and sice Ive been haping a lot of pain when sitting, I am 19 years old. What could it be? Could it be serious? What kind of specialist should I go to?
[|AI|]  Hello, I have studied your case. Due to fall on hard surface sacrum may be injured. Due to microtrauma there may be fibrosis formation. Do hot fomentation over sacrum. It will take weeks to months to subside. Use ring cushion and take site bath [sitting in lukewarm water for 10 min]Take analgesic like Nicosia 90 once daily along with tab methylcobalamine 1500 mcg once daily consulting your doctor. If not relieved with all these methods then local injection may be required. You can take this consulting your orthopedic doctor. Clinically spinal origin of pain needs to be ruled out, if required MRI spine can be done. You may need to rule out colonial sinus. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care