Conversation: The conversation between human and AI assistant.
[|Human|] Hi. I m having pain in my lower back and tail bone. It also is in the front. It hurts to go to the bathroom because when I strain I feel a sharp pain. And then just gas. Eventually if I keep this up I ll have a bowel movement. I need to know what s wrong
[|AI|]  Hi, thank-you for providing the brief history of you. A thorough clinical neuromuscular assessment is advised. As you get this kind of pain which appears to me as a pinched nerve pain. Need a thorough neuromuscular assessment and an MRI to understand the soft tissue status. Also, along with physical therapy for strengthening the core muscles, spinal muscles and lower limb muscles this pain can be controlled. As any injury in the spine first give an impression of ache and warns the body with pain to understand the weakness of muscles. In my clinical practice such patients are recommended to physical therapy and with proper clinical assessment and MRI the next treatment plan is implemented to strengthen the core, spinal and Lower limb muscles. RegardsJay In Chat Doctor.