Conversation: The conversation between human and AI assistant.
[|Human|] Hello Dr., I have been having tailbone pain since January. I was told that it was probably due to Hemorrhoid surgery in Dec. and also in Jan. Now not only am I still having the pain in the coccyx area, but it now hurts to sit on my bottom cheeks, as well as there s a tingling, vibrating sensation that s happening in my most private areas. My question is, what could be the problem, and what type of physician should I make an appointment to see.
[|AI|]  Starting with a general physician would be the normal way to proceed.  Several features of pain can be helpful in clarifying what is going on and the next steps for diagnosis and treatment. Type of pain. Burning mostly means a nerve is having problems. This can be either a sick nerve or a nerve that has had an injury. Electrical, shooting would be others implying nerve source for pain. Location of pain. There is a lot to this. First, if something goes in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it "hit a nerve" would be a possibility. Sick nerves are MULTIPLE areas and tends to be the TIPS of the nerve not the whole nerve. So, pinched nerve, base of the spine and that is evaluated by an MRI usually