Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Pain in the anal region for evaluation.

Resolved Question:


I have this sudden pain in my right buttock that spreads around my right hip down my right thigh to around my right knee.

I have lower back problems with a lower disc tear between my S1 and L5 bones.

Can someone help me?

Category: Internal Medicine Specialist

Ask Your Own Question

Category: HIV- AIDS Specialist
 18 Doctors Online


Thank you for choosing DoctorSpring.

I need some additional information so that I can provide a solid opinion.
You can reply as a followup.

1. Is the pain constant ? Is there any shock like sensation ?
2. Do you feel numbness anywhere in the leg ?
3. Does the pain increase when you cough ?
4. Any trouble in passing urine or stools ? (like hesitancy to urinate ?)
5. Have you experienced similar pain before due to the L5-S1 disc tear ?
6. Have you tried any medication ?

Thank you

Patient replied :

1. Is the pain constant ? Is there any shock like sensation ? Yes and yes

2. Do you feel numbness anywhere in the leg ? Not numbness just tinglng

3. Does the pain increase when you cough ? No

4. Any trouble in passing urine or stools ? (like hesitancy to urinate ?) No I did both this morning.

5. Have you experienced similar pain before due to the L5-S1 disc tear ? No

6. Have you tried any medication ? No

Thank you

Your symptoms are suggestive of a pinched nerve or nerve compression, most likey to a disc bulge. So chances are that the already damaged disc is compressing the nerve roots at the L5 - S1 level causing the pain. It will difficult to ascertain the cause for now, but even a trivial trauma can precipitate a bulge in an already damaged disc.

For pain relief you can take an OTC pain medication like Ibuprofen 400 mg twice a day. Take it with food. You should take absolute bed rest if possible. Lie down in a neutral position - which makes you comfortable. Most people with similar pain prefer to sleep on the side (lateral position) with a pillow between the knee. Some prefer lying on their stomach (prone). You can see for yourself which suits you best.

DO NOT BEND over or carry weight. With rest and pain meds the inflammation will subside and in most cases there will be symptom resolution. If the pain is really troubling you or if you have no relief in 48 hours or if you have any of the warning signs mentioned below you should get medical help. You might need a physical examinton and a MRI study.

The warning signs to look out are : Weakness, Loss of sensation (reduced touch feeling) anywhere in the leg, any trouble in urination or defecation.
Take good rest. You can get back to me anytime

Hope this helps
Feel free to ask followups / clarification.
Thank you

Patient replied :

OK will do. Thanks! I was just concerned that it was an infection. If it is a pinch nerve, I can deal with pain and discomfort for a while.

Thanks again!

Well technically an infection or abscess can also affect the disc and cause pinched nerve. But considering your symptom this is highly unlikely. ( You will be feverish, generally tired etc).

Thank you
Wish you speedy recovery.
Feel free to get back to me anytime.

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation



Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news