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I am sorry to hear about this
There is a possibility of a cyst compressing a nerve causing this pain, there is also a possibility it is due to compression of the nerve around the spine
I agree with getting a CT scan, and possibly an MRI as well
Nifedipne ointment twice a day is also a good option, if it is a variant of proctalgia fugax then it would help to use the ointment
It would seem that a cyst would be consistent in pain and not something that only surfaces as infrequently as 4 months. I don't see where the constant ointment can be evaluated as a source of relief to something that only occurs so infrequently. There has to be a cause for this and I am confused as to why a surgeon can not diagnose. On the present course, all that he will do is a CT scan that will rule out certain serious diseases.
A cyst may cause pain if it is inflamed and then compresses, it may also leak and cause irritation
I am on a very high fiber diet, almost vegetarian. I have very large bowel movements that are like clockwork every day (same time) with no pain whatsoever. No blood, etc. Not runny or hard. The pain began when I adopted this diet, coupled with 1 and 1/2 hours of aerobic exercise per day/7 days/week. (I lost 75 pounds, now weigh 125/normal BMI, and have maintained for over 2 years). I believe that the high fiber diet has a correlation with this. I have excellent health (no diseases, but I have 98% heart calcium score, putting me at high risk for heart attack....hence the necessity to continue my diet/exercise routine and normal weight.
There is a possibility that the pain has a correlation to the diet you are on, but the irritation of a nerve is still the most likely cause in my opinion, and I think that that cause is best determined by imaging, either a CT scan or MRI of you abdomen and pelvis
Ok..the surgeon does not believe it is connected to the diet/exercise. I think I will get the CT scan. Do you believe it should be CT or MRI?
I think a CT scan first, because it is cheaper, faster and easier to get
If the CT scan shows nothing then an MRI would be next
Ok...I will likely have to pay for these personally, in spite of the fact I have both primary and secondary PPO insurance coverages. At least this is what he mentioned. I am willing to pay if I think it can determine the cause. I fear there may be no treatment option. But, if a cyst, it can be treated. Thanks for your thoughts.
You're quite welcome