u/BlissBeeGo

I am looking for advice on this procedure as it generally freaks me out thinking about invasive procedures. Even when my ENT did check my nose and throat, I got uncomfortable (even though it is technically not invasive). Maybe this heightened anxiety occurred when my throat felt bad in the night, almost tightened and I had difficulty falling asleep. I have to constantly suck the mucus stuck at the back of my throat and clear my throat. Very rare episodes of feeling acid in the throat or heartburn. There is a fat pad under my right rib bur doctors say it is just fat tissue.

This problem came out of nowhere for me, after COVID infections. Sometimes my muscles ache in the throat on days I haven’t managed my throat well. I still have a lot of dietary improvements to make (I don’t eat a lot of unhealthy food, but I don’t eat in excess even the problematic foods). Sorry, there is work to be done on my part, but I have many other health conditions that literally leave me too exhausted to manage this. I tried to calm down my nervous system but I still have enough fear about endoscopy because it is invasive.

While ENT cleared me from his end, gastroenterologists suggest they will not be able to move forward without endoscopy. Barium test won’t help either.

Please try to walk me through this procedure mentally. He said he will be done in a minute or so, and no anaesthesia is required.

6-8 hours of fasting advised.

Does it pain?
Is it risky?
Is it just a thin probe or wire going down the oesophagus or more complicated than that?

I don’t want to get scared googling too much so avoiding searching youtube videos as well.

I injured my tailbone in 2013. Inter coccygeal fracture, the tip is like a pseudo spur. Though contraindicated, bone manipulation was done in 2014. I got some injections of corticosteroids and ganglion impar into my coccyx in 2016-2017. Urinary urgency issues got triggered in 2017, along with incompetence bowel evacuation. I went through coccyx MRIs, MR Defecography. My coccyx seems misaligned enough to impact the pelvic floor muscles. Found PF therapy with great difficulty in my country. And if having a hypertonic PF was the problem in itself, then therapy (trigger point release, bladder retraining should have cured me), but I can still feel tightening and irritation within the pelvic floor even though I am not consciously keeping muscles engaged. I am thinking of transperineal ultrasound, MR Neurograph or Dynamic PF MRI to possibly show some indications. Because in the internal work, my pudendal nerve did tingle when the therapist assessed it.

I am fully convinced my misaligned healed tailbone has a permanent pressure on my pelvic floor. But the doctors look at it just from their respective specialities without connecting the two.

I wonder if a tailbone removal would have alleviated all of this for me. I am tired of pelvic floor therapy, and I have a permanent trigger point on my pelvic floor, as my tailbone got broken and hooked slightly to left. So I definitely see some connection.

My PF assessment notes mention:
“External: Normal Presentation, No tenderness on palpation in superficial pelvic floor muscles, Normal
introitus, Perineal Body: High Perineal Mobility: Normal
Palpation of coccygeal bone externally: No tenderness, Loss of normal curve, straight angulation.
Internal Exam: No hypervigilance. A digital exam of internal pelvic floor muscles revealed tenderness and
increased tome in Illiococcygeus L side. R side had a normal tone and no tenderness. Pain and tingling over
the Pudendal nerve in the Alcocks Canal L side. Tenderness + over Obturator Internus L side. R is largely
asymptomatic. Pressure increased urge to micturate. Urethra was hypomobile b/l on palpation.”

Treatment : Internal Trigger Point Release: Obturator and Levator Ani were released with strumming and ischemic compressions. Mobilization of the urethra to normalize urge.
Pelvic Floor Relaxation and Stretching of Overflow Muscles

When the therapy concluded in 2023, my PFM came into balance but there was Mild tingling persisted over the pudendal nerve in Alcocks Canal.

I injured my tailbone in 2013. Some bone manipulation done in 2014. I got some injections into my coccyx in 2016-2017. Urinary urgency issues got triggered in 2017, along with incompetence bowel evacuation. I went through coccyx MRIs, MR Defecography. My coccyx seems misaligned enough to impact the pelvic floor muscles. Found PF therapy with great difficulty in my country. And if having a hypertonic PF was the problem in itself, then therapy (trigger point release, bladder retraining should have cured me), but I can still feel tightening and irritation within the pelvic floor even though I am not consciously keeping muscles engaged. I am thinking of MR Neurography to possibly show some nerve involvement. Because in the internal work, my pudendal nerve did tingle when the therapist assessed it.

I am fully convinced my misaligned healed tailbone has a permanent pressure on my pelvic floor. But the doctors look at it just from their respective specialities without connecting the two.

I wonder if a tailbone removal would have alleviated all of this for me. I am tired of pelvic floor therapy, and I have a permanent trigger point on my pelvic floor, as my tailbone got broken and hooked slightly to left. So I definitely see some connection.