I'm really concerned about my wife's recent LFT blood test results. Her Alkaline Phosphatase level is at 141 UL, but everything else seems pretty normal. I'm wondering if there's anything specific she should do to be cautious. Is taking Liv 52 a good idea in this situation? All her scan reports came back normal, so I'm a bit confused about the next steps. Could you provide some advice on this?

Dr Anshul Maheshwari

General Practitioner

• MBBS
• 5+ Yrs

Consult Now

Persistent Buttock Pain and Frequent Urination: Further Evaluation and Treatment Options

Given your persistent symptoms and normal MRI and CT scan results, it's essential to consider other possible causes and seek further evaluation.

Possible Causes:

1. Piriformis syndrome: Compression of the sciatic nerve by the piriformis muscle can cause buttock pain.
2. Sacral or coccygeal issues: Problems with the sacrum or coccyx can cause pain in the buttocks.
3. Prostatitis or epididymitis: Inflammation of the prostate or epididymis can cause pain in the buttocks, perineum, or genital area, along with frequent urination.
4. Referred pain: Pain from other areas, such as the lower back or hips, can radiate to the buttocks.

Next Steps:

1. Consult a specialist: Schedule an appointment with a specialist, such as an orthopedic surgeon, urologist, or pain management specialist, to further evaluate your symptoms.
2. Physical examination and diagnostic tests: The specialist may perform a physical examination, review your medical history, and order additional diagnostic tests, such as:
   • Electromyography (EMG) to assess muscle function
   • Nerve conduction studies (NCS) to evaluate nerve function
   • Ultrasound or MRI of the pelvic floor or lower back
3. Pain management: The specialist may recommend alternative pain management options, such as physical therapy, pain injections, or medication adjustments.

Important Notes:

1. Don't ignore symptoms: Persistent pain and frequent urination can be indicative of an underlying condition that requires attention.
2. Seek a second opinion: If you're not satisfied with your current diagnosis or treatment plan, consider seeking a second opinion from a specialist.

Answered 04/07/2025