<s>[INST] I have been getting a sharp stabbing pain like someone stabbed me in the tail bone and it shoots up my spine and through my stomach then pain and feel like I need to go to the toilet, pain was tht bad I had to lay on the floor of the toilet as I felt like I was going to pass out and be sick lasted a while woke me from my sleep. [/INST] Hi,Thank you for posting your query.The description of pain seems to be a neuralgic pain, which could be due to a pinched nerve in the lower back region.The diagnosis can be confirmed by doing MRI scan of the limbo-sacral spine.Initial treatment consists of using medications such as pregabalin or gabapentin capsules.You should consult a neurologist for management.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY:  BLOG: </s>