### Human:\n31 150lbs excersise regularly symptompain left butt cheek feeling need use bathroom some constipation/gas after episode. medication:warm shower icy hot massaging area pain killers. episodes last 20-60 mins. . first episode 6 years ago with frequency of 1 every 6 months recently: i wear equipment on waist (police) tweaked back immediate pain subsided after few minutes. followed by a increase of the above episodes for 5 days. recent 2 years i would have episode once every four months which seemed to be brought on by extended physical activity or after a orgasim. . i recently learned both my parents had colon problems\n\n### Assistant: also just to add i have a twin brother who is less active than i am and has an episode one time every six months brought on in same manner either extreme activity or orgasim