<s>[INST] Hi doctor , I m having discomfort in lower right abdomen for few years . And for the last few months I have pain in the buttock and lateral side of the hip. I had blood test which showed elevated ESR of value 123, hb of 12.9 , mch 26.6 and MCHC 32.1 . I have got bit of tingling in my body especially in night time on feet . I m 33 years old male . [/INST] Hi. The pain in such a situation can be due to Sons Abscess (a muscle at the back of abdomen). You have a very high ESR indicating chronic problem. I would advise such a patient to undergo MRI of lower spine abdomen and hip area to confirm the diagnosis and go for further management. MY view goes into favor of ruling out the tuberculosis of the spine tracking down along the muscles. Please let us know the findings. </s>