<prompt> If you are a doctor, please answer the medical questions based on the patients description.Im a 23 year old male, 58, and weight 183 pounds. I have excruciating pain in my rectum area. I went to the emergency room, the doctor did a rectal exam but couldnt feel anything. They did a CT scan and found a strand of infection inside my rectum. They said they think I may have a pilonidal cyst, but I dont see any pimples or holes near the top of my crack. I cant sit, and I can barely walk or lay down. I have not had a bowel movement in a few days, and now Im having problems urinating. What do you think this could be?  <response>: HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that this could be non-specific pain and not the infection of rectum in my opinion this condition need to be treated with the following medicine, 1 Tab Metronidazole 400 mg twice in day 2 Tab Omeprazole 40 mg once in day 3 Prolecresulen point. Hope this information helps you take care and have a nice day. 