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Burning 'pain' sensation in ischium/ perineum

I am 2 years post j-pouch surgery. overall doing well.  One episode of pouchitis about 1 1/2 years post take down.  Now having burning pain or more like persistent discomfort or sensory change in my R buttocks between my bony prominence and anus.  It looks like I have a raised vein in this area?  not really sure what to make of this????

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