Pelvic pain is generally referred to as the pain in the lower abdominal region. Pelvic pain might be acute, sudden, or chronic, recurrent, cyclical in nature. It may present as central or lateralized pain and might spread to the thighs and buttocks. Pelvic pain might be an indication that something is wrong with the internal reproductive organs located in the pelvic region such as ovaries, fallopian tube, uterus and vagina in which case occurrence of pain may be related to particular time in menstrual cycle.

Pelvic pain can be indicative of a pelvic infection or related to the pelvic bones/spine problems.

Also it may indicate that there is something wrong with the digestive system or urinary system.

Causes-

The causes are as follows:

Pelvic pain occurs commonly in disorders of the internal reproductive organs such as ovarian cysts or pelvic inflammatory disease (where in sexually transmitted bacteria spread through the reproductive organs and cause infection) or pain during ovulation.

Pelvic pain might also occur due to endometriosis (a form of disorder where the endometrial tissues that are located inside the uterus tend to grow outside the uterus resulting in severe pain), adenomyosis (a disorder wherein the endometrial tissues which line the wall of the uterus tend to grow within the uterus), , pelvic adhesions or ectopic pregnancy (when the fertilized egg gets inserted somewhere else other than the main uterine cavity),

Pelvic pain can occur due to bladder disorders, kidney stones, infection in the urinary tract, constipation, flatulence,inflammatory bowel disease, irritable bowel syndrome and chronic hernia.

It can also be a symptom in some cancers such as ovarian cancer, colonic cancer, advanced ovarian , endometrial and cervical cancer.

The following symptoms might occur along with pelvic pain:

Sustained pain in the hips and the groin

Sudden fever

Severe pain while urinating , passing stools or during sexual intercourse (dysparuenia)

Vaginal bleeding or vaginal discharge .

Blood in stool

Severe menstrual pain ( dysmenorrhoea)

Repeated instances of constipation or diarrhoea

Increase In pain with stress and physical movements

Investigations-

The Gynaecologist will do physical examination including bimanual internal examination. Also, complete blood count, urine for microscopy, vaginal swabs if discharge, stool examination. Ultrasound examination of the pelvis is an important investigation.

Treatment-

If the pain is gynaecological and depending on the cause doctors might suggest different therapies. In cases where pain is due to an ovarian cyst or endometriosis, doctors may prescribe birth-control pills. In cases of suspected pelvic infection, antibiotics are prescribed. Also, laparoscopic surgery might be advised in cases of acute pain due to cyst, endometriosis, or pelvic adhesions: for confirmation of diagnosis and excision or removal of cysts and endometriotic implants and division of adhesions respectively. In some cases of chronic pain, the gynaecologist may manage the case with inputs from gastroenterologist and pain consultant.

Causes and Symptoms of Pelvic Pain

Pelvic Inflammatory disease (PID) is a bacterial infection that affects a woman s reproductive organs. This disease is not contagious though men can host and transmit the bacteria that triggered the disease through intercourse. Chlamydia and gonorrhea are the two most common causes of this disease. Apart from being transmitted sexually, this disease can also develop through the insertion of an unsterilized contraception device into the vagina or during a gynecological procedure such as an abortion. In rare cases, normal bacteria from the vagina can also spread into the uterus and fallopian tubes triggering this disease.
PID can be fatal and should not be ignored. Lower abdominal pain is the primary symptom of this disease. This pain can vary from being mild to be seriously debilitating. Other symptoms of this condition are:
Abnormal or foul vaginal discharge.
Painful intercourse that may be accompanied by bleeding.
Irregular periods.
Spotting between periods.
Severe menstrual cramps.
Burning sensation while urinating.
Urge to frequently urinate and an inability to empty the bladder.
Swollen abdomen.
High fever alternating with chills.
Swollen lymph nodes.
Diminished appetite with nausea.
Weakness and depression.
Lowered libido.
PID can often produce a pus-like fluid that scars the reproductive organs. This can result in infertility. This risk is influenced by the duration and severity of the infection along with the number of times it recurs. Women suffering from pelvic inflammatory disease are also at a higher risk of having a tubal pregnancy. This type of pregnancy is fatal for the baby and also threatens the life of the mother.
In cases where the disease is triggered by an STD like gonorrhea or Chlamydia, it can also spread to the liver tissues. This is a complication known as the Fitz Hugh Curtis syndrome and causes a collection of pus in the form of an abscess in the fallopian tubes or ovaries. If this abscess ruptures, the pus would spread into the pelvic cavity causing severe pain, nausea and a fall in blood pressure. If it spreads further into the blood stream, it can be fatal.
Diagnosis of this disease is difficult as its symptoms are usually mild and common to a number of other conditions. However, once diagnosed, it can be easily treated through antibiotic medication. Surgery is required only in cases where there is no response to antibiotics or if an abscess bursts or is at a stage where it may.  


Can Pelvic Inflammatory Disease Prove to be Fatal?

In medical terms, the pelvic floor refers to a group of muscles in the pelvic area. These muscles provide support to the organs in the pelvic region, including the bladder, uterus (women), prostate (men), and rectum.

What is pelvic floor dysfunction?
This is a medical condition that is used to refer to a situation when you are unable to control the functioning of the pelvic floor. It means you fail to control the bowel movement. People suffering from pelvic floor dysfunction use these muscles to contract rather than to relax. It is for this reason that they cannot have a bowel movement. They often have an incomplete one.

What causes pelvic floor dysfunction?
In most of the cases, the exact reason behind this dysfunction is unknown. It is often believed that this condition is caused due to traumatic injuries to the pelvic area. This can happen after an accident and due to complications aroused after vaginal childbirth.

What are the symptoms?
There are several symptoms that are linked to this medical condition. You must visit your doctor if you come across the following signs:

The feel of having several bowel movements within a short period of time.
If you feel that you cannot complete a bowel movement.
When there is constipation pain linked with bowel movements.
A frequent urge to urinate.
Painful urination.
Pain in lower back.
Continuous pain in pelvic region, genitals, or rectum.
Pain during intercourse in women
How is pelvic floor dysfunction diagnosed?
It may be diagnosed through a physical examination by the doctor. You will ask several questions to know the case history and find out the cause. You may also be asked to take pelvic muscle control test by placing surface electrodes on the perineum or sacrum. A small device called a perineometer is also used for the same.

What are the best ways for treating pelvic floor dysfunction?
It can be treated without surgery. There are several techniques. Some of these are as follows:

Biofeedback: It is done with the help of a physical therapist.He uses special sensors to watch and monitor the muscles.
Medication: A low-dose muscle relaxant is prescribed to treat the same.
Relaxation techniques: Your therapist may ask you to take up techniques for relaxation such as warm baths, yoga, and exercises.
Surgery: If your physician finds out that the dysfunction is caused by a rectal prolapse or rectocele, he or she will take up surgery.
Pelvic Floor Dysfunction results in Urinary Dysfunction. Urinary incontinence is the unintentional passing of urine. It's a common problem thought to affect millions of people. There are several types of urinary incontinence, including:

Stress Incontinence   when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh
Urge Incontinence   when urine leaks as you feel a sudden, intense urge to pass urine, or soon afterwards
Overflow Incontinence (chronic urinary retention)   when you're unable to fully empty your bladder, which causes frequent leaking
Total Incontinence   when your bladder can't store any urine at all, which causes you to pass urine constantly or have frequent leaking
It's also possible to have a mixture of both stress and urge urinary incontinence.

Pelvic Organ Prolapse

Pelvic organ prolapse is a condition in which structures such as the uterus, rectum, bladder, urethra, small bowel, or the vagina itself may begin to prolapse, or fall, out of their normal positions. Without medical treatment or surgery, these structures may eventually fall farther into the vagina or even through the vaginal opening if their supports weaken enough.


Pelvic Floor Dysfunction - What is the Best Way to Treat it?

Chronic pelvic pain can be caused due to various reasons. Pelvic pain, at times, can become unbearable and cause much discomfort to the individual. Immediate treatment of chronic pelvic pain is necessary, in such circumstances. However, just as everything in the world has natural remedies, there are certain natural remedies for such pains as well. One can try and harness the natural properties of the food that they consume in order to recover from pelvic pains. Some of the foods that can be consumed and which give a considerable amount of relief are listed below.

Yogurt: At times, pelvic pain is caused due to vaginal infection. To combat such infection yogurt is applied to the vagina and left for some time before washing it off. Yogurt contains Lactobacillus bacteria which is considered to be a good kind of bacteria that helps in fighting its disease-causing counterparts.

Carotene Foods: These include pumpkin, mangoes, sweet potatoes and even spinach. The carotene rich foods help in fighting the bacteria and help prevent infection in the pelvic region. Consumption of such foods at least twice a day would provide you great relief.

Garlic: Garlic contains sulphur which is an effective agent in fighting against bacteria and inflammation. Garlic does not only bring flavours to the food but helps in proper digestion and maintaining a healthy stomach. Thus, a combination of both turmeric and garlic can help a lot to combat severe pelvic pain.

Baking Soda: Sometimes pelvic pain is caused due to bacteria growing in the intestine. The acidity of the intestine promotes the growth of these bacteria which causes pelvic pain. If you consume one tablespoon baking soda mixed with water every day then the alkalinity of the baking soda neutralises the acidity of the stomach. This makes it impossible for the bacteria to thrive and reduces pelvic pain.

Turmeric: Often pain in the pelvis is caused due to bacterial infection or inflammation of some sorts. Both these conditions can be tackled by using turmeric. Turmeric has anti- inflammatory and anti-bacterial properties which help in fighting against these problems and lessening the pain to a considerable amount.

Thus, you can try and apply these homemade remedies in curing your pelvic pain. However, if these remedies do not seem to work and the pain drags on or increases, then it is recommended to see a professional Ayurvedic practitioner as soon as possible.

5 Ways To Deal With Chronic Pelvic Pain

The pelvic floor is a group of muscles in your pelvic area. These muscles support the organs in your pelvis like a sling. The organs in this area include the bladder, uterus (women), prostate (men) and rectum (the area at the end of the large intestine where your body stores solid waste). By contracting and relaxing these muscles, you control your bowel and bladder movements.

What is pelvic floor dysfunction?

When you are unable to control the muscles in your pelvic floor to have a bowel movement, it is called pelvic floor dysfunction. People with pelvic floor dysfunction contract these muscles rather than relax them. Because of this, they cannot have a bowel movement or they have an incomplete one.

It is important to be aware of the symptoms of pelvic floor dysfunction as there is no comprehensive list of causes. However, it can be said that traumatic injuries to the pelvic area seems to have a rather higher preponderance among the causes of pelvic floor dysfunction, which is also known as PFD. While giving birth to a child is an experience that is life changing, the potential downside is that it can be one of the causes of pelvic floor dysfunction in women!

Other symptoms include feeling the need to urinate often and then finding the process to be quite painful. Constipation which occurs in spite of a diet which contains enough roughage is a sign, as well, that it is about time that a person should schedule an appointment with the doctor.

Medication is a possible solution and is usually in the form of a muscle relaxant of a low intensity. However, it is great for a person who has the misfortune of having pelvic floor dysfunction to know that there are solutions which are completely bereft of the need of any form of medication!

Cure Pelvic Floor Dysfunction

Reducing the effects of pelvic floor dysfunction can be quite simple, really. Warm baths and some exercises suggested on a subjective basis are quite common. This is a process called biofeedback.

Biofeedback aims to retrain the pelvic floor so that there is far better functioning. The success of this method is well known to a specialist, it has vastly improved the pelvic floor dysfunction conditions of more than 75% of the patients significantly!

The method works by observing the workings of the pelvic floor and then providing feedback regarding its coordination as it expands and contracts. Some of the many things which make this method truly great are that it is non-invasive and non-medical. As a matter of fact, taking into due account its success rate, people should really give it a shot before they try medication or surgery.

Surgery

Surgery is said to be effective in the case of rectocele. Nevertheless, this is the last resort as it is always better to sort out such problems sans having to resort to surgery. Multidisciplinary approaches which involve fields such as psychology are good options. Pelvic floor dysfunction is something that is a pain to have, but it really need not be!

Pelvic Floor Dysfunction - Things You Should Know About it 

Endometriosis is a painful condition where the endometrium tissue lining the walls of the uterus, grows as implants outside the womb of the patient. This can lead to a number of painful conditions and is often considered as a common cause behind severe pelvic pain, as far as women are concerned. Here is all you need to know about endometriosis and pelvic pain.

 Painful menstruation: depending on the stage of the condition, the implants could remain on the surface or go deeper into the ovaries which may cause acute and severe problem during ovulation as well as the menstrual cycles. This is one of the symptoms that one must not ignore. If you are having painful cramps that affect the pelvic area and the abdomen, and if these cramps last throughout the duration of the cycle, then there are strong chances that you are experiencing the pain that comes with endometriosis. 
 Pain during and after intercourse: while there are many reasons why women may face pain during intercourse, it may be noted that vaginal and pelvic pain that come during and after intercourse could point towards the presence of endometriosis, which is causing irritation and discomfort due to the implants. 
 Bowel movements and urination: usually, pelvic pain may trickle down to and also get activated by the bowels when there is a motion as well as urination. This is a common problem that can cause pain, which spreads throughout the region if the patient is suffering from endometriosis. 
 Bloating and other symptoms: when the abdomen and nearby regions face bloating due to the implants and their painful spread, the pelvic region as a whole bears the brunt in terms of severe pelvic pain. The bloating and other symptoms like loose motions and constipation can also create pain in the abdomen and pelvic region on a persistence basis. Sharp pains may also shoot up and down the lower back due to such symptoms which should not be ignored if they do not abate within a few days. 
 Misdiagnosis: many times, the bloating and pelvic pain may be linked with pelvic inflammatory disease, which causes pain in the muscles and joints. But if you are having pain in the abdomen as well as problems during your menstrual cycle, then it may be helpful to have the tests for endometriosis done as well. 

In order to diagnose the condition, the doctor must ensure that proper imaging tests like mri and ct scans as well as an ultrasound with lab tests based on blood samples have been conducted. The pelvic pain that comes with this condition can be treated with the help of pain relievers like ibuprofen and aspirin.

Could Your Pelvic Pain be Endometriosis?

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