Dr. Anita Yadav

I would recommend everyone to take all meals on time. Do not skip any meals. Skipping meals is not good, not healthy as well as it does not help you to reduce weight. First thing in the morning start your day with fruits and curry leaves. Take your last meal till 8p. M. Breakfast is the most important meal of the day.

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. If you wish to discuss about any specific problem, you can consult a gynaecologist.

Anal fissures are the small tears formed in the anal lining. They are also known as anal ulcers. An anal fissure causes a lot of pain and bleeding during your bowel movements. Usually a fissure heals automatically in a few days time. It can be treated with simple home remedies as well.

CAUSES:

1. You can suffer from an anal fissure if you pass hard and large stools. 
2. Also strained childbirth or suffering from violent spells of diarrhea might get you an anal fissure. 
3. Chronic constipation may also be cause of a fissure. 
4. Other rare causes may be anal cancer, HIV, tuberculosis or herpes. 

Individuals of all age groups can suffer from anal fissures. It is not a very serious problem, and heals on its own in a few weeks. Although it can heal itself, there are certain treatments which can help relieve the pain you get from an anal fissure.

SYMPTOMS:

An anal fissure has quite a lot of symptoms for you to understand what you are suffering from:

1. There will be a very visible tear around the anal region. You will be able to spot the tear on the skin very easily.
2. A small lump of skin may form next to the tear.
3. When you will be undergoing your bowel movements, you will feel a very sharp pain in the anal region.
4. You will find spots of blood on the stool passed.
5. You will also feel a burning or an itching sensation in the anal region.

TREATMENT:
Although most fissures do not require treatment, there are a few remedies that will help cure them faster:

1. Stool softeners: You get certain medicines at the chemist, which are known for their stool softening functions. These stool softeners help to soften the hard stools and initiates smooth bowel movements.
2. Eat fibrous foods: Eat foods rich in fiber like fruits, whole grain cereals, raw vegetables, etc.
3. Take warm baths: Take a bath in warm water as it relaxes your anal muscles, helps to relieve irritation in the region, and increases blood flow in the anorectal region.
4. Use ointment: Apply nitroglycerin ointments and topical pain relievers to promote blood flow to the anal region and to relieve discomfort from the region respectively.

In case you have a concern or query you can always consult an expert & get answers to your questions!