Chronic Pelvic Pain Syndrome

Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Because your kidneys are located toward your back and underneath your ribcage, it may be hard to tell if the pain you’re experiencing in that area is coming from your back or your kidney. The symptoms you’re having can help you figure out which is the source of the pain. The location, type, and severity of the pain are some of the things that will be different depending on whether the pain is from a problem in your kidneys or your back. How to identify kidney painkidney pain is most often caused by a kidney infection or a stone in the tubes coming out of your kidney. If the pain is coming from your kidney, it will have these features: where the pain is located kidney pain is felt in your flank, which is the area on either side of your spine between the bottom of your ribcage and your hips. It usually occurs in one side of your body, but it can occur in both sides. Type of pain kidney pain is usually sharp if you have a kidney stone and a dull ache if you have an infection. Most often it will be constant. It won’t get worse with movement or go away by itself without treatment. If you’re passing a kidney stone, the pain may fluctuate as the stone moves. Radiation of the pain sometimes the pain spreads (radiates) to your inner thigh or lower abdomen. Severity of the pain kidney pain is classified according to how bad it is — severe or mild. A kidney stone usually causes severe pain, and the pain from an infection is usually mild. Things that make it better or worse typically, nothing makes the pain better until the problem is corrected, such as by passing the stone. Unlike back pain, it usually won’t change with movement. Accompanying symptoms if you have a kidney infection or a kidney stone, you may also experience: •fever and chills •nausea and vomiting •cloudy or dark urine •an urgent need to urinate •pain when you urinate •a recent infection in your bladder •blood in your urine (this can happen with an infection or kidney stones) •small kidney stones that look like gravel in your urine how to identify back pain back pain is more common than kidney pain and is usually caused by a problem in the muscles, bones, or nerves in your back. Has the following features: where the pain is located back pain can occur anywhere on your back, but it’s most commonly located in your lower back or one of your buttocks. Type of pain muscle pain feels like a dull ache. If a nerve has been injured or irritated, the pain is a sharp burning sensation that may travel down your buttock to your lower leg or even your foot. Muscle pain may affect one or both sides, but nerve pain usually only affects one side. Radiation of the pain nerve pain may spread to your lower leg. Pain from a muscle usually stays in the back. Severity of the pain back pain is described as acute or chronic based on how long you’ve had it. Acute pain lasts days to weeks, subacute pain lasts six weeks to three months, and chronic pain lasts longer than three months. Things that make it better or worse back pain may get worse with movement or if you sit or stand for a long time. It may get better if you switch positions or walk around. Accompanying symptoms other symptoms you may experience with back pain include: •the painful spot looking swollen and feeling tender to the touch •a muscle spasm in the painful area •numbness or weakness in one or both of your legs (if the pain is due to a nerve issue) if you find you have back pain and can’t hold your urine or bowel movements, something is pressing on your spinal nerves, and you should be evaluated immediately. This condition, called cauda equina syndrome, can cause severe long-term damage to your spinal nerves if not treated right away. 6 imbalances that cause pain—and how to fix them "pain is a medical condition and a medical issue, says brett jones, owner of applied strength in pittsburgh who is certified for the functional movement screen, a system of tests and cor rective exercise strategies. "it's a warning sign. The pain is there to tell you something's wrong. And that warning sign could be more serious than "you're going too hard. Jones and the other coaches consulted for this piece all had a horror story to tell-when pain in a client meant a more serious condition such as a nerve issue, thyroid issue, or even cancer. The point: if you experience regular pain while exercising-or when you're not-go to the doctor. If you've been cleared by a doc and you're still feeling discomfort, try these simple tests to see what's truly causing the pain-it could be related to an imbalance in a completely different part of your body. The good news: with these drills, stretches, and corrective exercises, you may be able to fix them-no doctors necessary. Neck pain and headaches? Could be your shoulders. If you're experiencing these symptoms and have been cleared by a doctor, check out the height of your shoulders, says aaron brooks, a biomechanics expert and owner of perfect postures in auburndale, ma. "look in the mirror and see if one shoulder is higher or lower than the other, he says. If one of your shoulders is higher than the other, you'll be strengthening one more than the other, and it may wind up pulled forward more than the other-resulting an inward rotation of that hand. "when you do a row or a press, that side's going to get pinched. There's less room in the shoulder. You can wind up with bursitis or tendonitis. Or headaches and neck pain. Fix it: if the mirror test shows they're uneven, try this single-arm doorway stretch, brooks says. To do it, stand inside the threshold of a door, and place your right forearm inside the door on the right side of the jamb, palm against the jamb at about shoulder height. In this position, twist your chest slightly through the door to stretch your chest-alternately, you can take a step forward with your right foot, keeping your left foot in the threshold. This stretch will open your chest muscles and create room in your shoulder for movement. Pair that stretch with this mid-back strengthening exercise: grab a resistance band and stretch it in front of your chest so that your arms are straight out to the sides from your shoulders, palms facing up. At the full extension of your arms, the band should be stretched out. Return to clap your hands in front, and repeat the movement. Pair these two moves-in this order-three times per week. Shoulders even? Your headaches could be from a forward-leaning head. If you don't see an imbalance in the height of your shoulders, turn to the side, says robert taylor, owner of smarter team training in baltimore. If your head is jutting far forward of your shoulders, it could ultimately decrease the amount of blood flow to your head and neck. "the head leans forward, the spine leans forward, and it puts unnecessary stress on the lower spine too, he says. With the decreased blood flow to your thinking cap, you could get headaches. Fix it: increase blood flow up top and return your head to its natural, up-tall position by strength training your neck, taylor says. Try this one-arm shrug to even things out: sit on an upright bench, like one you'd use for a shoulder press. Holding a dumbbell in your right hand, place your left hand under your left butt cheek and grab the side of the seat. Let your right hand hang down straight by your side and pull your shoulder blades back and together. Now raise your right shoulder up towards your ear-raise it straight up instead of rolling your shoulder. Hold for a beat at the top, and then return to the start position. Complete a set of 10, and repeat on the other side. Knee pain when you run? Could be your hips. "the knee has two bad neighbors-the hip and the ankle, jones says. The pain you feel in your knee could very well be tightness or immobility in those bad neighbors. "they sweep all their leaves into the knee's yard. Everyone blames the knee, but it's the neighbors. To see if your hips have a proper level of mobility, lay on your back in a doorway so that the middle of your kneecap is right on the threshold. Relax your arms at your sides, palms up. Bring your feet together, toes pointed at the ceiling. Pull your toes towards your shins to create a 90-degree angle at the ankle. Keep one leg straight and still as you slowly raise the other leg until either your knee bends on your raising leg, or your bottom foot bends or turns out to the side. "see if the knobby part of your ankle can make it past the door frame, jones says. If it does, your hips are plenty mobile-check the ankle test below to see if that's causing some knee issues. If either ankle can't make it, foam roll your hips and glutes, and then work on this stretch using a belt or strap for instant improvement. Fix it: lying in the same position as during the test, wrap a strap or belt around one foot and raise it until you just start to feel a stretch-not to the level where it's all the stretch you can take, but just the beginning of the stretch, jones says. Once here, bring your other leg up to meet it. Return the non-strapped leg to the floor. At this point, you may find that the strapped leg can come up a little higher. When it does, bring the non-strapped leg up to meet it again. Continue until you no longer feel progress in the strapped leg, and switch. Hips moving ok? Check your ankles. If your hips are mobile (and even if they're not), ankle mobility can also lead to knee pain, says mike perry, owner of skill of strength in north chelmsford, mass. Who is certified in the functional movement screen. To see how mobile your ankles are (or aren't), assume a one-knee position facing a wall. Your knees should both form 90-degree angles, and the toe of your planted foot should be about four inches from the wall. In this position, perry says, try to glide your knee over the pinky toe to touch the wall without lifting your heel. If you can reach the wall, your ankle is gliding correctly. If your foot comes up before your knee touches the wall, your calves are "incredibly tight, perry says. Fix it: to help remedy this issue, foam roll your calves and try this variation on that ankle test from brett jones. Assume the same half-kneeling position, and place the point of a broomstick on the pinky toe of your planted foot. Hold the stick so it's touching the outside of your knee. With the stick in this position, keeping your knee from flaring out to the side, glide the knee forward slowly, stopping when your heel leaves the ground. If you perform this as a drill, jones says, you can see as much as half an inch of improvement in the first session. If you feel pain during the drill, stop and consult a physician. Lower-back tightness? Might be your hips. As with knee pain, back discomfort often isn't a back problem at all, brooks says. If one side of your pelvis is higher than the other, it can result in back pain, hip pain, groin pain, or even knee pain. "if you try to do a lunge, the knee on the high side will cave in and the hip will angle inward, brooks says. The repercussions of this change over time can be knee pain, a patella tear, a medial meniscus injury, or hip bursitis. But back to your back-the unevenness of your hips can pull on your lower back, causing that tightness while sitting all day. Fix it: if you notice your hips are uneven, try this hip abduction exercise. Lie on your back with knees bent and feet flat on the floor, hip-width apart (the classic sit-up position). Wrap a small resistance band around your knees so that it's already a little tight while your knees are together. Now press out against the strap to separate your knees until they form a v-shape, holding at the outermost edge of the press for a few moments. This move helps to fix the hip imbalance because "in the lying position, the muscles that are causing the pelvis to be out of alignment are shut off, brooks says. Repeat for 2 sets of 20 reps, 3 times per week. Tail bone pain the lower end of the vertebral column is inflamed and that bone is called coccyx bone and the condition is called coccydynia. The conservative management would be to keep ice in that inflamed area during one time in a day and also to sit in a hot water bowl where the penetration of the heat would help to reduce the inflammation. And to reduce the weight falling on the inflammed surface we suggest patients to use air cushion pillow (also called as doughnut pillow) where in the buttock's weight will not fall exactly on the painful tail bone and that would automatically reduce the pain. For this the best treatment would be to undergo ultrasonic therapy in one of the nearby physiotherapy clinics. 

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Dr. Prakhar SinghMBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)General Physician

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I am sorry to hear about your concern but will be happy to assist you. Treatments for chronic pelvic pain vary depending on the underlying problems. In some cases, women find a cure, and the pain goes away completely. In other cases, pelvic pain is a chronic disease that requires long-term management. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you. 

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Dr. Prashant KumarMCh [Urology & Kidney Transplant]Urologist

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Hi Mr. lybrate-user. What you are experiencing might be what we call chronic prostatitis/chronic pelvic pain syndrome (cpps). Though, you seem to have had urinary infection which might indicate towards chronic prostatitis. Cpps basically is a diagnosis of exclusion, when we find out nothing we bundle such patients into cpps. Chronic prostatitis seem to evolve from a long standing infection of prostate which is not severe enough at once, but keep on troubling the patient from time to time as infection aggravates. Add routine exercise like running, walking, yoga, cycling to your routine if you can. Medication wise, take tab alfuzosin 10 mg 1 tab hs (horra soni/before sleep to avoid dizzyness as it lowers blood pressure) and tab tadalafil 5 mg 1 tab once a day. Get a repeat urine culture done and a uroflowmetry too. Anticholinergics like mirabegron or tolterodine need not be taken if you do not have to visit loo often. Thanks. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Prevention of neuropathy: 1. Avoid alcohol consumption and cigarette smoking. 2. Maintain ideal body weight/bmi (body mass index) 3. Lifestyle changes: daily exercises (>30 minutes per day) or brisk walking or swimming; avoid prolonged sitting or standing (>30 minutes). 4. Food/diet should have following components: •green vegetables e.g. Spinach, fenugreek leaves (methi), radish, etc •coloured vegetables e.g. Tomato, carrot, capsicum (green/red), ladies-finger (bhindi) •milk products e.g. Milk, buttermilk, curd, cheese (paneer) •protein-rich foods e.g. Fish, egg, chicken, pulses (daal) •fibre-rich foods e.g. Bran, oats, brown-rice •fruits e.g. Apple, orange, guava, papaya, pomegranate, berries 5. Blood sugar control (in diabetics) 6. Care of feet: •regular inspection of feet (with mirror) •comfortable, well-fitted shoes •regular consultation with a podiatrist •treatment of wounds, foot deformities 7. Adequate sleep 8. Warm water bath (increases blood flow to the affected area) treatment: •consult pain medicine specialist. •neuropathic painkillers e.g. Amitriptyline, pregabalin, gabapentin, capsaicin, duloxetine, etc. •vit. B12 supplements, anti-oxidants, multi-vitamins. •transcutaneous electrical nerve stimulation (tens) •acupuncture •relaxation and yoga •neural prolotherapy a burning sensation in your feet may be caused by nerve damage in the legs, also called neuropathy. Although many medical conditions can cause burning feet, diabetesis the most common. Most burning feet treatments focus on preventing further nerve damage and reducing pain. Causes of burning feet most often, neuropathy is the cause of burning feet. Damaged nerve fibers are more likely to become overactive and misfire. The damaged nerves send pain signals to the brain even though there is no wound. In most people with neuropathy, the leg nerves become damaged first. These people often have tingling and numbness in the feet as well. Many people complain that their feet are overly sensitive to touch (hyperesthesia) and can have varying degrees of burning pain. It can range from mild to disabling. Diabetes and alcohol abuse are by far the most common causes of neuropathy in the legs. Many other conditions can cause neuropathy or a burning sensation in the feet: besides neuropathy, infections and inflammation of the feet can also cause a burning sensation. The most common of these is athlete's foot, an infection of the skin caused by fungus. Peripheral artery disease (pad) also commonly causes burning feet. The poor circulation of blood to the feet may frequently cause pain, tingling, and burning feet, especially while walking. •chronic kidney disease (uremia) •small fiber neuropathy •vitamin deficiency (vitamin b12, folate, and occasionally vitamin b6) •alcohol abuse •low thyroid hormone levels (hypothyroidism) •lyme disease •hiv/aids •amyloid polyneuropathy •drug side effects, including chemotherapy drugs, vitamin b6 overdose, hiv medicines, amiodarone, isoniazid, metformin, and others •erythromelalgia •heavy metal poisoning (lead, mercury, arsenic) •vasculitis (inflammation of bloodvessels) •sarcoidosis •guillain-barre syndrome (gbs) •chronic inflammatory demyelinating polyneuropathy (cidp) •always use the footwear of proper fitting and which is comfortable. •always use socks. Never use shoes without socks. •after a long day work, it is advisable to stretch and also to ice your feet. •provide rest to your feet as much as you can. •avoid the use of alcohol or any narcotic items. •acupuncture or magnetic therapy shall be done whenever possible to keep the nerves active. •follow all the instructions as given by the doctor. Radiculopathy, also commonly referred to as pinched nerve, refers to a set of conditions in which one or more nerves are affected and do not work properly (a neuropathy). This can result in pain (radicular pain), weakness, numbness, or difficulty controlling specific muscles.[1] in a radiculopathy, the problem occurs at or near the root of the nerve, shortly after its exit from the spinal cord. However, the pain or other symptoms often radiate to the part of the body served by that nerve. For example, a nerve root impingement in the neck can produce pain and weakness in the forearm. Likewise, an impingement in the lower back or lumbar-sacral spine can be manifested with symptoms in the foot. The radicular pain that results from a radiculopathy should not be confused with referred pain, which is different both in mechanism and clinical features. This should be due to the sciatic nerve compression in the right side probably close to your l5 vertebrae. It can also be due to the strain on the left leg, try wearing mcr chappals which would help you to get relieved from pain. Juice helps you to get cleansed with toxins. Ginger in general is good for joint pain and honey / black pepper helps you to get rid out of toxins quickly increase rom- free active exercises of lumbar spine. Pelvic tilting forward, backward in crook lying, quadriped, sitting and standing. Mobilization- restoration of intersegmental mobility by accessory pressure enables the patient to regain full functional painfree movement. 

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Dr. Prakhar SinghMBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)General Physician

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I am sorry to hear about your concern but will be happy to assist you. Chronic pelvic pain sometimes isn't only due to problems with reproductive organs or the urinary tract; other organs in the pelvic area, if "diseased, can present as pelvic pain. Irritable bowel syndrome, an intestinal condition that often causes pain, may be the cause. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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If the pain is increased are caused by sitting or certain activities, try to avoid positions that trigger pain. Rest, ice, and heat may help relieve symptoms. The tightness are stiffness of pirifor5mis muscle which compress the sciatic nerve. Back pain can affect people of any age, for different reasonsas people get older, the chance of developing lower back pain increases, due to factors such as previous occupation and degenerative disk disease. Lower back pain may be linked to the bony lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, lower back muscles, abdominal and pelvic internal organs, and the skin around the lumbar area. •acute pain starts suddenly and lasts for up to 6 weeks. •chronic or long-term pain develops over a longer period, lasts for over 3 months, and causes ongoing problems. Home advise: •resting from strenuous activity can help, but moving around will ease stiffness, reduce pain, and prevent muscles from weakening. •applying heat, ice, ultrasound, and electrical stimulation — as well as some muscle-release techniques to the back muscles and soft tissues — may help alleviate pain. •as the pain improves, the physical therapist may introduce some flexibility and strength exercises for the back and abdominal muscles. Techniques for improving posture may also help. •the patient will be encouraged to practice the techniques regularly, even after the pain has gone, to prevent back pain recurrence. Regular exercise helps build strength and control body weight. Guided, low-impact aerobic activities can boost heart health without straining or jerking the back. Before starting any exercise program, talk to a health care professional. There are two main types of exercise that people can do to reduce the risk of back pain: •core-strengthening exercises work the abdominal and back muscles, helping to strengthen muscles that protect the back. •flexibility training aims at improving core flexibility, including the spine, hips, and upper legs. We suggest you to wear lumbosacral corset (belt) which is available at our clinic. If you want you can buy from us, if you are far away from chennai we can send you by courier. The reason why we are conveying you to buy from us is we can demonstrate over the videocall (using whatsapp) and also we can monitor you throughout when to wear it and how long to wear it. And also if you find any difficulty wearing the brace you can also revert back to us for few more suggestions and we can propose you good solution how to go about it. Uses of lumbosacral corset (belt) a lumbosacral corset adds pressure to the intra-abdominal area. This adds stability to the spine. It is prescribed to people suffering from moderate to severe pain. Other benefits of using a lumbar spine belt are: 1.Helps in a certain degree of immobilization of facet joints. 2.Reduces pain to allow continuation of normal activities. 3.Speeds up the healing process. 4.The pressure exerted by a lumbar spine belt helps in stretching the erector spine muscles. 5.This belt can also be used to support the lower back while exercising. Ohelps prevent rolling oprovides stability to lumbar and sacral regions of the back ocan be used when performing actions like lifting and handling heavy items ocan also be used when playing sports orestricts back movement to aid treatment of back problems do’s and don’ts sitting do: • sit as little as possible and then only for short periods. • place a supportive towel roll at the belt line of the back especially when sitting in a car. • when getting up from sitting, keep the normal curves in your back. Move to the front of the seat and stand up by straightening your legs. Avoid bending forward at the waist. • try to keep the normal curves in your back at all times. Don’t: • do not sit on a low soft couch with a deep seat. It will force you to sit with your hips lower than your knees and will round your back. You will loose the normal curve in your back. • do not place your legs straight out in front of you while sitting (e.g. Sitting in the bath tub). Standing do: • if you must stand for a long period of time, keep one leg up on a foot stool. • adapt work heights. Don’t: • avoid half bent positions. Lifting avoid lifting if you can. Do: • use the correct lifting technique. Keep your back straight when lifting. Never stoop or bend forward. Stand close to the load, have a firm footing and wide stance. Kneel on one knee, keeping the back straight. Have a secure grip on the load and lift by straightening your knees. Do a steady lift. Shift your feet to turn and do not twist your back. Don’t: • do not jerk when you lift. • do not bend over the object you are lifting. Lying do: • sleep on a good firm surface. • if your bed sags, use slats or plywood supports between the mattress and base to firm it. You also can place the mattress on the floor, a simple but temporary solution. • you may be more comfortable at night when you use a pillow for support. Don’t: • do not sleep on your stomach unless advised to do so by your doctor or physical therapist. Bending forward do: • keep the natural curves of your back when doing these and other activities: making a bed, vacuuming, sweeping or mopping the floor, weeding the garden or raking leaves. Coughing and sneezing do: • bend backwards to increase the curve of your back while you cough or sneeze. Driving a car do: • drive the car as little as possible. It is better to be a passenger than to drive yourself. • move the seat forward to the steering wheel. Your seat must be close enough to the wheel to keep the natural curves of your back. If your hips are lower than your knees in this position, raise yourself by sitting on a pillow. Exercises for low back pain safety guidelines • an increase in your low back pain can be expected with these exercises. This is acceptable as long as your leg symptoms are not increasing. • if while doing these exercises, your pain worsens or you have new pain or symptoms, stop the exercises and discuss your symptoms with your doctor or physical therapist. • stop exercising and let your doctor or physical therapist know right away if you have any change in your bowel or bladder control or any increase in weakness in your leg or foot. Exercises ‰ •press-ups: keep your back and buttocks relaxed and use your arms to press up. Concentrate on keeping your hips down and push up your upper body as high as possible. •double knee to chest: grasp both your knees with your hands and pull toward your shoulders. Hold the stretch for 1 second. Let your knees return, but keep them bent at arms length. ‰ •lumbar spine stretches: lie on your back. Bring your knees towards your chest. Rotate your knees towards the pain. •side-lying position: lie on your side and face forward. Have both arms straight in front and bend your knees. Turn your head as you move your top arm across your body as far as you can. Keep your arm in place and turn your head back to the starting position. Look back again and turn your head farther if you can. Bring your head and arm back to the starting position. Relax and repeat 10 times on each side. •hamstring stretch: lie on your back with your legs out straight. Raise your leg up and put your hands around the upper leg for support. Slowly straighten the raised knee until you feel a stretch in the back of the upper leg. Hold, then relax and repeat 10 times on each leg. •standing arch: stand with your feet apart and hands on the small of your back with fingers pointing backwards. Bend backwards at the waist, supporting the trunk with your hands. Keep your knees straight. Hold for 5 seconds. Repeat 3 to 5 times. Side glides: stand at a right angle to the wall about 2 feet o eliminate your pain improve your muscular endurance and strength attain better posture, balance, body awareness and co-ordination improve your balance and flexibility learn to lift properly if pain is caused by sitting or certain activities, try to avoid positions that trigger pain. Rest, ice, and heat may help relieve symptoms. 

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Dr. N S S GauriBachelor of Unani Medicine and Surgery (B.U.M.S)Unani Specialist

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Sootshekhar ras 1 tablet twice a day pittari avleh 10 gm twice a day vrihad vangeshwar ras 1 tablet twice a day gokshuradi avleh 3 gm twice a day. 

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Dr. Prakhar SinghMBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)General Physician

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Patients who suffer from premature ejaculation is supposed to have something to do with prostatitis. That is because the prostate is a valve to control ejaculation. If this valve is infected, the prostate ejaculates soon. You may get a detailed consultation regarding your issue by connecting over a call or a video conferencing. Thanks. 

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Dr. Satyajeet P PattnaikMBBS, MS- General Surgery, MCH- Urology, Fellowship Minimal Access SurgeryUrologist

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Several conditions can cause perineum pain in all sexes. Utis a urinary tract infection (uti) is an infection in any part of your urinary system, such as your urethra, bladder, ureters, or kidneys. Most utis affect the lower urinary tract, which includes your bladder and urethra. In addition to perineum pain, utis can also cause: an intense and persistent need to urinate strong-smelling urine burning sensation during urination frequent urination, with only small amounts coming out cloudy or unusually colored urine prostatitis prostatitis is condition that involves the swelling and inflammation of your prostate. This is the gland that produces seminal fluid. It’s located just below your bladder prostatitis has several possible causes, including bacterial infections. But sometimes, there’s no clear cause. In addition to perineum pain, prostatitis can also cause: pain or burning during urination trouble urinating, especially at night an urgent need to urinate cloudy or bloody urine pain in your abdomen, groin, or lower back pain during ejaculation treatments include the following: anti-inflammatory medicines, along with warm sitz baths (sitting in 2-3 inches of warm water). This is the most conservative treatment for chronic prostatitis. Avoiding food that triggers symptoms, such as caffeine, spicy foods, and alcohol using a cushion if you will be sitting for a long time antibiotic medicine for infectious prostatitis. For acute infectious prostatitis, patients usually need to take antibiotic medicine for 7-14 days. Almost all acute infections can be cured with this treatment. For chronic infectious prostatitis, antibiotic medicine is taken for a longer period of time — usually 6-12 weeks. About 60% of all cases of chronic infectious prostatitis clear up with this treatment. For cases that don't respond to this treatment, taking antibiotics at a low dose for a long time may be recommended to relieve the symptoms. The natural antioxidant bioflavonoid quercetin has been shown to improve inflammation and symptoms in men with nonbacterial prostatitis/chronic pelvic pain syndrome. Alpha blocking agents can improve the urinary stream and often reduce the other voiding symptoms in patients with chronic prostatitis. Alpha blocking agents include tamsulosin or alfusozin. 

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Dr. Sajeev KumarC.S.C, D.C.H, M.B.B.SCardiologist

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Androfol tablet contains biotin, calcium pantothenate, chromium picolinate, cyanocobalamin, elemental copper, ferrous fumarate, folic acid, glycine, green apple extract, green tea powder, l-arginine, l-lysine, l-ornithine-l-aspartate, manganese sulfate, methylsulfonylmethane, pyridoxine, saw palmetto, selenomethionine, taurine, and zinc sulfate as main active ingredients. Androfol tablet completes the essential vitamins and minerals required by the body and aids in metabolic activities. Key benefits/uses of androfol m tablet: role of active ingredients: -biotin is important for the health of your hair, skin, and nails -calcium pantothenate is used in the treatment of hypocalcemia, osteoporosis and other health problems. -chromium picolinate works mutually with insulin, aids to control blood sugar and works as a weight-loss supplement -cyanocobalamin is the form of vitamin b12 and is important to maintain the health of your hairs -elemental copper and manganese sulfate are required for proper hair growth -ferrous fumarate is required for the growth of hair -folic acid plays an important role in hair growth. It renews the cells that aid the growth of hair. Folic acid deficiency can lead to premature graying and hair loss -glycine helps to produce collagen which is required for the growth of hair -green apple extract contains a lot of fibres, and minerals which help to clean the system and increases metabolism -green tea powder helps in lowering hair loss and maintaining a healthy scalp. It contains procyanidin, a natural compound that encourages the protein to promote hair growth -l-arginine and l-lysine are useful in the treatment of stress and anxiety. They help in the prevention of hair loss and hair growth for both men and women -l-ornithine l-aspartate reduces the accumulation of ammonia in patients with poor liver function and relieves symptoms of abnormal ammonia metabolism -methylsulfonylmethane and zinc sulfate are essential for the body to produce hormone properly, improves immunity and facilitates digestion -pyridoxine hydrochloride is used to prevent or treat a certain nerve like peripheral neuropathy and used to treat certain types of anaemia -saw palmetto is used for treating prostate infections and prostate cancer. Saw palmetto is also beneficial for colds and coughs, sore throat, asthma, chronic bronchitis, chronic pelvic pain syndrome, and migraine headache - it is also used to enhance sexual drive -l-selenomethionine supports thyroid gland, heart, immune system, and management of healthy cholesterol levels -taurine increases the action of insulin, improves glucose tolerance, and acts as an antioxidant indications: - anemia, folic acid deficiency, neuropathies, psychiatric disorders, pancreatic tumor. 

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