Doctor insights on:
Causes Of Perineal Tears
1 st degree...: If you are talking about " perineal tear" common to childbirth.... Degree is determined by the detention of year to depth and tissues involved (mucosa, muscles.) Typically 1 st degree is superficial and heals easy. Most commonly few sutures may be used for better cosmetical result. Prevention is sometimes " Episiotomy "- surgical cut preventing irregular, deep tear - easier to repair.. ...Read more
I have a perineal tear-- I believe from cheap toilet - very uncomfortable how can I treat at home?
Best see doctor: Hard to imnagine how a toilet, cheap or not, could cause a perineal tear. Do you recall a particular injury? If not and you're just assuming an injury is the cause, you should be professionally examined. Most presumed genital ulcers due to trauma in fact have other causes, especially herpes. Don't take chances if you're not sure. Also, exam is best way to know best pain relief. Good luck! ...Read more
I have mucas coming out of my rectum/perineum. I am healing from a perineal tear. Does this indicate healing is happening?
Glands: Mucous is typically secreted by the mucous glands in the area. If there is a tear then the glands can produce more mucous which could potentially help protect the area from further damage and therefore potentially speed up healing. ...Read more
How does a woman correctly perform perineal massage to make delivery easier & prevent tearing during childbirth?
They don't give us nearly enough space to discuss that here, but great question! I advise all pregnant women to practice this starting around 34 weeks and wish all doctors did so! See http://www. Ivillage. Com/perineal-massage-your-how-guide/6-n-145602 and http://pregnancy.About. Com/cs/episiotomy/a/perimassage. Htm
ps check out the book ina may's guide to childbirth! ...Read more
What is the best way to treat a minor perineal tear that occurred from sex? Currently treating a yeast infection as well.
It's been over a year now with perineal tears after sexual intercourse. Please help. It's very uncomfortable.
Internet Medicine: I am sure you can understand but there really are limits to internet medicine. Tears in the perineum are in no way usual, normal or common. To have symptoms for over a year makes this even more unusual. I honestly think there is no way to help you with out a direct examination and perhaps even testing as to why your skin is not healing. Please get to the family clinic soon for an examination. ...Read more
What is the avg. Cost of suturing a 2nd deg perineal laceration? I have thin skin, no std, no child, but a history of rape. Intercourse aways tears
Hard to say: The local physician would need to see it first and assess and see if it could be performed in the office or require going to a surgi center, pending need for local or general anesthesia. Ideal result will be to bring the tissues together to widen the region to lessen stress and discomfort. May go well for you. ...Read more
Multiple causes: The perineum, in women, is the area between the vagina and the anus. Common causes of pain include complications of childbirth, other trauma, abscess, entrapment of the pudendal nerve, nerve-associated cysts, pelvic inflammatory disease, ovarian cyst or torsion, even menstrual cramps. Inflammatory bowel disease/colitis can also cause. Requires careful evaluation usually by GYN specialist. Good luck ...Read more
See GYN or dermatolo: May be intertrigo, lichen sclerosis, or other. Diagnosis requires exam and treatment depends on diagnosis. Meanwhile, use a lubricating lotion after a bowel movement or whenever it feels wet to clean outside + inside. Can rub in miconazole cream and hydrocortisone cream. ...Read more
My perineal raphe occasionally becomes very swollen and sore to the touch, is this the sign of a problem? I cannot find or determine a cause
Urologist evaluation: Varicoceole may be a cause for pain. Do you try to keep the scrotum elevated? You should ask for a referral to a Urologist to evaluate you for surgery. If this is a minor dicomfort and you are able to live with it, then you are unlikely to find a surgeon to assist with it. However, if this is severe pain, that limits your lifesytle and activities, then a surgeon would be happy to see you. ...Read more
Prostate is good, no UTI, blood work normal burning in perineal area. Only have internal hemorrhoid a can this cause the burning?
Haemarrhoid: Internal haemarrhoids can cause itching sensation but not burning, there would be additional reason for burning. ...Read more
What could cause my leg to go cold while having hernia, and left scrotal pain as well as shocking burning pain in the perineal area?
What medical condition causes boils to appear on your body consistantly even on the paraneal area. Rash on testicles have taken antibiotics and use skin creams, noting has seem to work. Please help
It sounds as though you may have a skin infection with abscesses or "boils". These usually start out as tender, red areas which become hard and then eventually develop a "head" of white pus. Once this drains, the area usually heals on its own. Most of these are caused by staphylococcus aureas, a common bacteria found on the skin. Occasionally, however, the can be caused by mrsa, the antibiotic resistent kind of staph bacteria. No one knows why some people are susceptible to getting boils while others are not. There is a type of neutrophil-associated immune deficiency that can predispose you to boils, so it might be worth getting tested.
Next time you develop one of these infections, start out by applying warm compresses to the area to help draw the infection out. Then, you should go to your doctor so that they can drain it, test for what bacteria is causing it and be able to treat you appropriately - sometimes with antibiotics, sometimes just with drainage. If you ever develops fever, chills, or feels ill with this infection, call your doctor immediately.
You can try and prevent these infections by practicing good hygiene and using anti-bacterial soaps. Some doctors also advocate bathing once a week with a 1/4 cup of bleach in a half-full bathtub or washing with chlorhexadine to decrease the bacterial count on your skin. You may also want to consider using intranasal bactroban (mupirocin) twice a day for a month to eliminate the staph bacteria living in your nose. Your doctor may have other suggestions for prevention. Good luck! ...Read more
Is it normal for my perineal area to have a tightening pain from coughing extremely hard? Only happens rarely
"Normal" is relative: If you're coughing hard enough, you may be squeezing rib, chest wall, abdominal & pelvic muscles. In your case, this is causing discomfort in the muscles of the lower part of your pelvis. While this sensation is "normal" under this circumstance, it's not "normal" to be coughing so hard. Please see a doctor about your cough. Dr. Anne ...Read more
Looking for recommendations of stretches or other things so extended sitting is more toloerable, like an hour plus? PERINEAL NERVES GET COMPRESSED
Sit to void: Diverting the male urethra to empty via the perineum, typically done after penectomy for cancer or for severe stricture disease of the urethra, is known as a perineal urethrostomy. The male sits to urinate, otherwise everything is the same. The sphincter muscles of control are unchanged. ...Read more
Not sure why you: Would have dietary restrictions after a perineal urethrostomy as the surgery is there to just direct the flow of urine to a different location. Immediately after the surgery you may want to consider a bland diet as your body is recovering from anesthesia, but that is very quickly over. If you are really concerned why not ask the urologist completing the procedure. ...Read more
Not normal: Persistent perineal pain should be investigated by a specialist to rule out any gynecologic problems. If the condition is thought to be musculoskeletal in nature then a specialist in physical medicine and rehabilitation would be appropriate. ...Read more
I accidentally cut my perineal raphe. It doesn't hurt much and it bled a bit, but now I have skin maybe 1/4" long hanging. Is the perineal raphe important? What should I do? It will heal normally?
Heal spontaneously: It's hard to evaluate a tear in the perineal region without seeing it. However most tears heal spontaneously on their own without any complications. ...Read more
Perineal sinus: Do you have Crohns ' disease? Ulcertive colitis? Hidradenitis? Sometimes a high protein diet antibiotics, local care, compresses treatment of underlying Crohns if due to flare, may help. But if chronic with sinus tract and fibrosis surgery nay be needed consider using a dough to ameliorate pressure on the area, avoid tight fitting clothes. F/u with doc ...Read more
Live your life: I would suggest you live your life as normal as possible. Wearing some sort of perineal support may be helpful. These are very difficult hernias to deal with, and you would need a hernia specialist if you wanted this repaired. You can find surgeons interested in hernia disease at the Americas Hernia Society website. Hope this helps! ...Read more
I've had a small, painless, headless, firm lump in my perineal area for almost 2 weeks. I don't shave/wax. What could it be?
"Show and tell": This is one of those things that a md needs to be "shown" and you need to "tell" him/her about it to be accurate about what it is or is not. ...Read more
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