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Doctor insights on: Perineal Cleansing Foam Medication

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What is perineal massage?

What is perineal massage?

Massage: Perineal massage involves gently stretching the tissues that surround the opening to the vagina. Pregnant women close to delivery sometimes do this. ...Read more

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Please tell me what is perineal raphe?

Please tell me what is perineal raphe?

Anus to genital line: The area of the body between the anus and the scrotum or vagina. It forms a line that midway between the legs. ...Read more

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How can I treat anorectal and perineal discomfort?

How can I treat anorectal and perineal discomfort?

Too vague: To offer a legitimate answer. I need more details of the type of discomfort, when it happens, what makes it better or worse. Talk with your primary doctor and if necessary he will refer you to a colorectal surgeon. ...Read more

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Could you tell me what is the most common perineal tear?

Could you tell me what is the most common perineal tear?

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

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Is it normal for my perineal area to have a tightening pain from coughing extremely hard? Only happens rarely

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

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Looking for recommendations of stretches or other things so extended sitting is more toloerable, like an hour plus? PERINEAL NERVES GET COMPRESSED

Looking for recommendations of stretches or other things so extended sitting is more toloerable, like an hour plus? PERINEAL NERVES GET COMPRESSED

Nerve compression: Your doctor can refer you to a physical therapist. Some PTs specialize in pelvic floor situations like yours. He/she will give you the appropriate exercises. Peace and good health. ...Read more

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Intense butt & perineal itching. What should be the cause of this???

Intense butt & perineal itching. What should be the cause of this???

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

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Can perineal lice be seen?

Can perineal lice be seen?

Yes: Pediculosis pubis
is the name for crabs infesting the pubic area. Crabs (lice) often live in the pubic area or near the anus. ...Read more

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How much removed in perineal rectosigmoidectomy?

How much removed in perineal rectosigmoidectomy?

Thisprocedure is: Usually performed for rectal prolapse and the amount removed depends on the amount of prolapse but as the name suggest, part of the rectum and sigmoid colon may need excision. Discuss with your surgeon any concerns you may have. ...Read more

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What to expect after perineal urethrostomy (pu)?

What to expect after perineal urethrostomy (pu)?

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

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What food can I eat after perineal urethrostomy?

What food can I eat after perineal urethrostomy?

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

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What can be the cause of inflammation and pain in the perineal area?

What can be the cause of inflammation and pain in the perineal area?

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

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Is having a bad pain in perineal suddenly at 02:00Am and still hurting for 2 days, normal??

Is having a bad pain in perineal suddenly at 02:00Am and still hurting for 2 days, normal??

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

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I have a perineal tear-- I believe from cheap toilet - very uncomfortable how can I treat at home?

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

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I have a torn perineal brevis in my ankle and have constant pain. Is surgery the best option for that?

I have a torn perineal brevis in my ankle and have constant pain. Is surgery the best option for that?

It certainly: Is a very good option. Have you tried a cast or cam walker boot? If your walking on it it will not get better,, ...Read more

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Perineal lump, pain, buttock and thigh pain? Overstretch injury

Perineal lump, pain, buttock and thigh pain? Overstretch injury

Lump: That lump may be an infection/abscess. Have it checked out by your doctor. You may need minor surgery. ...Read more

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I have perineal sinus, pls advice the solution without surgery?

I have perineal sinus, pls advice the solution without surgery?

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

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I have developed a perineal hernia, after an APR 3 years ago. Are there things I shouldn't do?

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

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I have mucas coming out of my rectum/perineum. I am healing from a perineal tear. Does this indicate healing is happening?

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

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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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I have small cut on perineal line while shaving with trimmer. It bleeded a bit but it is ok now only a slight pain while sitting. Any treatment reqd?

I have small cut on perineal line while shaving with trimmer. It bleeded a bit but it is ok now only a slight pain while sitting. Any treatment reqd?

No other treatment: Shavers have a built in limitation for the depth of a cut they might make. The perineum is highly vascularized and resistant to infection. Keep the area clean and you will do well. ...Read more

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Why do pimple like sores form on the buttocks and perineal area?

Why do pimple like sores form on the buttocks and perineal area?

Hidradenitis: I would speak to your doctor about your general health. Are you diabetic? Are you overweight? People with hidradenitis supurativa get "pimples" in their groin and buttock and it is not related to weight or diabetes. I find topical antibiotics and/or fruit acid treatments help. I would see your family doctor or a dermatologist. ...Read more

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How does a woman correctly perform perineal massage to make delivery easier & prevent tearing during childbirth?

How does a woman correctly perform perineal massage to make delivery easier & prevent tearing during childbirth?

See links: 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
good luck!
ps check out the book ina may's guide to childbirth! ...Read more

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Would any doctors be willing to look at pictures of my perineal area. In order to help diagnose me? Its only of the area. It looks infected?

Would any doctors be willing to look at pictures of my perineal area. In order to help diagnose me? Its only of the area. It looks infected?

Go see your doctor: Best to go see your family doc for an inperson exam in order to arrive at correct diagnosis, especially if you're worried about infection. ...Read more

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Fast-paced, long distance horseback riding would not pose problems to a well-healed 4th degree perineal repair would it? About 4 months postpartum

Fast-paced, long distance horseback riding would not pose problems to a well-healed 4th degree perineal repair would it? About 4 months postpartum

Might not: But my recommendation would be to give it more time to heal. Sounds like a lot of stress to place on a relatively new wound. ...Read more

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Can a varicocele cause pain that radiates deep into the scrotal and perineal area?

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

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Is it normal for perineal area in males to be very prominent? It seems there is a bag hanging posterior to the scrotum.

Is it normal for perineal area in males to be very prominent? It seems there is a bag hanging posterior to the scrotum.

Not usually: The perineum is usually flat. If this extends into the anal region, it may be a sign of hemorrhoids or skin tags. However, if there is scrotal swelling, pain, redness or sensitivity, then this could be something more significant -- and you should see a urologist. ...Read more

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I was shaving my pubic hair and I happened to get a cut on my perineal raphe. It isn't bleeding a lot but it is like, split open a bit. What do I do?

I was shaving my pubic hair and I happened to get a cut on my perineal raphe. It isn't bleeding a lot but it is like, split open a bit. What do I do?

Keep it clean: This is not a good place for bandages or even liquid bandages like nu skin. It will heal but you need to keep it clean in the mean time. Try washing off with a squirt bottle of water after using the toilet and then dry with your hair dryer on a cool setting. ...Read more

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I noticed the skin directly next to my perineal raphe (penis) has turned dark brown. No pain or itch. Skin is not rough or flaky. No sex in 4+ months.

I noticed the skin directly next to my perineal raphe (penis) has turned dark brown. No pain or itch. Skin is not rough or flaky. No sex in 4+ months.

It may be ok: This may be best discussed with a urologist. The dermatologist but also clarify. Pigmentation can occur for variety reasons, and just because occurs does not mean it's a bad thing ...Read more

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What is perineal rectosigmoidectomy? What is a low anterior resection with rectoplexy? Can either be done microscopicaly? Should an 86 year old woman have this done? We don't want her to go through a major surgery and be in pain for long. Her rectal prol

What is perineal rectosigmoidectomy? What is a low anterior resection with rectoplexy? Can either be done microscopicaly? Should an 86 year old woman have this done? We don't want her to go through a major surgery and be in pain for long. Her rectal prol

Both: Both these procedures are done for rectal prolapse. The perineal rectosigmoidectomy is done from below by making an incision and removing the rectum and the last part of the colon to prevent the rectum from prolapsing (also known as the altemeier procedure) the second procedure you mention is the low anterior resection with rectopexy is done through the abdomen and the surgeon removes a part of the colon and pulls the rectum up and sutures it to the inlet of the sacrum to prevent it from prolapsing back out. For an 86 year old unless she is in great medical condition the first procedure perineal rectosigmoidectomy would be a safer procedure as it is less invasive and offers a good outcome. ...Read more

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It's been over a year now with perineal tears after sexual intercourse. Please help. It's very uncomfortable.

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

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Okay. So I have a lump about an inch or 2 down iniside my vagina to the right side near my anus/perineal area.?

Okay. So I have a lump about an inch or 2 down iniside my vagina to the right side near my anus/perineal area.?

Needs evaluation: Lumps, bumps, blisters and other skin abnormalities on the genitals need to be evaluated. An examination will be needed to know the cause and treatment. Without seeing it there is no way to confirm. ...Read more