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Perineal painfulness is known as perineum painfulness . In men , the sphere between the testis and the anus is called perineum . In women , the area between the vagina and the anus is called perineum . Perineal pain or perineum pain is also acknowledge as groin pain , pelvic pain , lower abdominal pain or genital pain .
Both men and women evenly get affected by the symptom of perineal pain in the neck or perineum pain in the neck . In continuing conditions , the tenaciousness of perineal pain or perineum pain will be for over a period of three or more months . If the continuance is less than this , then it is called acute perineal pain or acuate perineum nuisance .
Most of the multiplication , it is very puzzling to determine the exact domain of pain in the pelvic or lower abdominal area .
It is very important to differentiate the exact fictitious character of pelvic or perineal pain . botheration is either acute or chronic . The description of pain may intimate pain is intermittent or uninterrupted . Individual may describe pain in the neck as sharp annoyance , discomfort , burning , squeezing , fullness , piercing or dig pain . intensiveness of pain could be mild , moderate , grave or very severe . The most common pain is sharp pelvic pain in the ass which the patient role usually get after surgery or gentle tissue trauma . Such nuisance is acute andburning pain . The deep perineal pain cause by penetrating combat injury is often trace as burn andstabbing pain in the neck . The pain trace surgical operation is described as continuous piercing pain in the ass . Most of the perineal pain or perineum pain disappear once the wounding is healed . at times perineal annoyance may last longer . Such continuing perineal or perineum annoyance lasting over 3 to 6 month are do by transmission and abscess formation within infected tissue .
Women tend to see perineal pain sensation or perineum pain at some point of time in their lives . The perineal nuisance in female often is associated with itching and skin color change . Such pain is most often due to hide response to lotion or soap . Occasionally perineal painful sensation and itching is because of skin diseases like itch and ring worm . Diseases of lower abdomen or pelvic organ like uterus , vagina , urinary bladder , rectum and anus also induce nuisance in perineum .
Causes of Perineal Pain or Perineum Pain
effort of Perineal Pain In Both Male And Female-
Abscess-
Psychogenic pain
Causes of Perineal Pain In Male-
Causes of Perineal Pain In Female
Signs and Symptoms of Perineal Pain or Perineum Pain
Perineal Pain And Symptoms Of Skin Disease- peel disease causes following symptom
Perineal or Perineum Pain And generalised Symptoms Of Infection- Acute or chronic perineal or perineum burning annoyance is because of transmission of pelvic organ . Such pain in the neck is associated with several other symptoms and signs . Infection of urinary vesica , prostrate , ovary , uterus and vagina have perineal pain . The associated symptom and signs of infection and perineal pain are as follows-
Symptoms of Perineal or Perineum Pain and Urinary Tract Infection:
Symptoms of Perineal or Perineum Pain and Lower Bowel Diseases- Rectal and anal disease causes modest to austere pain in the neck . characteristic of botheration is intermittent or continuous and burning pain in the ass . Cancer of anus or cecum causes jab perineal or perineum pain . Other symptoms are as follows-
Symptoms of Perineal Pain and Traumatic Injury of Perineum-
Perineal injury is due to either blunt or penetrating harm . straight-from-the-shoulder psychic trauma causes split in tegument and muscles that may get infected . Such contagion may get cellulitis and subcutaneous abscess . fall into place injury cause by discriminating object causes laceration and tear of trivial and recondite tissue paper .
Occasionally perineal infliction or perineum infliction is exacerbated and associated with symptoms of anxiousness and depression . Pain sometime feels worst after prolong sitting . The psychosomatic symptoms observed are as follows-
Pain in most cases is localized over perineum but once in a while perineal pain is also advert to distant reed organ or dermatome as described below :
Risk Factors of Perineal Pain or Perineum Pain
Perineum is the anatomical part of the body that lies between the lower leg . The peel is exposed to trauma during activities . The risk factors are as follows:-
Investigations Done to Diagnose Perineal Pain or Perineum Pain
Blood Examination-
Radiological Examination-
Ultrasound-
“
Treatment of Perineal Pain or Perineum Pain
Conservative Treatment for Perineal or Perineum Pain :
Rest- Three to four Clarence Day of bed rest ,
Diet-
Antibiotic Treatment for Perineal Pain or Perineum Pain:
Antipyretics-
NSAIDS- Fever is treated with non - steroidal anti - inhibitory drugs .
Interventional Pain Treatment for Perineal or Perineum Pain
Surgery for Perineal or Perineum Pain-
Recovery Period of Perineal Pain or Perineum Pain
Recovery period or healing time for chronic perineal or perineum pain will be for over a period of three or more month .
recuperation period of mend meter for acute perineal or perineum pain will be less than 3 months .
References
Perineal Massage Improves the Dyspareunia due to Tenderness of the Pelvic Floor Muscles .
Silva AP1,Montenegro ML2,Gurian MB1,Mitidieri AM1,Lara LA1,Poli - Neto OB1,Rosa E Silva JC1 .
Rev Bras Ginecol Obstet . 2017 Jan;39(1):26 - 30 .
Chronic Prostate Inflammation Predicts Symptom Progression in Patients with Chronic Prostatitis / Chronic Pelvic Pain .
Nickel JC1,Freedland SJ2,Castro - Santamaria R2,Moreira DM2.,J Urol . 2017 Jul;198(1):122 - 128 .
Transcoccygeal neurolytic ganglion impar block for perineal pain : A case serial .
Nalini KB , Shivanna S , Vishnu MS , Mohan CVR . , J Anaesthesiol Clin Pharmacol . 2018 Oct - Dec;34(4):544 - 547 . doi : 10.4103 / joacp . JOACP_301_16 .
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