Sunday, January 29, 2023

Can A Prolapsed Bladder Cause Lower Back Pain

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Symptoms Of Pelvic Organ Prolapse

Pelvic organ prolapse symptoms include:

  • a feeling of heaviness around your lower tummy and genitals
  • a dragging discomfort inside your vagina
  • feeling like there’s something coming down into your vagina it may feel like sitting on a small ball
  • feeling or seeing a bulge or lump in or coming out of your vagina
  • discomfort or numbness during sex
  • problems peeing such as feeling like your bladder is not emptying fully, needing to go to the toilet more often, or leaking a small amount of pee when you cough, sneeze or exercise

Sometimes pelvic organ prolapse has no symptoms and is found during an internal examination carried out for another reason, such as cervical screening.

Posture Lower Back Pain And Pelvic Floor:

Back pain can modify the posture and a bad posture can provoke lower back pain.can lead to lower back pain and affect the pelvic floor muscles. Indeed, the vagina has an oblique orientation: the top is oriented backward, and the bottom is oriented frontwards, as you can see on the following diagram:

In combination with a normally aligned lumbar spine, this arrangement protects the organs of the small pelvis. These normally lie on top of each other and rest on the pelvic floor. If posture is weak, the forces acting on these organs change and complications can occur in the long term. Complications include, for example, a rectocele or cystoycele.

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Symptoms Of A Prolapsed Bladder

The first symptom that women with a prolapsed bladder usually notice is the presence of tissue in the vagina that many women describe as something that feels like a ball.

Other symptoms of a prolapsed bladder include the following:

  • Discomfort or pain in the pelvis
  • Tissue protruding from the vagina
  • Difficulty urinating

Some women may not experience or notice symptoms of a mild prolapsed bladder.

How Is A Cystocele Treated

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If it is not bothersome, a mild cystocele may not require any treatment other than avoiding heavy lifting or straining that could cause the problem to get worse.

Other potential treatment options include the following:

  • Weight loss.
  • Estrogen replacement therapy.
  • Kegel exercises to strengthen the openings of the urethra, vagina and rectum. These exercises involve tightening the muscles that are used to stop the flow of urine, holding for 10 seconds, and then releasing.
  • If symptoms are modest, a device called a pessary may be placed in the vagina to hold the bladder in place. Pessaries are available in a number of shapes and sizes to ensure a proper fit. A pessary has to be removed and cleaned on a regular basis in order to avoid infection or ulcers.

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What Are Treatments For A Prolapsed Bladder

Nonsurgical Treatment

Nonsurgical treatment consists of conservative management and the use of mechanical devices.

Behavioral therapy and pelvic floor muscle exercise are conservative therapies for management of bladder prolapse. The goal of conservative treatment is the reduction of symptoms, prevention of worsening pelvic organ prolapse, increased support of the pelvic floor musculature, and avoiding or delaying surgery. Behavioral therapy includes reducing risk factors such as treating constipation, weight loss if obese, and discontinuing smoking if COPD/cough, etc. PFME are muscle exercises to strengthen the pelvic floor muscles. The contractions should be held for two to 10 seconds and should be performed regularly several times per day. A set of 10 sustained contractions for a duration of about 20 minutes should be performed two to three times per day. This form of therapy is suitable for mild to moderate pelvic organ prolapse.

What Is The Composition Of The Lower Back

To understand numerous sources of lower back pain, it is very important to appreciate the typical design of the tissues of this location of the body. Important frameworks of the lower back that can be associated with signs and symptoms in this region include the bony lumbar spinal column , discs in between the vertebrae, ligaments around the back and also discs, spinal cord as well as nerves, muscles of the lower back, inner body organs of the pelvis and also abdomen, as well as the skin covering the back location. Does Bladder Prolapse Cause Lower Back Pain

The bony lumbar spine is designed to ensure that vertebrae piled with each other can give a movable assistance structure while likewise protecting the spine from injury. The spine is composed of worried tissue that expands down the spine from the mind. Does Bladder Prolapse Cause Lower Back Pain

Each vertebra has a spinous procedure, a bony prominence behind the spinal cord, which shields the cords anxious cells from influence injury. Vertebrae likewise have a strong bony body before the spinal cord to offer a platform appropriate for weight bearing of all tissues above the butts. The lumbar vertebrae pile right away atop the sacrum bone that is located in between the buttocks.On each side, the sacrum meets the iliac bone of the pelvis to form the sacroiliac joints of the butts.

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Better Understand The Muscle Chains

The pelvic floor muscles, like other muscles in the body, dont function independently. They are linked to other muscles in the form of muscle chains

For example, the most known muscle chain is the leg posterior muscle chain that gathers hamstrings, calves, and foot arches. It is because of the chain that it is complicated to rise a straight leg because all the muscles are stretched, whereas it is much easier to raise it with a slightly bended knee .

The pelvic muscles work simultaneously with back muscles and abdominals. The pelvic floor is once again the center of it, because it is located in the intersection between the 2 biggest muscle chains: the posterior chain and the front chain.

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  • A bulging, pressure or heavy sensation in the vagina that worsens by the end of the day or during bowel movements
  • The feeling of “sitting on a ball”
  • Needing to push stool out of the rectum by placing fingers into or around the vagina during a bowel movement
  • Difficulty starting to urinate or a weak or spraying stream of urine
  • Urinary frequency or the sensation that you are unable to empty the bladder well
  • Lower back discomfort
  • The need to lift up the bulging vagina or uterus to start urination
  • Urinary leakage with intercourse. Though unusual, severe prolapse can block the flow of urine and cause recurrent urinary tract infections or even kidney damage.

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How To Prevent Pelvic Organ Prolapse

“Women should lose weight if they’re overweight. They should stop smoking because it can lead to repetitive coughing,” Dr. Wakamatsu says. “And they should protect their pelvic floor by pulling in their lower abdominal muscles and tightening their pelvic floor muscles when they lift heavy objects.”

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Normal Positions Of Pelvic Organs

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In pelvic organ prolapse, the pelvic floormuscles weaken, causing one or more of thepelvic organs to fall downward into or out ofthe vagina.

What is pelvic organ prolapse?

How prolapse is named depends on which organ is affected:

  • Cystocele is when the into the vagina, creating a bulge. It’s the most common form of prolapse.
  • Rectocele is when the rectum bulges into the back wall of the vagina.
  • Uterine prolapse involves the uterus dropping into the vagina.

Most of the time, pelvic organ prolapse is the result of carryingand vaginally deliveringchildren, which weakens the pelvic floor. “The baby’s head going through the vaginal canal stretches out the connective tissues,” says Dr. May Wakamatsu, assistant professor at Harvard Medical School and division director of Female Pelvic Medicine and Reconstructive Surgery at Massachusetts General Hospital.

Getting older, being overweight, and having a condition that involves frequent coughing also make a woman vulnerable to prolapse.

In pelvic organ prolapse, the pelvic floor muscles weaken, causing one or more of the pelvic organs to fall downward into or out of the vagina.

How Can I Prevent Back Pain And Frequent Urination

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Some causes of back pain and frequent urination arent preventable. But you can minimize your risk for certain conditions and health concerns. For example, you can decrease your risks for urinary tract infections by wiping front to back after you use the bathroom. Drinking plenty of water can help flush bacteria through your body. Also, if you have a history of stones in the urinary tract, your doctor can help you identify foods and beverages in your diet as well as certain medications that may be contributing to stone formation.

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Treatment For Bladder Prolapse

Treatment for bladder prolapse depends on how bothersome the prolapse is and its stage. The more advanced the prolapse, the more likely it is to be bothersome. During your consultation, you and your gynaecologist will discuss the most bothersome aspects of the symptoms and how they are affecting your life. A treatment plan can be tailored based on the severity of symptoms and stage of prolapse.

Tests For Bladder Prolapse

Tests that may be carried out to confirm or reject a diagnosis of bladder prolapse, depending on your symptoms, are:

  • pelvic ultrasound to exclude any masses or cysts putting pressure on the bladder
  • urodynamics a test of bladder function and to assess different types of incontinence
  • a bladder scan to measure residual urine urine left in the bladder after emptying
  • a midstream urine test to exclude urinary tract infection
  • magnetic resonance imaging in some cases.

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Treatment For Pelvic Organ Prolapse

If you do not have any symptoms, or the prolapse is mild and not bothering you, you may not need medical treatment.

But making some lifestyle changes will probably still help.

These include:

  • losing weight if you’re overweight
  • avoiding heavy lifting
  • preventing or treating constipation

If the prolapse is more severe or your symptoms are affecting your daily life, there are several further treatment options to consider.

These include:

  • vaginal pessaries
  • surgery

The recommended treatment will depend on the type and severity of the prolapse, your symptoms and your overall health.

You and your doctor will decide together what’s the best option for you.

Exams And Tests For A Prolapsed Bladder

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An exam of the female genitalia and pelvis, known as a pelvic exam, is required in order to diagnose a prolapsed bladder. A bladder that has entered the vagina confirms the diagnosis.

For less obvious cases, the doctor may use a voiding cystourethrogram to help with the diagnosis. A voiding cystourethrogram is a series of X-rays that are taken during urination. These help the doctor determine the shape of the bladder and the cause of urinary difficulty. The doctor may also test or take X-rays of different parts of the abdomen to rule out other possible causes of discomfort or urinary difficulty.

After diagnosis, the doctor may test the nerves, muscles, and the intensity of the urine stream to help decide what type of treatment is appropriate.

A test called urodynamics or video urodynamics may be performed at the doctor’s discretion. These tests are sometimes referred to as “EKGs of the bladder”. Urodynamics measures pressure and volume relationships in the bladder and may be crucial in the decision making of the urologist.

Cystoscopy may also be performed to identify treatment options. This test is an outpatient office procedure that is sometimes performed on a television screen so the person can see what the urologist sees. Cystoscopy has little risk and is tolerable for the vast majority of people.

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Back Pain And Bladder Cancer

Pain in the lower back and/or abdomen can sometimes be caused by bladder cancer, and it is more common in patients who are diagnosed with bladder cancer that is advanced or metastatic. The symptom is not usually experienced by patients who are diagnosed with bladder cancer that is considered early stage. The most common symptom of bladder cancer is blood in the urine that is visible to the eye, which is experienced by around 80% to 90% of patients diagnosed. Between 20% and 30% of patients diagnosed with bladder cancer experience other problems or changes related to urination, such as

  • The need to urinate more frequently than usual
  • Pain or burning before, during or after urination
  • Feeling the urgent need to urinate despite the bladder not being full
  • Being unable to urinate

If you experience lower back or abdominal pain as well as any of those symptoms related to urinationand especially if you have ever noticed blood in your urine then you should let your healthcare provider know. If the symptoms are being caused by bladder cancer, then finding it out as soon as possible is important so you can begin treatment.

What Exams And Tests Diagnose A Prolapsed Bladder

An exam of the female genitalia and pelvis is usually required in diagnosing a prolapsed bladder. Seeing the bladder bulging into the vagina on examination is diagnostic. In addition, you will be asked to strain/cough/bear down to determine the extent of the bladder prolapse, as well as determine if you have urinary leakage with increased pressure .

For less obvious cases, the doctor may use a voiding cystourethrogram to help with the diagnosis. During the voiding cystourethrogram, a catheter is placed into the bladder through the urethra. The bladder is emptied and then a sterile contrast is passed through the catheter into the bladder until the bladder is full enough to void. A series of X-ray films then are taken during bladder filling and during urination. These X-ray films help the doctor determine the shape of the bladder and the cause of urinary difficulty. The doctor may also test or take X-ray films of different parts in the abdomen to rule out other possible causes of discomfort or urinary difficulty.

After diagnosis, the doctor may test the nerves, muscles, and the intensity of the urine stream to help decide what type of treatment is appropriate.

A test called urodynamics or video urodynamics may be performed at the doctor’s discretion. Urodynamics measures pressure and volume relationships in the bladder and can also assess the function of the urethra and may be crucial in the decision-making of the urologist/urogynecologist.

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Managing Low Back Pain And Incontinence

If youre experiencing back pain, incontinence, or even both, go speak to your doctor. They may be able to rule out any serious conditions contributing to the issues and they can put together a proper treatment plan.

In some cases, incontinence can be treated and with physical therapy to relieve pain and Kegel exercises to strengthen pelvic floor muscles may go away over time. In other cases, incontinence can only be managed.

Generally, medications can assist with back pain and urinary issues, but a back brace or postpartum compression garment are all-natural solutions for relieving pain as well.

Lifestyle changes can be beneficial for assisting with both back pain and incontinence symptoms. Try to become more active, with at least 30 minutes of moderate exercise about three times a week. Try swimming, riding a bike, or simply even walking to get moving.

Also, a healthy diet to relieve pressure on your digestive tract. Caffeine, items high in sugar, spicy foods, and alcohol can increase incontinence symptoms. Try adding more water, fruits, vegetables, and whole grains to your diet to relieve constipation and pressure on the bladder. The added nutrition may help with your low back pain as well.

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Chill It Does Bladder Prolapse Cause Lower Back Pain

Ice is best in the initial 24 to 2 days after an injury since it decreases inflammation. Even though the heat feels good since it assists hide the pain and also it does assist kick back the muscle mass, the warm actually irritates the inflammatory processes. After 2 days, you can switch over to warm if you prefer. Whether you make use of warmth or ice take it off after around 20 mins to give your skin a remainder. If pain persists, talk with a physician.

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