Prostatitis and hemorrhoids: is there a connection?

- this is any pain below the navel or in the perineum. This pain can be caused by various reasons: diseases of the intestines, bladder and urinary tract, kidneys, female or male genital organs. Acute pelvic pain is a signal for urgent medical attention. If there is pain in the rectal area that occurs during defecation or immediately after it, you should consult a proctologist; pain associated with urination is a reason to consult a urologist.

Chronic pelvic pain syndrome

- long-term pelvic pain, ranging in intensity from mild to unbearably strong. Constant excruciating pain contributes to the appearance of depression, severe anxiety and strong feelings.

Chronic pelvic pain in men

and in women they worsen the quality of life because they last a long time (six months or more) and do not allow them to lead a normal lifestyle.

At CELT you can get advice from a specialist algologist.

Make an appointment

Pelvic pain is very common in women. Every 6th patient suffers from them, but no more than 10% go to a gynecologist. At the same time, pain can signal a serious gynecological disease. If pain in the groin occurs when walking, and intensifies when supporting the leg, the patient may have a disease of the hip joint - it is necessary to consult an orthopedic traumatologist.

If you do not know which doctor to contact or have already contacted specialists, but the cause of the pain has not been found, contact a pain treatment specialist.

More about coxarthrosis

Pathologies of the musculoskeletal system

One of the clinical manifestations of diseases of the musculoskeletal system is pain in the pelvic area.

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What are the causes of chronic pelvic pain?

Pain in the lower abdomen can be a symptom of completely different diseases. Not all of them are gynecological. In some cases, consultation and examination with other specialists is required: urologists, neurologists, gastroenterologists, proctologists, psychologists and psychotherapists. The diagnostic search begins from the initial diagnosis - chronic pelvic pain - and develops towards a specific diagnosis (Table

Pathologies of the urinary system

A number of diseases of the urinary system are characterized by chronic pelvic pain

.

Pain syndrome with hemorrhoids

Pain is the clearest signal that something in the body is not working as it should. Abdominal pain is the most common symptom of diseases of the digestive organs.

Hemorrhoids can be external and internal

The stomach hurts with hemorrhoids already in the developing stage of the inflammatory process; at the initial stage there are practically no symptoms. Usually the pain is in the anus or perineum. While the seals are small in size, pain appears only during bowel movements, as pressure and tension of the anal muscles occur. If you do not pay attention to such a sign, then soon the pain may become constant, and a burning sensation will appear after every visit to the toilet.

Important! To initially determine the disease, pay attention to such obvious symptoms of hemorrhoids as itching in the anus, persistent fever, bloating, and constipation.

Gastrointestinal pathologies

There are many diseases of the gastrointestinal tract that require treatment for pelvic pain

, along with eliminating the root cause that caused them.

Pain in the lower abdomen is another symptom of osteochondrosis

Having gotten used to the fact that it is diseases of the stomach, intestines, etc. manifest themselves, causing pain in the abdominal cavity, most people turn to a doctor of the appropriate specialization. But tests do not always show the picture that doctors expect. Seeing that the condition of the internal organs is normal, specialists are perplexed. In such a situation, it is worth taking a closer look at the spine.

The connection between osteochondrosis and pain in the lower abdomen

Abdominal pain is a concomitant symptom of lumbar osteochondrosis, as well as thoracic osteochondrosis. This is due to the location in these sections of the nerve endings of the spinal cord, which connect the spine with the internal organs of the abdominal cavity and pelvis.

Over the course of many years, the intervertebral discs undergo destruction, resulting in a loss of strength and elasticity. As a result, excessive mobility of the vertebrae appears and bone growths form on the body, pathology appears in the joints, muscles and ligaments. Due to degeneration in the thoracic spine, in the area of ​​5-7 vertebrae, compression of the roots occurs, which are responsible for the nervous system of organs such as the intestines, gall bladder, spleen and stomach. Regular irritation of growing osteophytes is manifested by sensations similar to symptoms of gastrointestinal disease.

The mechanism of pain in the lower abdomen with lumbar osteochondrosis:

• Radicular - appears in the early and late stages, when a protrusion or lateral intervertebral hernia has formed. As a result of displacement of the altered discs, the roots of nerves and blood vessels are compressed, thereby contributing to the deterioration of the outflow of venous blood and the transmission of nerve impulses from the spinal cord to the brain. This leads to the appearance of a pain symptom in a certain area. If the first three roots are pinched, a person will feel discomfort in the lumbar region, in the inner and front thigh, in the groin area and lower abdomen.
• Lumboischialgia (sciatica) are symptoms that arise as a result of intervertebral pinching of the sciatic nerve. This syndrome will manifest itself in different ways. The pain is shooting in nature, radiating to the femoral or gluteal muscle. But at the same time, compression of the sciatic nerve causes spasm of the pelvic muscle, as a result of which the person feels pain in the groin and lower abdomen.

Nature of the pain symptom

In patients with osteochondrosis, in 15% of cases pain occurs, which is associated with the death of nerves in the tissues of the spine.

Pain:

• superficial or deep nature;
• aching, dull, bursting or cutting;
• constant;
• changes its character when changing position;
• manifests itself unilaterally, combined with lumbar or back pain.

During the destructive process in bone or cartilage tissue, pain is accompanied by symptoms of other diseases:

• heartburn, nausea or vomiting;
• feeling of heaviness in the hypochondrium;
• bowel disorders such as constipation or diarrhea;
• excessive gas formation in the intestines.

The most common clinical symptoms during osteochondrosis are pain in the lower abdomen, which are perceived as signs of appendicitis, colitis, cholecystitis or adnexitis.

First aid for lower abdominal pain

If a pain symptom appears in the lower abdomen, before the doctor arrives, the patient can do the following:

1. Position: lying on your back, palm on your stomach. Then, with slow movements, we press the brush on the stomach, listening and remembering what the nature of the pain is. Where pain is felt more, press harder and release sharply.
2. Position: standing, bend to the right and left, and then take steps forward and backward. We are trying to determine whether there is pain when moving.
3. It is necessary to remember the cause of the pain, at what moment it appeared in the lower abdomen: due to stress, cooling the body, physical reload, or suddenly. It is worth noting here whether the pain was accompanied by symptoms such as nausea, fever or bowel dysfunction.

Vertebrogenic origin of pain syndrome

Pain in the lower abdomen manifests itself due to irritating effects on the nerve roots and can have various symptoms:

• lack of sensitivity, pale and dry skin;
• decreased tendon reflex;
• decreased superficial sensation;
• increased sweating;
• tingling sensation in the upper and lower extremities.

Vertebrogenic abdominal pain imitates various diseases of the abdominal and pelvic organs.

Diagnostic methods

To identify the causes of pain in the lower abdomen, it is necessary to conduct a number of examinations:

1. Ultrasound examination is prescribed to confirm or refute pathologies.
2. X-ray examination of the spine in two projections – lateral and direct. This helps assess the condition of each vertebra.
3. Some of the informative methods for examining tissue are CT and MRI. They will help to view the ligamentous apparatus and identify the location of pinched roots.

The connection between pain syndrome and osteochondrosis can be confirmed if the following picture is visible in the test results:

• internal organs are in normal condition;
• reduced disk density;
• osteophytes on the spine;
• destroyed condition of cartilage;
• protrusion, intervertebral hernia;
• various curvatures of the spine.

Analyzes:

• General analysis of urine and blood, possibly an extended chart;
• Stool analysis with bacteriological culture;
• Endoscopic examination of internal organs, such as the stomach, intestines.

Based on a comprehensive examination, the doctor will draw a conclusion about the cause of the pain and choose the appropriate treatment method.
Author: K.M.N., Academician of the Russian Academy of Medical Sciences M.A. Bobyr

Pelvic pain in women

Pelvic pain in women

- a common phenomenon. Between the ages of 18 and 50, it affects 5 to 15% of the fair half of humanity. The percentage increases to 20 when it comes to patients who have suffered inflammatory diseases of the reproductive system.

The causes of pain in the pelvic area can be different, but most often they are associated with changes in the organs of the reproductive system. Chronic pain symptoms are vague and can lead to a variety of other problems, which ultimately have a negative impact on quality of life. The table below shows the main pathologies of the internal organs of the woman’s reproductive system, one of the manifestations of which is pain in the pelvic area.

Pelvic pain

may occur
during pregnancy
due to natural changes in the pubic and sacroiliac joints. During this period, the pelvis is prepared for childbirth and “stretched.” As a rule, they appear in those expectant mothers who previously had diseases of the musculoskeletal system. If the pain lasts a long time and is intense, you should urgently seek professional medical help.

If the intrauterine device is selected or installed incorrectly, pain in the pelvic area may also occur. They arise as a result of inflammatory processes and are accompanied by rejection of the coil and intense bleeding. Menstruation, accompanied by intense pain in the pelvic area, is a consequence of neurological disorders and a number of diseases of the female reproductive system. They are accompanied by weakness, cramping attacks of pain, a feeling of weakness and can be eliminated by taking analgesics, NSAIDs, and hormonal drugs.

Causes of abdominal pain

Abdominal pain can be chronic. Most often it is localized in the lower abdomen and in the navel area or below. In some cases, it can be a consequence of certain actions, in others it is chronic and is a signal of a disease.

Developing hemorrhoids bring a lot of discomfort. For example, a complication of bowel movement

The main causes of abdominal pain:

• A sedentary lifestyle, for example, working at a computer and lack of additional physical activity leads to deterioration of blood circulation in the lower part of the body. This has a bad effect on the functioning of internal organs, which is indicated by pain;
• lifting weights, which is especially dangerous for girls and women, leads to stretching of the abdominal and lower back muscles. The pain can be localized in the lower back and only radiate to the stomach;
• obesity has a bad effect not only on the functioning of the entire body, but also primarily on digestion;
• anal sex can cause cracks in the walls of the rectum, which over time react with pain to an irritant in the form of feces secreted by mucus;
• poor diet, which causes bloating and constipation;
• pain after childbirth, radiating to the tailbone. Usually go away after 2 weeks. Otherwise, you need to see a doctor for an examination.

Note! With prolonged hemorrhoids, prolapse of lumps from the anus and their injury, there is a risk of developing a cancerous tumor.

The most common causes of pain in the abdominal cavity when diseases appear are as follows:

• irritation in the colon cavity;
• Crohn's disease;
• the formation of diverticula in the intestinal walls (typical for older people and when meat dishes predominate in the diet over plant foods);
• colitis of various forms (ulcerative or ischemic);
• formation of tumors on the internal organs of the abdominal cavity;
• diseases exclusively of the rectum (for example, proctitis or tumor);
• urinary tract diseases.

Note! Intestinal diseases, constipation and colitis can provoke the formation of hemorrhoidal lumps.

Usually hemorrhoids are felt in the anus. This is due to the fact that many nerve endings are collected in this area. Pain appears when they are irritated, which, in turn, is caused by the inflammatory process of the rectum, cracks in its cavity, irritation of the resulting hemorrhoids and irritation of the mucous membrane in the intestine.

Pelvic pain in men

Pain in the pelvic area in men does not have a clear localization. Most often they are felt in the area near the navel and spread to the lower abdomen, as well as to the perineum, back, and rectum. The causes that cause them are represented by diseases of the reproductive system, which are presented in our table below.

Surgical treatment of hemorrhoids

If a patient has developed a condition that is not amenable to conservative treatment methods, patients are recommended to perform a surgical treatment method, namely, removal of a clot from an enlarged hemorrhoid, which will quickly reduce pain and swelling of surrounding tissues, but for maximum effectiveness of surgical treatment, the intervention must be performed in the first three days after the onset of the disease. At later stages of the patient's visit to a medical institution, a more extensive operation, namely hemorrhoidectomy, may be required. This is a longer procedure and requires stitches to close the wound and provide pain relief, but it produces better results in the long term.

If you have any questions or would like to make an appointment for a consultation, all this can be done on the Yusupov Hospital website or by calling. Call center operators will select a time convenient for you.

Treatment of pelvic pain in men

Treatment methods directly depend on the cause that caused them. In any case, it is carried out comprehensively. Thus, for prostate tuberculosis, anti-tuberculosis medications “Salyuzida”, “Metazid” are prescribed, and therapeutic methods are used. If there are indications, they resort to surgery - cavernotomy.

In prostate fibrosis, efforts are directed toward eliminating prostate sclerosis, for which surgical intervention is used to eliminate the affected areas and restore patency of the urinary tract. In addition, treatment of pelvic pain in men

may include physiotherapeutic and local procedures, exercise therapy aimed at stimulating blood flow in the legs. Drinking alcohol, smoking tobacco, and consuming spicy foods is not recommended.

Which doctor should I contact?

A visit to the doctor is simply necessary if the pain does not stop for a long time and is accompanied by fever, numbness of the lower extremities, nausea, or if it occurs as a result of injury. If you want to be sure that you will be correctly diagnosed and treated at a high quality level, contact the CELT clinic. In order to become our patient and get rid of pain, it is not necessary to have a Moscow residence permit. Contact your doctor, and depending on the nature of the pain, the cause of its occurrence and accompanying symptoms, you will be referred to one of our specialists:

• pain management specialist;
• traumatologist-orthopedist;
• rheumatologist;
• neurologist;
• oncologist;
• physiotherapist;
• gynecologist;
• to a urologist.

Internal hemorrhoids - symptoms and treatment

Treatment is generally divided into operative and non-operative.

Non-surgical treatment can also be divided into conservative and minimally invasive.

1. Conservative therapy: this includes symptomatic treatment with suppositories, ointments, venotonics and, if necessary, anti-inflammatory therapy and the use of painkillers. When choosing drugs, doctors are based on the patient’s complaints - in accordance with them, various types of suppositories, ointments or tablets can be prescribed - with an analgesic effect, healing or to stop bleeding.

Important: self-medication may be chosen incorrectly, may not have the desired effect, and may also worsen the patient’s well-being. That is why if you have any symptoms of hemorrhoids, you need to see a doctor!

2. Minimally invasive treatment of hemorrhoids - is widely used all over the world and has proven itself successfully. Minimally invasive techniques include: ligation of nodes with latex rings, sclerosis of hemorrhoids (including using ultrasonic cavitation), their disarterization using Dopplerography, infrared coagulation, laser vaporization.

• Sclerosation of hemorrhoids

This method is applicable in the initial stages of hemorrhoids, when the disease manifests itself mainly as bloody discharge from the anus. But the technique is sometimes used at stages 2–4 of hemorrhoids as an addition to the main type of therapy.

The essence of the procedure: a special sclerosing drug (Fibrovein or Ethoxysclerol 3%) is injected into the hemorrhoids using an anoscope and a syringe, which affects the vessels in such a way that aseptic inflammation occurs in them, they stick together and are subsequently replaced by connective tissue. As a result, the vessels heal completely, bleeding stops, and the hemorrhoidal node significantly decreases in size. If necessary, the procedure can be rescheduled.

• Latex ring ligation (used since 1968)

This is the most popular minimally invasive method for treating hemorrhoids. Indicated for patients with prolapsed hemorrhoids. Suitable for patients with a more advanced stage of the disease, the procedure is effective and long-term recovery is not required. It is the method of choice for those who are contraindicated for surgical intervention due to concomitant pathology.[8]

The essence of the method: a latex ring is put on the stem of the hemorrhoidal node, the blood flow in the node stops. The node dies and comes out along with the ring during defecation - this happens 2-3 days after the manipulation. Depending on the stage of the disease and the size of the node, 3 or more rings can be applied to achieve the greatest effect. The interval between procedures is 1–2 weeks, depending on the patient’s well-being. The procedure is painless, but may cause discomfort and a feeling of a false urge to go to the toilet. The sensations can last from 15 minutes to several hours and resolve on their own or after taking painkillers.

The rings are made of environmentally friendly rubber, which is absolutely harmless. It is elastic and hypoallergenic.

• Infrared photocoagulation (began to be used since 1989).

Used in the treatment of hemorrhoids with bleeding. As a separate technique, it is ineffective; in our clinic, doctors use it when touching up sites after ligation and other minimally invasive techniques, during pregnancy, in order to stop bleeding.

For infrared photocoagulation, a photocoagulator with a special tip is used. It is brought to the source of bleeding and, by pressing a button, the vessels are “welded.” The duration of the procedure depends on the size of the bleeding area. On average, coagulation lasts up to 3 seconds. The wounds heal in 1–2 weeks.

• Desarterization of hemorrhoids under Doppler control

A method of treating hemorrhoids that is innovative, effective, painless and does not take much time. To perform the procedure, you need equipment with a Doppler sensor (HAL-RAR or Angio-1), with which the arteries that feed the hemorrhoids are detected. Each identified artery is stitched with a special absorbable thread and bandaged. One procedure allows you to ligate from 4 to 8 arteries. In the 3rd–4th stage of hemorrhoids, the second stage of the operation is performed - mucopexy or lifting: fixation of prolapsed hemorrhoids with additional wrapping sutures. All threads after surgery dissolve within 1–3 months. The technique is performed under any type of anesthesia, most often local or regional.

Desarterization is possible at any stage of the disease, but is more effective at stages 1–2 of the disease

• Ultrasonic sclerosis of hemorrhoids

This method combines ultrasonic cavitation and sclerotherapy of the hemorrhoid. The sclerosing substance, under the influence of ultrasound, enters the inflamed hemorrhoidal node at a higher speed, significantly enhancing the effect of the procedure and bringing it closer to traditional surgery. Ultrasound treatment of the damaged node occurs using the Proxon or Skleroson devices.

Cons: high risk of bleeding after manipulation.

• Laser vaporization of hemorrhoids

This bloodless procedure uses heat from a laser to painlessly remove internal and external hemorrhoids. The procedure is carried out using a laser beam, which carefully cuts and cauterizes the tissue.

The laser is able to get rid of hemorrhoids at any stage of the disease, removing both external and internal nodes, regardless of the depth of their location. Laser vaporization can be done even in the presence of thrombosis of hemorrhoids. The doctor uses a laser to burn out the internal node from the inside, and connective tissue forms in its place. External nodes are cut off with a focused laser beam. Since the laser causes the blood vessels to weld together, the procedure takes place without bleeding.[10]

This is the most effective and safe procedure, with no relapses or complications.

Surgical treatment

Hemorrhoidectomy is the oldest and most traumatic method of hemorrhoid removal (performed since 1937), in which hemorrhoids are excised (Milligan-Morgan hemorrhoidectomy). In municipal clinics it still comes first.

This surgical intervention also has significant disadvantages:

• duration of preparation and the operation itself;
• use of anesthesia;
• severe blood loss;
• high traumatic rate;
• complications such as fecal incontinence, anal stricture, bleeding, suture dehiscence and suppuration, fistula formation
• long-term stay on sick leave
• pain syndrome after surgery;
• long-term rehabilitation;

But there are cases when hemorrhoidectomy is the only option to eliminate the disease. There must still be compelling reasons and serious indications for it to be carried out.

Why is it so important to see a doctor promptly?

Painful symptoms in the pelvic area can signal a number of diseases of the genitourinary and musculoskeletal systems, as well as the gastrointestinal tract. Taking painkillers will only temporarily eliminate the symptom, but the cause that caused it will not be eliminated - and the disease will continue to develop, which is dangerous for health and life. By consulting a doctor in a timely manner and undergoing a diagnostic test, the patient will find out the cause of the pain and, together with the doctor, will be able to direct efforts to eliminate it, avoiding much more serious consequences, irreversible processes, and sometimes even surgical intervention. Do not delay your visit to the doctor under any circumstances if:

• pain symptoms have an intense paroxysmal nature;
• an admixture of blood is found in the urine or stool;
• internal organs hurt;
• there is headache, nausea, high body temperature;
• Women experience uterine bleeding.

How do you find out the cause of pain? Diagnostics

A diagnostic search for the causes of pelvic pain is impossible without a thorough analysis of the woman’s complaints and medical history . Everything is important here: the nature (pulling, cutting, pressing, etc.) and localization of pain (in the middle, right, left, in the sacrum, rectum, bladder), its duration, in case of unstable pain - the frequency of its occurrence, connection with provoking factors (movement, body position, diet, urination, sexual contact).

the menstrual cycle (during menstruation, after, between menstruation, before it) and data on previous pregnancies or concomitant infertility is extremely important . Clarification of this connection often provides the key to understanding the causes of the disease. In addition, the doctor must know everything about the characteristics of the menstrual cycle and sex life of a woman, as well as about any sexually transmitted diseases and vaginal discharge.

Since pain is often associated with other organs, the doctor should ask in detail about the function of the intestines and urinary organs, concomitant diseases of the musculoskeletal system, and previous operations.

A general and gynecological examination is required . Already at this stage, it is possible to exclude the possibility of a major pelvic pathology (tumor), as well as establish the localization of painful sensations.

Based on the survey and examination, the doctor will be able to identify some types of pain syndromes, which significantly narrows and facilitates the further search for the cause. These syndromes include:

• Dyspareunia - painful sexual intercourse
• (Algo)dysmenorrhea - painful menstruation
• Ovulatory pain is cyclical pain in the middle of the menstrual cycle associated with ovulation.
• Pain in the vagina, external genitalia, and perineum (may be associated with infection, tumor, neuropathy, vulvodynia)
• Painful bladder (causes: infectious process, interstitial cystitis, bladder stones and tumors, consequences of previous surgeries)
• Pain associated with filling and bowel movement
• Neuropathies of the sciatic and pudendal nerves

Additional research.

The doctor takes vaginal and cervical discharge for analysis to rule out the possibility of an infectious disease. It is recommended to conduct a cytological examination of a scraping from the cervix. An ultrasound examination of the pelvic organs is always performed In some cases (suspicion of endometriosis of the recto-vaginal septum, retroperitoneal tumors, suspicion of pathology of the pelvic lymph nodes), magnetic resonance imaging .

Most patients with pelvic pain require diagnostic laparoscopy. Laparoscopy is the most useful minimally invasive examination method, allowing direct examination of the pelvic organs and the entire abdominal cavity. Laparoscopy is the only reliable method for identifying foci of endometriosis in the peritoneum, as well as adhesions. If during a laparoscopic examination formations of the appendages, foci of endometriosis, and adhesions are detected, then during the same intervention they are surgically treated. That is why laparoscopy is an indispensable research method and the first (and sometimes sufficient) method of treating identified diseases.

If corresponding diseases of related organs are suspected, examination and treatment is carried out by a urologist, gastroenterologist, proctologist, neurologist, or psychotherapist. Accordingly, depending on the expected diagnosis, the doctor will prescribe an additional examination.

Treatment of pelvic pain

Treatment of pelvic pain is determined by the reasons that caused it. Even if causes of pain associated with damage to internal organs are excluded, patients can be helped! Modern medicine offers a number of techniques that can help eliminate not only the pain syndrome, but also the disease that caused it. These include:

• drug treatment that involves taking medications;
• various types of therapy: tissue, vascular, microcirculatory;
• elimination of biomechanical disorders of the musculoskeletal system of the pelvis;
• correction of psychological state;
• surgical interventions if there are appropriate indications or if there is no effect when using conservative treatment methods.

Thanks to the advent of modern techniques associated with blockade of nerves, nerve plexuses, large joints, as well as modern radiofrequency nerve ablation techniques, patients with chronic pelvic pain syndrome have hope of returning to a normal lifestyle. To find out the cause of pelvic pain, as well as the possibilities of modern medicine to help cope with it, please make an appointment with a pain treatment specialist at our clinic!

Make an appointment through the application or by calling +7 +7 We work every day:

• Monday—Friday: 8.00—20.00
• Saturday: 8.00–18.00
• Sunday is a day off

The nearest metro and MCC stations to the clinic:

• Highway of Enthusiasts or Perovo
• Partisan
• Enthusiast Highway

Driving directions

Why do hemorrhoids hurt?

The cause of severe pain with hemorrhoids can be prolonged sitting, increased physical activity, pregnancy or the development of constipation, but it can also occur spontaneously for no apparent reason.

To get an answer to the question of why hemorrhoids hurt, you need to delve a little deeper into anatomy, namely the anatomy of external hemorrhoids, since they most often cause severe pain. External hemorrhoids are covered with modified squamous epithelium, which contains numerous pain receptors, so when hemorrhoids are stretched and inflamed, severe pain develops. Thrombosed external hemorrhoids are very painful to palpation and have a purple tint.

Thrombosis of hemorrhoidal veins is not a life-threatening disease, but it causes severe discomfort to a person. Most often, the development of severe pain with hemorrhoids is associated with tension and heavy lifting.

If you have severe pain due to hemorrhoids, you can contact the Yusupov Hospital. Doctors have extensive experience in treating hemorrhoids and its complications. You can also schedule a consultation with a specialist and get the necessary advice to relieve the pain and discomfort associated with hemorrhoids.