Download FREE Practo app
Get ₹200 HealthCash
Pelvic floor surgery chronic tension
My muscles & spinchter aren't relaxing. & causing incomplete evacuation & cramps. I've undergone almost 4 anal surgeries. I follow every advise by doc. Still there's pain. I've been taking laxatives daily for 2 years. Cremaffin plus causes diarrhea daily. All night it causes stomach cramps & I end up not sleeping well. I recently realized, I had the habit of half squatting while peeing. Like bending a little & standing. Since 7 years I have never sat down to pee. To avoid UTI. Could that have caused muscle disorientation & tension leading to chronic pain? If yes, will it not become like before? please guide how to relax again like it used to be 7 years ago. Please🙏 😭 I've been hopelessly undergoing surgeries. Again doc has told surgery. I might die if I keep undergoing surgeries so often. I have other surgeries to undergo for other issues too. It got delayed as I've been undergoing this surgery repeatedly. lost too much weight & weakness coz of pain & surgeries.
Answers (13)
Hello. I have thoroughly and deeply reviewed your chronic medical history, your history of 4 undergoing anal surgeries, and the debilitating pelvic floor symptoms you are facing.
Ayurvedic & Clinical Evaluation:
Your symptoms—inability of the pelvic floor muscles and anal sphincter to relax, incomplete evacuation, and severe nocturnal abdominal cramps—indicate a state of severe chronic hypertonic pelvic floor dysfunction. From an Ayurvedic perspective, multiple surgical interventions (Shastra Karma) and the long-term, daily dependency on irritant osmotic laxatives (like Cremaffin Plus) have severely vitiated 'Apana Vayu' and 'Vyana Vayu'. This high Vata imbalance has led to profound 'Stambha' (rigidity and loss of natural relaxation responses) in the Gudavali (anal sphincters) and Bastimukha (bladder outlet).
Answering your query regarding posture and laxatives:
1. Laxative Dependency: Taking strong laxatives daily for 2 years induces chemical irritation in the colon, causing chronic diarrhea, severe cramps, and paradoxically weakening the natural defecation reflex, preventing the muscles from learning how to relax naturally.
2. Peeing Posture: Your prolonged habit of half-squatting/bending while urinating places continuous mechanical strain on the levator ani and puborectalis muscles. This persistent physical disorientation has certainly contributed to keeping your pelvic floor under constant isometric tension, triggering chronic myofascial pelvic pain.
Next Steps
* Gradual Tapering of Irritant Laxatives: The daily use of Cremaffin Plus needs to be strictly reviewed and clinically managed under professional guidance to stop chronic colon irritation and cramping.
* Pelvic Rehabilitation & Biofeedback: Instead of jumping into another immediate structural surgery, you need a comprehensive, non-invasive assessment. In-person Pelvic Floor Physical Therapy (with biofeedback) is highly effective in training these specific hypertonic muscles to release tension.
* Correct Your Posture: Transition safely to using a standard footstool (like a toilet stool) while sitting on a Western commode, or use a proper full squat to allow the anorectal angle to open naturally without force.
* Book a One-on-One Consultation with Me: A case involving 4 previous surgeries and chronic Vata distress cannot be resolved with generalized tips; it requires a highly empathetic, step-by-step internal and external healing protocol. You can book a direct, private online consultation with me here on Practo. Together, we will discuss gentle, non-irritant Ayurvedic 'Anulomana' therapies, lifestyle synchronization, and specific oil-based balancing measures (like Matra Basti principles, if eligible later) to safely soothe the nervous system and pelvic tissues.
Health Tips
WORD OF CAUTION & RED FLAGS:
* Never Force or Strain: Do not forcefully push or strain during bowel movements or urination, as this further traps the sphincter muscles in a spasm cycle.
* Emotional Support: Chronic pelvic pain is deeply linked to the central nervous system. Managing your anxiety through mild breathing exercises (Pranayama) is crucial to lower muscle tension.
* Immediate Urgent Signs: Seek an immediate in-person medical evaluation at a hospital if you develop complete inability to pass urine (acute urinary retention), absolute inability to pass flatus or stool accompanied by severe abdominal distension, high fever, or active heavy bleeding from the anal area.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+138
Since you have been experiencing these symptoms for the past seven years, a detailed evaluation and direct consultation would be helpful before reaching any conclusion. We should also assess whether this could be associated with any other underlying conditions.
As you have mentioned previous procedures and surgeries in your questionnaire, it would be important to understand your medical history in detail and assess whether factors such as anxiety, bowel-related conditions, or lifestyle factors could be contributing to the symptoms.
Next Steps
If this is associated with conditions such as irritable bowel syndrome or pelvic floor dysfunction, appropriate counselling, dietary modifications, lifestyle changes, and medications may be helpful. We can initially proceed with conservative management and monitor your response.
If the symptoms do not improve adequately with the initial treatment, diet, lifestyle measures, and counselling, further evaluation or procedures can be considered if necessary.
Health Tips
Consult directly for detailed prescription
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Proper examination required
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Take sitz bath will partly help u. Only laxatives will not work , improving digestion and metabolism along with laxatives is a perfect solution. Basti also is a good option in your case.
Next Steps
visit nearest dr or consult online for discussing panchakarma and other oral medicines
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Cremaffin na le. Uski jagah aap castor oil le sakte h pain bhi km karega aur constipation bhi agar incomplete evacuation ki feeling fir bhi ho to castor oil ki dose badha de aur shoch Jane k bad garam niwaye Pani me baithe tab bhi pain km ho jayega
Next Steps
digestion Teek kare fire element km ho gya h medicine report dekhne par hi Bata sakte h
Health Tips
weakness k liy draksh awleh le sakte h
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Need more information, kindly consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Repeated surgeries are not the permanent fixes for the concern, you need the proper medical guidance and treatment futher on this , you can take my consultations to get it completely cured
Next Steps
Proper examination and assessment is required with medical guidance
Health Tips
Do not try any temporary remedies for finding solution for your problem , you need medical guidance and treatment immediately
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Consult personally
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Consult ayurveda physician for proper diagnosis and root cause of ailments before consuming any medicine
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Consult me for proper guidance and treatment plan.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Got ur pain n concern, Holistic Ayurveda approach could be best for your health status so kindly spare time to consult in person with ur Ayurveda Dr at Govt ayurved hospital attached to Ayurveda medicine school.
Next Steps
till u consult have 10ml Almond oil prior tea/empty stomach in the morning.
Apply camphor mixed coconut oil on palm soles n naval area and same oil for mouth oil pulling after brushing for 10-15min
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Asmita
Ayurveda
1 yrs exp
Indore
Aap ek ek chij ko theek kare naki sbko sath me
Sbse pehle aap pet saaf kare
Roj raat me trifala churn 2 tsf le
Subh motion k bad sits baath le din me 2 times
Subh avipattikar churn le khana khane k bad 1 tsf
Jatyadi tel ko cotton me lga k anal region me rakhe
Next Steps
plenty of water paani jyada piye , papita ,kheera kakdi khai
Health Tips
avoid spicy ,meda ,sew ,besan ,heavy food
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Tinkle Rani
Ayurveda
9 yrs exp
New Delhi
I understand why you are frightened after undergoing so many procedures and losing significant weight. Based on the symptoms you describeâincomplete evacuation, cramping, difficulty relaxing the anal sphincter despite repeated surgery and prolonged laxative useâa non-relaxing pelvic floor / dyssynergic defecation is an important possibility. This means the pelvic-floor and anal sphincter muscles may tighten instead of relaxing properly during bowel movement. Your habit of half-squatting while urinating for several years is very unlikely to have permanently damaged or âdisorientedâ these muscles. More commonly, repeated painful bowel movements, surgery and fear of pain can reinforce an involuntary guarding/tightening pattern.
Next Steps
For better treatment and personalised guidance, you may connect with us at 9 3 1 5 6 6 1 5 6 5 for proper treatment and guidance.
Health Tips
The fact that Cremaffin Plus is causing nightly cramps and diarrhoea is important. Don't keep increasing or changing laxatives yourself simply because evacuation feels incomplete; some laxatives can produce abdominal cramping and diarrhoea, and long-term laxative use should be reviewed by the treating physician. For bowel retraining, sit comfortably on the toilet with the feet supported on a small footstool, knees slightly above the hips, abdomen relaxed and breathing slowly. Avoid forceful pushing and repeated attempts. Warm sitz baths may help relaxation if they have previously given you relief. Do not start Kegel exercises on your own if the problem is excessive pelvic-floor tightness, because strengthening an already overactive pelvic floor may make evacuation more difficult. Most importantly, you have not necessarily lost the ability to relax these muscles permanently. Pelvic-floor coordination can be retrained, and biofeedback has shown meaningful benefit in people with confirmed dyssynergic defecation. Given your major weight loss, weakness, repeated operations and ongoing inability to sleep because of cramps, I would not treat this as simply âordinary constipationâ or assume that another operation is automatically the answer. Confirm the functional problem first, then decide whether surgery is genuinely necessary. Thank you
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.