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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 (10)
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Your symptoms may be related to overactivity/tightness and poor coordination of the pelvic floor muscles, especially after repeated anal surgeries and long-standing pain. Habitually hovering or half-squatting while urinating may contribute to difficulty relaxing the pelvic floor, but it is unlikely to be the only cause. Chronic pain, repeated surgery, fear of pain and altered bowel habits can all cause the pelvic floor muscles to remain guarded or tense. The encouraging part is that pelvic floor muscle coordination can often be retrained with appropriate physiotherapy.
Next Steps
I would recommend a proper assessment by a pelvic-floor physiotherapist, preferably along with your colorectal surgeon/gastroenterologist. Treatment may include diaphragmatic breathing, pelvic-floor relaxation/down-training, bowel and toileting posture training, gentle mobility and, when appropriate, biofeedback. Avoid starting Kegel/strengthening exercises on your own because an already overactive pelvic floor may require relaxation and coordination rather than further strengthening. Your daily laxative use and diarrhoea should also be reviewed by your treating doctor.
Health Tips
Try to sit comfortably and fully supported while passing urine rather than hovering over the toilet. Avoid straining during bowel movements and don't repeatedly force the pelvic floor to relax. Considering your history of multiple surgeries, persistent pain and significant weight loss/weakness, physiotherapy should follow a detailed medical and pelvic-floor assessment rather than self-treatment. If another surgery has been advised and you are uncertain, taking a second opinion from a colorectal specialist before proceeding is reasonable.
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Consult back in private chat, there are options available to treat it without any much medicine and treatment procedures.
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Hiii, due to the 4 anal surgeries your pelvic floor must be gone into the tightness because of that you're facing a problem related to your urinary system. The condition is known as pelvic floor dysfunction. First of all we have to relax your pelvic floor and accordingly strengthen your pelvic floor with the help of exercises.
I need more information about your condition.
Next Steps
book online consultation I'll definitely help you to overcome this problem.
Health Tips
drink at least 2.5 l water daily.
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The habit of partially squatting while urinating is unlikely to be the main cause of your current symptoms. After multiple surgeries, the pelvic floor muscles can sometimes remain tight or have difficulty relaxing properly. Your symptoms are complex, so they should be assessed rather than assuming that your urination posture caused the problem.
Next Steps
Please discuss your ongoing symptoms, weight loss and weakness with your treating colorectal surgeon/physician before considering another surgery. A pelvic-floor physiotherapist can assess muscle relaxation, breathing and toileting mechanics and, if appropriate, start a gradual relaxation-focused rehabilitation program. You can also connect with me for an online physiotherapy consultation for an initial assessment and guidance.
Health Tips
Avoid forceful straining during bowel movements and avoid repeatedly trying to “push” the pelvic floor open. Practice relaxed diaphragmatic breathing and give yourself enough time in the bathroom without rushing. Since Cremaffin Plus is causing frequent diarrhoea and cramps, discuss the dose or an alternative with your treating doctor rather than changing it yourself.
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Your symptoms are complex, especially with multiple surgeries, chronic pain, incomplete evacuation and significant weight loss. The half-squatting habit alone is unlikely to be the sole cause; pelvic-floor muscle overactivity/poor coordination may contribute.
Next Steps
Pelvic-floor physiotherapy can help with muscle relaxation, breathing, bowel coordination and retraining, but given your history, this should be done only after assessment by a colorectal/pelvic-floor specialist. Please also review the long-term laxative use with your doctor rather than stopping it suddenly.
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A personalised pelvic-floor assessment would be the right next step to understand why the muscles are not relaxing and whether further surgery is truly neces
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Dr. Avijit Das (PT)
Sports and Musculoskeletal Physiotherapist
4 yrs exp
Kolkata
Hi please consult with urologist doctor
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Dr. Saswati Nanda (PT)
Physiotherapist
12 yrs exp
Delhi
Hey there!
I am a women’s health physio.
After reading your question I am feeling that it can be psychosomatic. After so many surgeries it has created a fear in your mind to relax that muscles.
As you are just 22 ,we can manage it by few methods. Exercises, drinking enough water, fibre rich food , cold / hot depending on examination.
Feel free to connect with me I would love to help you. As a female I can completely relate to it.
Your physio
Regards
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Dr. Shefali Gandotra (PT)
Physiotherapist
20 yrs exp
Jammu
Pelvic floor strengthening exercises are going to help you. . Instead of being dependent on so many medication, choose a diet that is rich in Fibre..
Next Steps
Stay relaxed, especially when you are in the washroom
Health Tips
Adapt a active and healthy lifestyle
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Dr. Neha Singh (PT)
Physiotherapist
3 yrs exp
Prayagraj
your symptoms may be related to an overactive /tight pelvic floor and difficulty coordinating relaxation during bowel evacuation .habitual hovering or half squatting while urinating may contribute to unnecessary pelvic floor muscle activation ,but it is unlikely to be the only causes of your chronic symptom bowel symptom also need to be cosidered .
Next Steps
it requires identifying the underlying cause and retraining the pelvic floor gradually .please dont keep undergoing repeated procedures without discussing repeated procedures without discussing the persistent symptoms and pelvic floor dysfunction with your colorectal specialist
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u can share your previous medical reports ,surgery details, investigations and current medication list beforehand. ican review them and ,if appropriaten ,guide u through a personalized pelvic floor relaxation and rehabilitation program based on your condition .
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Dr. Afsa Rafiq (PT)
Physiotherapist
5 yrs exp
Srinagar
U need biofeedback u have pelvic floor problem u need to go through Anorectal manometry test to c how your muscles are relaxing don’t be dependent on medication do pelvic floor relaxation exercise openers to relax pelvic floor muscles if u have sedentary life style avoid that do walk after eating 15 min . Relax your pelvic floor muscles
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Consult online for better treatment and diagnosis
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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.