12 Jul Anonymous Musings: July 12, 2017
Other Conditions Potentially Presenting As Chronic Pelvic Pain
Several other medical conditions have characteristics that could be interpreted as Chronic Pelvic Pain. These conditions are very different issues that can often present, impersonate, or indeed cause a pelvic pain outbreak. The following is a list of known conditions that have similar symptoms to Chronic Pelvic Pain:-
[i] Chronic Prostatitis [CP]
The medical term for inflammation of the prostate gland is prostatitis. There are many similarities between the symptoms of Chronic Prostatitis and Chronic Pelvic Pain.
Usually, rapid and severe onset of prostatitis is caused by an acute bacterial infection. However, when symptoms persist after the initial bacterial infection has been dealt with, this is referred to as Chronic Prostatitis – it’s this condition which causes both the sufferer and the medical fraternity on-going consternation.
The following symptoms are usually present with Chronic Prostatitis:
- Pain whilst urinating
- Increased urinary frequency and feeling of incompleteness
- Groin, perineum and rectal pain
- Urethral discharge and/or blood in the urine
- Fever, chills, and general body tenderness
- Painful ejaculation and sexual dysfunction
[ii] Interstitial Cystitis [IC]
Interstitial Cystitis is a chronic inflammatory condition of the muscular layers of the bladder. Symptoms include painful urination, urinary frequency, urinary urgency, pressure in the bladder and or pelvic area, pain during sexual intercourse and pain during various sedentary life activities such as sitting while driving, eating, working, etc. Sufferers often complain about a burning sensation in the urethra when urinating [dysuria].
The cause of Interstitial Cystitis is currently unknown, however several explanations have been proposed including neurological complications, bacterial infection, and a theory that suggests predisposed individuals actually produce a toxic substance in their urine that damages the bladder lining. Interstitial Cystitis is often implicated with Chronic Pelvic Pain because the causes and the symptoms of both conditions can be the same.
[iii] Proctalgia Fugax and Levator Ani Syndrome
Two sub expressions of Chronic Pelvic Pain and Chronic Pelvic Pain Syndrome are:-
- Proctalgia Fugax
- Levator Ani Syndrome
Proctalgia Fugax refers to and implies perirectal pain, or short sharp pain in the rectum, which lasts for under a minute, disappears for days or even months, and has no evidence of any known organic complication or disease. It is acknowledged that rectal muscle spasm [incorporating the sphincter muscles] causes Proctalgia Fugax.
In contrast, Levator Ani Syndrome refers to recurrent and more frequent rectal pain, lasting at times for almost twenty minutes or longer, also in the absence of any organic disease that may cause or explain the pain. The pain associated with Levator Ani Syndrome is often more engrossing than that felt with a Proctalgia Fugax event and could even be the precursor to a full blown Chronic Pelvic Pain status.
Both of these disorders are synonymous and the use of their terms if often used interchangeably. Both are contentious issues with no known etiology [origin].
[iv] Pudendal Nerve Entrapment [PNE]
Although very rare, Pudendal Nerve Entrapment can be a major source of angst for those who suffer with the condition. The pudendal nerve travels through the pelvic region, and it carries sensation from the external genitalia of both sexes and the skin around the anus and perineum, as well as the motor supply to various pelvic muscles, including the sphincter muscles of the urethra and the anus.
Pudendal Nerve entrapment occurs when the nerve is compressed or pinched, causing regional and referred pain, as well as genital numbness, and both urinary and fecal incontinence.
It is likely that people with a raised and taunt pelvic floor basin have the foundation to this type of ailment since the muscles in the pelvic floor clamp up into the pelvic basin and thus compromise the conduit area in which the pudendal nerve needs to freely sit.
This story details the life journey of one individual and is not intended to be a substitute for competent medical advice and or professional treatment.
Some of the medical information contained in this story is not the original work of the author. As best as possible, original sources and web sites have been credited and referenced.
Other than the personal account, this story has been adapted from information which is freely available to the general public.