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Heather and her staff blog about male and female chronic pelvic pain, prostatitis, incontinence, upcoming events and more

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Childhood Constipation and how Pelvic Floor Therapy Can Help

Does your kiddo have a hard time passing bowel movements?

If the answer is yes, you are not alone. According to (Mugie et al. (2011) up to about 30% of children experience constipation. In fact, kids admitted to the emergency room with abdominal pain are most often diagnosed with constipation (Caperell, Pitetti, & Cross, 2013).

Kids who don’t get treatment for their constipation may start falling into muscle holding patterns that persist into adulthood. This means that childhood constipation problems may lead to adult constipation and other pelvic floor issues.

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While occasional daytime and nighttime accidents (bowel and urine) are a normal part of younger childhood, kids can experience problematic urinary incontinence and pelvic floor dysfunction just like adults.

In this article we will discuss the signs of an underlying pelvic floor dysfunction in children and how pelvic floor therapy can help.

When is it a problem?

Occasional daytime and nighttime accidents are a normal part of growing up. However, if accidents are interfering with a kid’s social engagement, progress in school, or their self-image, then you may consider seeking extra help from a pediatric urologist or pelvic floor therapist.

Signs and Symptoms of Pediatric Incontinence or Pelvic Floor Dysfunction

  • Leaks urine or bowel with laughter (giggle incontinence), coughing, or exercise (jumping on a trampoline, sprinting, etc.)
  • Frequent urination and frequent urge to urinate
  • Chronic constipation or diarrhea
  • Chronic urinary tract infection (UTI)
  • Daytime wetting that interferes with school, social engagement, or self image
  • Nighttime wetting that interferes with sleep, hygiene, or self image
  • Inability to fully void urine or evacuate bowel on the toilet

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Part 2 of 2 of our Prostatitis Lifestyle Management Series

An article published in the Journal of Prostate Cancer and Prostatic Disease (Gallo, L. (2014).) outlines evidence-based recommendations to treat prostatitis related chronic pelvic pain syndrome (CPPS) in men. These recommendations were well tolerated by clients and showed statistically significant reduction in symptoms caused by prostatitis and CPPS.  Today we will cover lifestyle and sexual habits that can help relieve pelvic pain.

Prostatitis and Male Pelvic Pain

Chronic prostatitis, nonbacterial prostatitis, and chronic pelvic pain are all related conditions which negatively affect quality of life for the men who suffer from them. Symptoms vary, but are often described as a “headache in the pelvis” with pain symptoms affecting urinary and sexual function. The pain is real and their negative affects on quality of life are real as well.  The pain caused by nonbacterial prostatitis can be disabling, preventing participation in valued activities and causing isolation and depression.

According to Harvard Medical School, prostatitis accounts for about 1.8 million visits to the doctor’s office in the United States each year. Between 9% to 16% of men of all ages experience prostatitis. About 90% of these instances cannot be tied to an active bacterial infection. Prostatitis affects men of all ages, unlike benign prostatic hyperplasia (BPH) and prostate cancer, which predominantly affect older men.

 

13 Evidence-Based Recommendations for Managing Prostatitis Related Pelvic Pain

 Part Two: 7-13 (find recommendations 1-6 here)

Healthy Sexual Habits

7) Experience Regular Ejaculation… But Not Too Much! Moderation is Key.

Gaining healthy sexual habits that are in moderation is important to managing chronic pelvic pain in male clients. Too much activity and ejaculation can exacerbate pain, yet total abstinence can also create pelvic congestion, which will worsen pain.

In one study reviewed by Gallo, prolonged periods without ejaculation was connected to a higher incidence of prostatitis. Yet, Collins et al. (2002) found that having more than seven ejaculations per month was associated with 1.2–1.5-fold increased odds of prostatitis. Furthermore, Itza (2010) found that excessive ejaculation can cause pelvic musculature spasm and tenderness.

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Part 1 of 2 of our Prostatitis Lifestyle Management Series

An article published in the Journal of Prostate Cancer and Prostatic Disease outlines evidence-based recommendations to treat prostatitis related chronic pelvic pain syndrome (CPPS) in men (Gallo, L., 2014). These recommendations were well tolerated by clients and showed statistically significant reduction in symptoms caused by prostatitis and CPPS.  Today we will cover dietary and toileting habits which can help relieve pelvic pain.

Prostatitis and Male Pelvic Pain

Chronic prostatitis, nonbacterial prostatitis, and chronic pelvic pain are all related conditions which negatively affect quality of life for the men who suffer from them. Symptoms vary, but are often described as a “headache in the pelvis” with pain symptoms affecting urinary and sexual function. The pain is real and their negative affects on quality of life are real as well.  The pain caused by nonbacterial prostatitis can be disabling, preventing participation in valued activities and causing isolation and depression.

According to Harvard Medical School, prostatitis accounts for about 1.8 million visits to the doctor’s office in the United States each year. Between 9% to 16% of men of all ages experience prostatitis. About 90% of these instances cannot be tied to an active bacterial infection. Prostatitis affects men of all ages, unlike benign prostatic hyperplasia (BPH) and prostate cancer, which predominantly affect older men.

13 Evidence-Based Recommendations for Managing Prostatitis Related Pelvic Pain

Part One: 1-6

1) Avoid Alcohol

In six studies focusing on male pelvic pain (3 studies on prostatitis and 3 on interstitial cystitis concerning IC/BPS), regular alcohol intake was a habit found in those with high amounts of pain.

In the Collins study (2002), it was found that men who drunk more than two alcohol beverages per night had a major risk of history of prostatitis. Shorter et al. (2007), found that red and white wine, beer, champagne and other alcoholic beverages worsened the pelvic pain symptoms of female patients affected by IC/BPS.

2) Avoid Coffee

Drinking coffee increases risk of IC/BPS and pelvic pain according to Gallo and three studies that were reviewed in their study. Shorter et al. (2007) found that coffee (BOTH regular and decaf) worsened pelvic pain symptoms in 47-61% of patients.  In 2010, Dr. Shoskes, an expert on chronic pelvic pain, commented that avoiding caffeine is a simple and effective action to treat and prevent this condition.

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What is Yoga?

Yoga is a form of exercise that utilizes movement for strength and flexibility, along with breathwork and mindfulness for reduction of stress and tension. Yoga has long been used therapeutically for a variety of neuromuscular, immunological, psychological, and pain disorders. It has also been linked to improvements in body awareness, improved cognition, flexibility and strength, as well as physiology (reducing stress hormones, improving cardiac function) (Schmalzl et al, 2015).


Prostatitis and Male Pelvic Pain

Chronic prostatitis, nonbacterial prostatitis, and chronic pelvic pain are all related conditions which negatively affect quality of life for the men who suffer from them. Symptoms vary, but are often described as a “headache in the pelvis” with pain symptoms affecting urinary and sexual function. The pain is real and their negative affects on quality of life are real as well.  The pain caused by nonbacterial prostatitis can be disabling, preventing participation in valued activities and causing isolation and depression.
According to Harvard Medical School, prostatitis accounts for about 1.8 million visits to the doctor’s office in the United States each year. Between 9% to 16% of men of all ages experience prostatitis. About 90% of these instances cannot be tied to an active bacterial infection. Prostatitis affects men of all ages, unlike benign prostatic hyperplasia (BPH) and prostate cancer, which predominantly affect older men.

Yoga, Pelvic Floor Dysfunction, and Chronic Pain

Yoga can help both strengthen and increase flexibility of the pelvic floor muscles and surrounding musculature to better function and treat issues such as pain with urination, pain with ejaculation, and pain with bowel movements.

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This article will review how prostatitis can cause or contribute to chronic pelvic pain and what pelvic floor therapy can do to help alleviate it.

The Condition

Chronic nonbacterial prostatitis is sometimes described as a “headache in the pelvis” with pain symptoms affecting urinary and sexual function. It’s a tricky condition because as “nonbacterial” suggests, the pain and inflammation is not tied to a known bacterial infection, which can confuse both the patient as well as their healthcare providers. Yet, the pain is real and their negative affects on quality of life are real as well.  The pain caused by nonbacterial prostatitis can be disabling, preventing participation in valued activities and causing isolation and depression.

Prevalence

According to Harvard Medical School, prostatitis accounts for about 1.8 million visits to the doctor’s office in the United States each year. Between 9% to 16% of men of all ages experience prostatitis.

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