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I Have Hyper Tonic Pelvic Floor Like Symptoms Frequent/Urinary Incontinence Difficulty Passing Stool

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Posted on Fri, 23 Aug 2024
Question: Hi Doctor,
I have hyper tonic pelvic floor like symptoms - whats are the next actions?
Pain that intensifies with certain movements or that is relieved by repositioning the body.
Frequent/Urinary incontinence.
Difficulty passing stool.
Lower back pain.
doctor
Answered by Dr. Dr. Soumen Patra (25 hours later)
Brief Answer:
Need physical therapy and some medication.

Detailed Answer:
Hello,

Thanks for writing to us.

Hyper tonic pelvic floor is a treatable condition, affecting 1 in 10 people. It is one type of pelvic floor dysfunction.

You may need to undergo some examination with your care provider to confirm the diagnosis like visual inspection of your pelvic area, digital rectal exam, pelvic exam to check vagina, anorectal manometry, electromyography, defecography, urodynamic study etc.

You may need to start physical therapy to combat above symptoms like biofeedback to teach you proper contraction & relaxation of muscle, relaxation techniques for pelvis and abdominal muscles along with massage, streching, joint movement etc.

Some other treatments can be done like acupuncture, medications for constipation, urinary frequency, low back pain, anxiety etc. Stimulation of nearby nerve to manage urinary incontinence and trigger point injections with corticosteroids or botox to ease the pain are some other modalities of treatment.

You may need to consult with gastroenterologist to treat bowel problems, urologist to help with urinary or sexual problems, psychotherapist for psychological issue and sex therapist for sexual dysfunction.

You can follow some techniques to prevent hyper tonic pelvic floor symptoms like practicing mindfulness and relaxation techniques, doing yoga to strengthen pelvic floor, avoiding constipation & straining along with long time holding of pee or poop etc.

Hope, I have answered your query in detail. Good luck.

Regards,
Dr S Patra
Above answer was peer-reviewed by : Dr. Dr.Raju.A.T
doctor
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Follow up: Dr. Dr. Soumen Patra (2 days later)
Thank you Doctor, that was detailed. So there is no cure/reversing this? Is it mostly just managing the symptoms? Will it go back to normal with physical therapy?
doctor
Answered by Dr. Dr. Soumen Patra (5 days later)
Brief Answer:
Physical therapy and proper medication are mainstay of the treatment.

Detailed Answer:
Hello,

Thanks for follow up query

Hypertonic pelvic floor is a treatable condition and not a curable or reversible.

Symptomatic treatment is quite helpful to get relieve from this type of condition.

Hope, it will help you. Good luck.

Regards,
Dr S Patra
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Dr. Soumen Patra

OB & GYN Specialist

Practicing since :2011

Answered : 4060 Questions

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I Have Hyper Tonic Pelvic Floor Like Symptoms Frequent/Urinary Incontinence Difficulty Passing Stool

Brief Answer: Need physical therapy and some medication. Detailed Answer: Hello, Thanks for writing to us. Hyper tonic pelvic floor is a treatable condition, affecting 1 in 10 people. It is one type of pelvic floor dysfunction. You may need to undergo some examination with your care provider to confirm the diagnosis like visual inspection of your pelvic area, digital rectal exam, pelvic exam to check vagina, anorectal manometry, electromyography, defecography, urodynamic study etc. You may need to start physical therapy to combat above symptoms like biofeedback to teach you proper contraction & relaxation of muscle, relaxation techniques for pelvis and abdominal muscles along with massage, streching, joint movement etc. Some other treatments can be done like acupuncture, medications for constipation, urinary frequency, low back pain, anxiety etc. Stimulation of nearby nerve to manage urinary incontinence and trigger point injections with corticosteroids or botox to ease the pain are some other modalities of treatment. You may need to consult with gastroenterologist to treat bowel problems, urologist to help with urinary or sexual problems, psychotherapist for psychological issue and sex therapist for sexual dysfunction. You can follow some techniques to prevent hyper tonic pelvic floor symptoms like practicing mindfulness and relaxation techniques, doing yoga to strengthen pelvic floor, avoiding constipation & straining along with long time holding of pee or poop etc. Hope, I have answered your query in detail. Good luck. Regards, Dr S Patra