A Simple Guide to Pelvic Floor Dysfunction, Diagnosis, Treatment and Related Conditions
By Kenneth Kee
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About this ebook
This book describes Pelvic Floor Dysfunction, Diagnosis and Treatment and Related Diseases
“The Pelvic Floor is the support for all your abdominal organs and weight”
"Being aware of your pelvic floor and its intricate connection to your health is essential to your well being"
--Keira Brown
Pelvic floor dysfunction is the inability to regulate the muscles of the pelvic floor.
The pelvic floor is the collection of muscles and ligaments in the pelvic region.
The pelvic floor functions like a hammock to support the organs in the pelvis such as the bladder, rectum, and uterus or prostate.
Contracting and relaxing these muscles permits the patient to control:
1. The bowel movements,
2. Urination,
3. Breathing
4. For women particularly:
a. Sexual intercourse
b. Pregnancy and childbirth.
Pelvic floor dysfunction induces the patient to contract the muscles rather than loosen them.
As a result, the patient may have difficulty passing a bowel movement.
If left untreated, pelvic floor dysfunction can cause:
1. Discomfort,
2. Long-term colon damage, or
3. Infection.
Pelvic floor dysfunction is a common disorder where the patient is unable to correctly relax and coordinate the muscles in the pelvic floor to urinate or to have a bowel movement.
If the patient is a woman, the patient may also feel pain during sexual intercourse.
If the patient is a man the patient may have difficulties having or maintaining an erection (erectile dysfunction or ED).
If the patient thinks of the pelvis as being the base to house organs such as the bladder, uterus (or prostate in men) and rectum, the pelvic floor muscles are the base’s foundation.
These muscles function as the support structure maintaining everything in place within the body.
The pelvic floor muscles provide support to the organs by enclosing around the pelvic bone.
Some of these muscles maintain more stability by forming a sling around the rectum.
The pelvic organs are:
1. The bladder (the pouch holding the urine).
2. The uterus and vagina (in women).
3. The prostate (in men).
4. The rectum (the area at the end of the large intestine where the body stores solid waste).
Normally, the patient is able to go to the bathroom without difficulty since the body contracts and relaxes its pelvic floor muscles.
This is just like any other muscular action, like contracting the biceps when the patient lifts a heavy box or clenching the fist.
When the patient has pelvic floor dysfunction, the body continues to tighten these muscles instead of relaxing them like it should in normal settings.
This tension indicates the patient may have:
1. Trouble evacuating (releasing) a bowel movement.
2. An incomplete bowel movement.
3. Urine or stool that leaks.
Pelvic floor dysfunction has also conventionally been depicted as happening from laxity or poor tonus of the pelvic floor musculature and ligaments.
Injury of this nature normally happens from aging, straining, or trauma and produces urinary or fecal incontinence and organ prolapse.
More awareness is directed now on detecting and understanding so-called "high-tone" PFD, a product of hyper-clonic or spastic musculature, resulting in symptoms such as:
1. Urinary urgency-frequency,
2. Constipation
3. Vulvar pain
4. Dyspareunia,
5. Orgasmic dysfunction.
Using the hands, the doctor will check for spasms, knots or weakness in these muscles
A method placing electrodes on the perineum and or the sacrum can find out if the patient can contract and relax pelvic muscles.
Therapy may be external, as in muscle training or internal, through massage of the ligaments and biofeedback.
TABLE OF CONTENT
Introduction
Chapter 1 Pelvic Floor Dysfunction
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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