Participants: Nick Evenson (Host), Dr. James Marcum
Series Code: UP
Program Code: UP000088A
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00:01 The following program presents principles designed
00:02 to promote good health and is not intended 00:04 to take the place of personalized professional care. 00:07 The opinions and ideas expressed 00:09 are those of the speaker. 00:10 Viewers are encouraged to draw their own conclusions 00:13 about the information presented. 00:17 Urogenital pain although sometimes uncomfortable 00:19 to talk about is an important issue 00:22 to discuss with your physician, 00:23 if you are experiencing symptoms. 00:25 As we continue on our series on pain today, 00:27 we'll discuss some of the common causes 00:29 and treatments on this difficult topic. 00:32 I'm Dr. James Marcum. 00:34 Are you interested in discovering the reason why? 00:37 You want solutions to your healthcare problem? 00:40 Are you tired of taking medications? 00:43 Well, you're about to be given the ultimate prescription. 00:49 Welcome to the program today, 00:50 you're watching the Ultimate Prescription 00:52 and I'm your host Nick Evenson. 00:54 On this series of programs, we're discussing pain 00:56 throughout the body. 00:57 And today's topic is urogenital pain. 00:59 Sometimes this can be a difficult topic Dr. Marcum 01:01 but thank you for taking this on as it's important. 01:03 Yeah, a lot of people have problems 01:06 with the urogenital pathways, 01:09 and the specialists that deal with this 01:11 are the gynecology specialists. 01:14 Right. 01:15 And urologists, that they spend their whole life 01:18 talking about this 01:20 and these are causes of pain that's real. 01:23 And unfortunately a lot of people 01:25 when they have urogenital pain 01:27 that they don't want to talk about it, 01:29 they don't want to they sort of put it off. 01:32 Now let's talk about that for a second 01:33 because you know as Bible believing Christians, 01:36 God made the entire body 01:38 and he made it to function in a certain way 01:41 that doesn't know have pain, weren't designed to have pain. 01:43 Right. 01:44 So we shouldn't feel embarrassed 01:47 to talk about these things with our physicians, 01:48 why do you think that is? 01:50 I don't know, but you know, we're gonna talk about males, 01:53 you know, when they have problems with their penis, 01:55 or scrotum, or that they just don't like to talk about it. 01:59 Now women, I don't know, 02:00 'cause I don't deal with this type of pain, 02:02 but I guess it's the same thing too, 02:04 it is something that's private. 02:05 You know, we've always talked about this, you know, 02:07 private parts but we want to give people a feel 02:10 for the different types of pain, 02:12 pains it could be dangerous, what's causing them, 02:15 because I think at one point 02:16 we pointed out in this pain series, 02:18 is pain means something's wrong. 02:20 That's right, and you can't ignore 02:22 something that's wrong. 02:24 Of course, and as we get back to God's plan, 02:26 that's the best plan to prevent pain, 02:28 but when pain's happening, if it's a right away pain, 02:31 we want to get that evaluated 02:33 and if we can get over the hump, 02:34 maybe we can prevent that from happening again. 02:37 And of course we don't want to have chronic pain as well. 02:40 So I guess a good place to start for everybody would be 02:43 understanding the anatomy, what's the parts, 02:47 because of the parts that we understand, 02:48 that we could understand where the pain's coming from. 02:51 But uro means urological, okay, that's the urine, okay, 02:55 that's getting rid of the wastes. 02:57 The kidneys do that okay, 02:59 and the kidneys get rid of our waste products 03:01 and then it comes out these tubes 03:02 called the ureters, okay. 03:04 And then the ureters go down 03:06 and they put it into a reservoir called the bladder, 03:09 which stores that and then eventually comes out 03:12 through either the penis or in the women 03:14 it comes out of uterus too and then you go to the bathroom 03:17 and get the waste out of you. 03:19 So sometimes those parts can have problems, okay. 03:23 So that's one part 03:24 and then also we have our reproductive parts, okay. 03:27 That's right, yeah. 03:28 Okay, in the man it happens to be that the scrotum, 03:32 the epididymis, 03:33 the tubes that connect into the reproductive organs, 03:37 the testis, those type of things. 03:39 In the women they have the reproductive parts too. 03:43 You know, we talk about that the ureters, the ovaries. 03:48 We have the uterus in that area 03:51 and all along the line of the reproductive track 03:53 and the ureter that makes up the urogenital system. 03:57 Okay. 03:58 And all of those can have problems, 03:59 not only can the parts leading to it, 04:01 but the parts that support it have problems. 04:03 Right. 04:04 There's muscles around these parts 04:06 that support it. 04:07 Frequently people have bladder problems, 04:09 it's because the muscles get weak overtime. 04:11 And unfortunately in women, if you have lots of babies, 04:15 okay, sometimes babies 04:17 that pull can put trauma on the system, 04:20 can weaken muscles and there's different things 04:23 that can do that and sometimes some of this can lead to pain, 04:26 and when pain happens, if we know what's causes it, 04:29 we can deal with it a lot better. 04:30 So this is something that we need to talk about 04:33 and that's just understanding the parts 04:35 I think is a good place to start. 04:37 Yeah, it is a good description of the anatomy. 04:39 Now what types of pain might someone experience? 04:42 So let's talk about some of the most 04:44 common causes of pain in all these parts. 04:46 Yeah. Okay. 04:47 And I guess probably the most common one 04:49 that I hear about is infections, okay. 04:52 We heard about infections in the urinary tract... 04:55 Right. That can cause pain. 04:57 So any time the urine doesn't move 05:00 there could be an infection. 05:01 Okay. 05:02 So you know the bladder doesn't move, 05:04 there can be infection... 05:05 Sometimes you can get it by introducing bacteria 05:07 into the tract. 05:08 Sometimes there could be connections 05:09 that we're not supposed to have. 05:11 So if the urine is not moving, is that because 05:12 there is a state of dehydration causing that, 05:14 or because of a blockage? 05:16 Either one of that, you're right on top of that. 05:18 The doctor will describe what is it, 05:20 they're not getting enough water, is that it, 05:22 are they introducing an infection 05:24 into the organ systems, 05:25 and sometimes during reproduction 05:27 we introduce bacteria, 05:29 you know, is it because of an anatomical abnormality. 05:34 Right. 05:35 And the doctor will evaluate that infection. 05:38 So infections in women, 05:39 women have more urine inspections 05:41 than men do, but men can get them too. 05:43 It's a lot a lot rare, sometimes the urine 05:45 can't get out of the men if the prostate gets enlarged, 05:48 sometimes the urine can't get out, 05:49 sometimes the prostate gets infected, 05:52 we call that prostatitis. 05:54 Another big causes of problems is infections 05:57 in the reproductive organs. 06:00 Okay. 06:01 Especially people that 06:02 they have illicit relationships, 06:04 multiple partners, sometimes that can lead to infections. 06:06 Right. 06:08 There are other different types of infections. 06:09 So that's probably the most common causes of pain 06:13 in the urogenital system is infections, 06:16 urinary as well as reproductive infections. 06:18 What cause... 06:20 What do we do we have when we have it? 06:21 Yeah, yeah. Okay. 06:22 Well, this is the time to go see your doctor, 06:25 if you're having pain, 06:26 either in the reproductive organ, 06:28 or when you go to the bathroom, 06:30 pain means something's abnormal, 06:31 one of the top things on the list 06:33 is to make sure you're not having an infection. 06:37 Right. Okay. 06:38 Now another terrible cause of pain is 06:42 if the tubes get blocked up or something, 06:45 okay, especially the tubes that lead to the kidneys, 06:50 to the ureters. 06:52 Sometimes the body makes this, the metabolism makes stones. 06:56 Like kidney stones. Yeah, exactly. 06:58 And the stones can travel out into the ureters, 07:01 and you can have a kidney stone. 07:03 Now what causes the kidney stone, 07:04 what is a kidney stone made up of, 07:06 because it's not a stone like a rock? 07:07 No, no, it is stone like a rock, 07:09 but it can be made up of different chemicals. 07:12 Sometimes it could be calcium, 07:14 another type of crystal as oxalate crystal. 07:17 But it's usually in air, in metabolism in the body. 07:20 So the kidneys we get too much of something 07:22 and then too much of something turns into a stone, 07:25 and sometimes this is the diets we eat, 07:27 sometimes it's genetics, 07:29 sometimes it's not drink enough water. 07:31 So if you're a stone former, your urologist 07:34 would want to see what type of stone it is, 07:36 so he can guide you on things that you can do. 07:39 But if you get a stone in there, 07:40 it's very painful. 07:42 Yeah. 07:43 So you have pain when you go to the bathroom, 07:44 they say it's some of the worst pain in your life. 07:47 Sometimes you can feel it in your plank, 07:49 and they can do some simple X-ray test 07:52 to see if you have a stone, 07:53 and then depending on the size of it, 07:55 sometimes people pass the stone. 07:57 Okay. Sometimes people... 07:59 The stones are too big, and they can't pass the stone. 08:02 And the treatment for that stone, 08:04 if you can't pass it as they can now do ultrasound, 08:07 which can sometimes break it up, 08:09 they can, of course, cut the stone out, 08:11 sometimes they can put a stent in it. 08:14 So stones happen in both males and females, 08:17 it's very, very painful. 08:18 So in the urogenital tract, 08:20 if you're having pain evaluate for an infection, 08:23 sometimes you have evaluate for a stone. 08:26 Those are the things you can do. 08:28 So if it's not an infection, not a urinary tract infection 08:31 and it's not kidney stones, or anything like that. 08:34 Actually, I understand, does that occur 08:36 anywhere besides the kidneys? 08:37 Yeah, you can have stones, of course, 08:39 we hear of gallstones you can... 08:41 other parts of the body, it gets stuck in a tube 08:44 and the tube can't get the material 08:46 that supposed to move to that tube through it, 08:48 whether that be there's the bile ducts 08:51 or whether it'd be ureters 08:52 and that eventually causes a problem. 08:54 But lots of tubes in the body can get clogged up. 08:58 And they usually get passed through? 08:59 Well, sometimes they pass, sometimes it's too large, 09:02 and they can't pass through. 09:03 Okay. 09:05 So of those are probably some of the two most 09:06 common causes of pain in this part of the body, 09:08 then there is the pain when we have relations. 09:11 Okay, and that gives dyspareunia, 09:14 painful intercourse. 09:16 In a female probably the most common cause of that pain is 09:20 atrophy of that vaginal area. 09:23 Okay. 09:24 And that's usually caused by a lack of estrogen. 09:27 Okay. 09:28 And if this is happening sometimes, 09:29 an estrogen cream can be very helpful. 09:32 Another part that can cause pain on relations 09:36 is vaginitis or infections, and that can present as a pain 09:39 that's inflammatory, itchy, burning 09:43 and a very common infection in that area is Candida. 09:46 Candida is a very common infection, 09:48 so if a females having pain with relations, 09:52 the first thing they want to do is see their doctor, 09:54 and their doctor will evaluate 09:55 to see if they might be lacking estrogen, 09:57 or there's some other type of infectious processes 10:00 going on that might be contributing to that pain. 10:03 Men can also have pain as well, 10:05 and the same process would go on. 10:07 You make sure there is not an infection, 10:08 make sure there's no... 10:10 the tissue is not doing well, and that can help quite a bit. 10:14 Now one pain that we have to talk about 10:16 in the urogenital area is dysmenorrhea 10:19 that's pain during the menstrual cycle. 10:21 Okay. 10:22 Unfortunately this is the major issue. Okay. 10:25 In fact in women that are menstruating 10:27 10% of the time they describe that pain is incapacitating, 10:32 they can't even function 10:34 and unfortunately 80% of the time 10:36 when they're evaluated by their gynecologist, 10:39 80% of time there's no pathology, 10:42 we don't know why. 10:43 Just happens... It just happens... 10:45 And understood cause. 10:46 Yeah, but a couple things that are reassuring 10:48 usually it lessens after pregnancies, 10:50 it seems it go away overtime and if it gets really bad, 10:55 there's some medicines that can help it. 10:57 And what happens is that the chemistry of the body, 11:00 you have a process called myometrium 11:03 that's where the muscles don't work as well. 11:05 And the contractions caused by increased prostaglandins 11:10 in the body during this whole process, 11:11 so sometimes just blocking prostaglandins, 11:14 help on this dysmenorrhea or painful period cycle 11:18 and the thing that helps with that 11:20 probably the most as anything that blocks prostaglandin. 11:23 And non-steroidals or medicines, 11:27 Advil and Motrin that block prostaglandins, 11:29 that might help him a lot. 11:32 Now tell me again what is prostaglandin, 11:34 is this a... 11:35 Yeah, it's a chemical that the body makes 11:37 and we know that it's increased, 11:40 increased prostaglandins 11:41 cause the muscles to cramp more. 11:43 Okay. 11:44 Some reasons the women make more prostaglandins 11:47 during their periods, the hormonal changes, 11:50 but the good news is, 11:51 it seems to get better after pregnancy. 11:54 And we have to talk about it, because 10% is incapacitating 11:57 and if you're out there and having this problem, 11:59 go and see your gynecologist, you're not alone. 12:02 A lot of people have this problem 12:04 that needs to be looked at. 12:06 Well, men also have infections too. 12:08 That was going to be my next question. 12:10 Yeah and prostatitis, infections of the prostate 12:13 are probably the most common. 12:15 Usually in older men, the prostate gets bigger, 12:19 we can tell what happens because it hurts 12:20 when you go to the bathroom. 12:22 Okay. 12:23 When it's examined, the prostate feels big, 12:25 it feels warm, it's hurting when you're touching. 12:28 And usually when they look at their urine, 12:31 and they have a urine infection, 12:33 they have a fever, 12:34 it's interesting because heavier set men 12:37 have more problems with this 12:38 because same like fat increases 12:40 the different hormonal environments, 12:42 and a lot of people, as you gain weight, 12:44 you become more estrogenic, man has more estrogen in them 12:47 than more fat they have in them. 12:49 The more estrogen have in them and guess what it turns down, 12:51 testosterone. 12:53 Right. 12:54 So one of the treatments for men 12:55 that have lots infection is to lose weight, 12:58 so that's just sort of an overview Nick, 13:01 of many of the causes of urogenital pain. 13:04 The reason we have to talk about it is because 13:06 if you're having this symptom, 13:07 then you need to get it evaluated. 13:09 That's right. 13:10 And then we talked about infections, 13:12 urinary tract infections on reproductive type infections 13:16 and the gynecologists and urologists 13:18 can help you through this and maybe give you some tips 13:21 'cause chronic pain, Nick, is not good. 13:23 That's right. 13:25 Because chronic pain causes chemicals in the body, 13:27 hurts us, damages long-term and creates... 13:30 damage our immune system, 13:31 it makes us unpleasant to be with, 13:33 when you're in chronic pain. 13:35 And there's some simple things that we can do, 13:37 medical profession can help you get over the hump 13:39 and also guide you at the cause of pain, 13:42 so maybe you cannot have it anymore. 13:44 Right. 13:45 Well, Dr. Marcum, thank you for 13:47 getting us started on this topic, 13:48 like it's a difficult one to talk about for some folks, 13:49 but we thank you for the advice so far. 13:51 We're gonna be back in just a moment. 13:53 People were written into our website at 13:55 heartwiseministries.org. 13:56 And we invite you to visit the website, 13:58 where you can ask your health questions. 14:00 And Dr. Marcum will be back in just a moment 14:02 to answer some of those, so stay with us. |
Revised 2016-12-31