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Urinary tract infection in pediatric patients is a significant clinical issue, affecting approximately 7% of fevered infants and children. [43] If left untreated, the infection can ascend from the bladder to the kidneys, resulting in acute pyelonephritis, which leads to hypertension , kidney scarring , and end-stage kidney disease .
Lower urinary tract infections may involve the bladder (cystitis) or urethra while upper urinary tract infections affect the kidney (pyelonephritis). [10] Symptoms from a lower urinary tract infection include suprapubic pain, painful urination ( dysuria ), frequency and urgency of urination despite having an empty bladder. [ 1 ]
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is characterized by pelvic or perineal pain without evidence of urinary tract infection, [8] lasting longer than 3 months, [9] as the key symptom. Symptoms may wax and wane. Pain can range from mild to debilitating. Pain may radiate to the back and rectum, making sitting uncomfortable.
624 Noninflammatory disorders of vulva and perineum. 624.1 Atrophy, vulva; 625 Pain and other symptoms associated with female genital organs. 625.0 Dyspareunia; 625.1 Vaginismus; 625.2 Mittelschmerz; 625.3 Dysmenorrhea; 625.4 Premenstrual tension syndrome; 625.5 Pelvic congestion syndrome; 625.6 Incontinence, stress, female; 625.7 Vulvodynia
Pelvic pain is a general term that may have many causes, listed below. The subcategorical term urologic chronic pelvic pain syndrome (UCPPS) is an umbrella term adopted for use in research into urologic pain syndromes associated with the male and female pelvis. [9]
Phenazopyridine can cause headaches, upset stomach (especially when not taken with food), or dizziness. Less frequently it can cause a noticeable yellowish pigment change in the skin or eyes. This is due to a depressed excretion via the kidneys causing a buildup of the medication in the skin, and normally indicates a need to discontinue usage. [4]
Abdominal pain can be related to conditions related to reproductive and urinary tissues and organs. Those with pain in the genital and pelvic regions can have dysfunctional voiding or defecation. Pain in this region of the body can be associated with anxiety, depression and other psycho-social factors.
It can also be used for pain relief from episiotomy or perineal lacerations [6] [8] Pudendal anesthesia is used during operative vaginal delivery which includes the use of forceps. [7] It is best used in addition to epidural anesthesia because the pudendal nerve block alone is not usually sufficient to treat the pain. [ 7 ]
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