How do I manage persistent vaginal pain after episiotomy?

Question

Hi doctor,

I had a normal delivery three months ago and underwent an episiotomy. I am experiencing contraction-like pain when applying pressure to my vaginal area. I have been dealing with constipation. For the past few days, I have been feeling constant pain in the vaginal region. However, I have not noticed any unusual discharge or pain while passing urine. I am still experiencing constipation and need to apply extra pressure during bowel movements. The pain feels like a shooting sensation and is persistent.

I would like to know whether it is normal to experience this level of pain three months after delivery, or if there could be an underlying cause for this discomfort. Should I consult a doctor, or is it advisable to wait a few more days?

Kindly advise.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

I am very sorry to hear about your medical condition, and I am glad that you are paying attention to the changes in your body. Please do not worry; I am here to take care of you.

Based on your symptoms, I believe you may have developed postpartum vaginal pain due to a scar that formed after the episiotomy. This scar might be compressing both the vaginal and rectal areas, causing pain and contributing to constipation. Additionally, I suspect that your baby may have been large enough to cause compression of the intestines within the pelvis, as well as the bladder and cervix, which could explain the symptoms you are experiencing.

I strongly advise you to visit a gynecologist so that they can examine the area and assess whether the episiotomy scar can be managed or reduced. In the meantime, please take the following medications to help with constipation and pain:

Syrup Liquid Paraffin, 20 milliliters orally, twice daily for one week (to relieve constipation).
Celecoxib, 200 milligrams, two tablets twice daily for one week (to relieve pain).

Please feel free to contact me if you have any further concerns or questions. You can schedule a direct appointment or follow up via chat, phone, or video consultation.

I hope this helps you.

Thank you.