Q: Good day doctor. I had tears about 8 weeks ago. I feel pains whenever I pee
A: Congratulations on your new baby!
For any one who had an episiotomy (a surgical tear to help ease the passage of the baby), you probably froze in shock at the pain you felt when you first tried to sit down, right? Well, I did! It was just plain excruciating to attempt to sit, much less, adjust yourself to a more comfortable sitting position. Then, do you remember the first time after that when you tried to pass gas or urinate, as in the case here? It was sheer agony! Agony that melts away as you behold the bundle of joy that was a result of that process 😀 Now, if you haven’t had your baby yet, this may sound very scary, but there’s a solution for this pain.
Ever heard of a Sitz bath? It’s a warm water bath that helps cleanse the perineum. Just in case you wondered, the perineum is that space between the rectum and the genitals. The right temperature of water is the one that you can handle without sustaining burns. Putting a few drops of this water on the inner surface of your wrist can help confirm this.
Plain warm water is sufficient but some people add salt to the water which is soothing. Your doctor may also suggest other things he/she may want you to add to the water.
To prepare this, you can either use the plastic Sitz bath kit, (a special bowl specificallymade for this whichfits on your toilet seat so you can sit down easily on it), or your bath tub. Be sure to thoroughly scrub your plastic Sitz bath kit or bath tub before and after use. If using the bath tub, add sufficient warm water to sit on and then get in. To get the job done properly, you can try hanging your legs out of the tub. Usually, you are encouraged to sit for 10 to 15 minutes on the water. Pat the perineal area dry after you’re done. Do not rub vigorously…remember the area is sore and if you’ve had stitches, it could mess things up. This can be repeated up to 3 to 4 times daily as needed.
To ensure that the episotomy site heals well, use prescribed pain medication, avoid sitting on hard surfaces. Try using a pillow ( a regular or circular one/boppy pillow). Avoid constipation and indeed diarrhea and try placing a pad over the suture area while bearing down to poop. Urinating presents a challenge as pain is experienced during this process. Try using water to rinse off afterwards, preferably using a squirt bottle.
Eat healthy, keep the surgery site as clean as possible and enjoy your time with your baby. This too shall pass. Be sure to let your doctor know if you have concerns.
Have a good night y’all 😀