How many days does the perineum hurt after childbirth. Pain after childbirth: what, where and why it hurts

The perineum is the area between the vagina and the anus. During natural delivery, there is a lot of pressure and load on it, because it stretches so much that the baby's head can pass through the hole. Sometimes its diameter increases by 15 times. Due to the fact that the tissues are so stretched, women in labor feel pain in the perineum after childbirth.

In this article, we will talk about how to cope with discomfort, what dangers can be, and how long the heaviness in the vaginal area lasts.

Girls who have not had incisions are very surprised when they feel heaviness and discomfort in the vulva area. And ask logical questions about. If the process of resolution of the burden passed without additional intervention of doctors, then the muscles of the vulva pull about 7-8 days after the birth of the baby. This is a normal recovery process when your body returns to its previous forms. The pain is like pain from a bruise.

Sometimes there may be swelling on the labia majora and even a slight bluing.

Also, if a woman has little fatty tissue in the genital area, it may seem to her that after giving birth, the bones between the legs hurt. But do not be afraid: just a bruise is given to the surrounding areas.

In order to alleviate suffering, you need:

• On the first day after discharge from the hospital, provide yourself with bed rest. The most correct position in this case will be “in the pose of a star”: the girl should lie without pants and underwear on the bed on a special hygienic diaper, legs apart so that the wounded area is ventilated. This will ensure a speedy recovery.
• Do not touch the sore spot, wash yourself as carefully as possible by directing a warm (in no case hot) jet of water to the bruised area.
• (they are cotton without fragrances and relief). You need to change every 2-3 hours in order to avoid debate.
• Do not use toilet paper - gently rinse with warm water.
• You can put a pack of sanitary pads in the freezer for a while. Then the gasket will give off cold and the discomfort will subside.
• If you feel discomfort when sitting, buy a special orthopedic pillow and put it under your buttocks.
• You can take baths with a decoction of chamomile. 5-10 minutes in warm water with healing herbs in the morning and evening will greatly reduce your suffering.
• The first 3 days you can drink ibuprofen (with the permission of a doctor).
• If the discomfort does not go away for more than 10 days, you need to visit a doctor. He will conduct an examination and if he does not find any pathology, he will prescribe you an anesthetic or a special cooling gel.

Cuts, tears and stitches

Natural resolution does not always go smoothly: often the fetus is too large, and the woman's pelvis is not adapted to such expansion. In order not to injure the child and not cause unnecessary pain to the mother, the obstetrician makes an incision, expanding the exit so that the head crawls through without problems.

The incision is made to avoid tearing, as smooth tissue is easier to stitch than a laceration, heals faster, and is less likely to bleed. This area is then sutured with non-absorbable sutures. In fact, this is a mini-operation. Answering the question about how long does the perineum hurt after childbirth, we can say that if you have such stitches, within 3-4 weeks you will feel pain after childbirth vaginal area.

Also, internal stitches will give you discomfort if tears occur during the birth process and the doctor has to sew up mini-wounds on the cervix or in the womb. Such scars heal quickly, and the threads are then completely absorbed by the body or come out in pieces through the vulva. Such seams bring a woman less trouble and pain between legs after childbirth much less. By intensity and time - up to 21 days.

How to care for a seam

First of all, hygiene is important during care, because the danger of scarring is that pus can go or an infection can penetrate. And infection of the vulva is dangerous because the virus can go further into the uterus and cause. Therefore, here are the basic rules for caring for a seam:

• Wash the scar 2 times a day with warm water and antibacterial soap.
• Wear special pads in order to avoid debate and not provoke itching in the perineum.
• Rinse with warm water after every visit to the toilet.
• In the first three days, in the morning and in the evening, treat the scar with an antiseptic. Suitable peroxide, Miramistin or any other substances that do not cause burning and irritation.
• If the seam is at a break in the bosom, you can treat it with cotton wool completely soaked in a disinfectant.

You should immediately contact your attending gynecologist if you notice:

1. An increase in temperature that is not due to any obvious external factors.
2. Profuse discharge of pus.
3. Unpleasant yellow-green discharge from the womb, which has a bad smell of putrefaction.
4. Increased edema and swelling.
5. Divergence of the edges of the wound.

Procrastination and self-treatment in such situations can cost you too much.

How to ease the pain

Regardless of whether how long does the perineum hurt after childbirth, a sewn place brings a lot of suffering to a woman. If you unquestioningly follow basic hygiene requirements, you can speed up wound healing and prevent complications.

But how to reduce discomfort during the recovery period, because you cannot drink strong painkillers, but it is necessary to lead an active lifestyle with a newborn.

Here are the main tips:

• On the first day, you can apply a special bag with a chilled gel or a cool towel to the wounded area. This will relieve swelling and reduce the sensitivity of your nerve endings for a while.
• When the surgeon makes a large incision and puts more than 3 stitches, the woman in labor is usually prescribed pain medication. Women who are breastfeeding are allowed Ibuprofen and Paracetamol, they do not contain any substances harmful to the baby, unlike Aspirin or preparations based on it. Women who are not lactating or who for some reason have refused breastfeeding can drink any strong drugs.
• Do not sit or stand for more than half an hour. If you can't lie down (if you're cooking or ironing), change your position from standing to sitting and vice versa every 20 minutes. Whenever possible, lie down. It is also better to feed the baby lying down.
• Do not sit directly on the buttocks, try to sit sideways in order not to put pressure on the scar.
• Ventilate the wound often.
• Try to avoid constipation. As you push, you may inadvertently break the threads. Balance your diet and, if there are any problems,.

Listen to your body, don't self-medicate if something goes wrong, and enjoy the joys of motherhood.

During natural childbirth, if the child is large, or comes out in a non-standard way, for example, the booty forward, ruptures of the birth canal, perineum may occur. In some cases, the doctors themselves make a small incision in the perineum during childbirth, if otherwise the child cannot be born. Immediately after childbirth, such incisions are sutured. They add additional discomfort and pain after childbirth, and stitches on the perineum are a separate story that needs to be experienced.

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On the cervix, such sutures can be applied without anesthesia: its sensitivity in the postpartum period is reduced, but on the perineum without anesthesia it will be difficult to do. In this case, local anesthesia is used. But if epidural anesthesia was used during childbirth, it works for a long time, and there is no need for additional anesthesia when suturing. Stitches after childbirth can be placed on the cervix, vagina, perineum. But it is in the latter case that the most severe discomfort and pain can be felt.

How long does it take for wounds to heal after stitches during childbirth, and can this process be accelerated? In general, everything is individual, it immediately depends on many factors, and last but not least, on the correct observance of the patient's precautionary measures. Some heal faster, others slower. The healing rate is also affected by their localization, the type of surgical threads that were used in this case. As a rule, catgut is used for internal sutures, which dissolves on its own. In this case, everything heals in an average of 2 weeks. If surgical threads are used that do not dissolve, for example, nylon, they are removed on the 5-6th day after application. And the healing process itself can take from 2 to 4 weeks, and in some cases even longer.

Almost all "affected" women in labor are concerned about the question: how to quickly heal the stitches after childbirth? The healing rate also depends on the patient herself, on whether she follows all the rules for caring for the injured area, precautions so as not to infect, not to re-injure these areas. All this should be reported to her at the hospital.

If microbes get on post-healing wounds, inflammation and suppuration may occur, which will significantly prolong the healing period.

Why stitches hurt

This is normal, because there was a gap. After the anesthesia wears off, the stitches may start to hurt. The fact is that most young mothers breastfeed their children, so painkillers are contraindicated for them. The doctor may prescribe drugs with local action in order to somehow alleviate the patient's plight. However, if everything is in order, there are no complications, and the woman follows all the rules, the pain should pass very soon. After suturing in the first week, you can not sit normally. This must be done with care and give a load to the buttock, which is located on the opposite side of the seam. You can sit on the toilet almost immediately, but do not linger on it for too long and do not push hard.

You need to make sure that everything is in order with them, they are not infected, they are not festering. Otherwise, if this still happens, you should consult a doctor. He will most likely prescribe special antiseptic drugs. The stitches can hurt due to the fact that the woman sits for a long time, which is undesirable in the first 2 weeks after childbirth. You can take a reclining position, or lie on your side.

Often they can hurt during a bowel movement. For this reason, a woman should avoid constipation. To do this, she must monitor her diet, take, if necessary, permitted laxatives.

If the pain is severe, accompanied by itching, redness, suppuration, you should immediately consult a doctor to prevent the development of more serious complications.

Sometimes even a year later, the stitches after childbirth make themselves felt, especially when they are under additional load.

How to care for postpartum stitches

There is nothing particularly difficult. After each visit to the toilet, a woman must be sure to wash herself. The procedure must be repeated 2 times a day using warm water. For now, you should forget about thongs and other fashionable slimming underwear. It should be free, comfortable, made of natural, high-quality materials. Sitting, with the exception of the toilet when visiting the toilet, should be started only after 2 weeks and do it gradually, very gently, without sudden movements, so that it does not hurt and the seams do not open.

Also, women are prohibited from any physical activity, lifting, and carrying heavy loads; sex will also need to be abandoned for 1-1.5 months. Many women, for the sake of their sexual partner, only in order not to upset him, neglect this rule, making it worse only for themselves. But it is worth remembering that an understanding man will not insist on intimacy.

What to do if the seam has come apart

If the seam has come apart, you should not do anything on your own. It is necessary to call a doctor at home, if possible, or an ambulance. Usually, repeated stitching is performed. If the wound has already healed, the doctor can simply prescribe special preparations (vaginal suppositories, ointments) with a wound healing effect.

The doctor usually, even when suturing, tells when exactly the woman will need to come to him to remove the threads. If everything is in order, no complications or other problems arose during the healing process, the sutures are removed exactly after the period indicated by him.

The process itself is relatively painless. As a rule, internal catgut sutures are not removed, they dissolve on their own. Other types of surgical threads are also removed relatively painlessly. Although, it all depends on the pain threshold of each individual woman. In the vast majority of cases, anesthesia is not required. The woman feels a slight tingling, burning sensation. If the woman is in pain, the doctor may use a local anesthetic to make it easier for her to endure the procedure. After removing the stitches, you should also continue to carefully monitor intimate hygiene, avoid strong physical exertion until the wounds are completely healed and healed.

How long does the external seams heal after childbirth, how does the recovery period go on the video:

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It seems to a pregnant woman that childbirth is the final stage, after which the discomfort caused by her current condition will disappear. However, 9 months of bearing a child cannot pass without a trace, and sometimes even after a trouble-free pregnancy, unpleasant sensations appear in the female body. One of the reasons for this may be pubic symphysitis in the postpartum period.

What is symphysis

The symphysis is a cartilaginous or fibrous transitional connection between the bones of the skeleton. The pubic symphysis, or, in other words, the pubic joint, is a semi-joint with little mobility. Normally, it is in a fixed state, but during pregnancy it softens to facilitate the passage of the fetus through the mother's pelvic ring, and the increased pressure on it can lead to excessive mobility and inflammation.
Normally, the pubic articulation is a single whole, with symphysitis, the bones diverge

Why does the pubic bone hurt after childbirth

There is no clear answer why this disease occurs. It may be the result of problems such as:

• increased production of the hormone relaxin, which is responsible for softening the ligaments of the pelvic bones and opening the cervix;
• lack of calcium in the mother's body;
• multiple births;
• traumatic childbirth - the imposition of forceps, excessive dilution of the hips during childbirth, rapid childbirth;
• large (over 4 kg) fruit;
• inactive lifestyle;
• development of symphysitis in previous pregnancies;
• natural childbirth with the first or second degree of symphysitis during pregnancy.

Symptoms of the disease

The most common symptoms of symphysitis:

• pain localized in the region of the pubic joint, pubis, lower abdomen;
• pain in the areas adjacent to the pubis - lower back, perineum, hips, back;
• pain during movement - bending, turning, climbing stairs, getting up from a chair, lifting legs;
• swelling of the pubic region;
• pain when lifting straight legs in a supine position;
• sounds when probing the junction of the pubic bones - clicks, crackling, grinding;
• clicking sounds when walking
• specific "duck" gait;
• problems and difficulties in the act of defecation.

Symptoms can occur both immediately after childbirth, and within a day after. If measures are not taken in time, the disease will progress, the pain will intensify, the discrepancy between the bones will increase.

Diagnostics

In the postpartum period, various methods can be used to diagnose the condition of the pubic joint. Usually use:

• ultrasound procedure;
• magnetic resonance therapy, which allows you to assess not only the condition of the bones, but also the soft tissues around;
• differential studies - the symptoms of symphysitis are similar to some other diseases, such as, for example, inguinal hernia, urethritis, nerve compression, for a correct diagnosis, you should make sure that they are absent.

Symphysitis treatment

Three degrees of symphysitis are divided depending on the divergence of the bones of the pubic joint:

• first degree - 5–9 mm;
• second degree - up to 20 mm;
• third degree - over 20 mm.

The first degree of postpartum symphysitis usually does not require medical intervention. Pain and discomfort disappear with a decrease in load or rest. Often, women do not even suspect that something is wrong with the body, attributing discomfort to the consequences of childbirth. Under favorable circumstances (small loads, enough vitamins and minerals, a healthy lifestyle), the first degree can pass on its own.

In the second degree, the pain becomes more pronounced, swelling of the pubis and heaviness in the lower abdomen appear.

The third degree is characterized by almost constant pain, pronounced swelling and clicks during palpation of the womb.

The second and third degrees of symphysitis can lead to a woman's disability, therefore they are subject to mandatory monitoring and treatment. When the first signs of the disease appear, you should contact an obstetrician-gynecologist who will diagnose and prescribe the appropriate treatment.

There are several treatments for symphysitis, depending on its severity. Medicines are used to alleviate the condition of a woman. It should be borne in mind that this only relieves the pain syndrome, fights the effect, and not the cause.

Pain reduction

No-shpa, Baralgin, Paracetamol are effective pills that should be taken only in exceptional cases (for example, if the pain is too strong, or if a woman has to spend a long time on her feet) to avoid addiction and not to blur the picture of the disease. It should be remembered that all drugs have contraindications and side effects, you should consult your doctor before use.

Table: comparison of the most famous and common medicines

Decreased swelling of the pubis

Indomethacin, Indovazin, Diclofenac and other non-steroidal anti-inflammatory ointments with three main therapeutic effects - anti-inflammatory, antipyretic and analgesic. In the list of contraindications for some of them is lactation, so their use should also be agreed with the doctor.

Table: comparison of ointments against edema and inflammation

Photo gallery of painkillers

No-shpa is one of the most commonly used antispasmodics Paracetamol is an analgesic that is allowed during lactation Indomethacin is an ointment to relieve swelling

Other medicines

Preparations enriched with calcium, magnesium, B vitamins, allow you to fill the body's need for them, if the cause of symphysitis is precisely in the deficiency of the necessary elements. What can be taken:

• multivitamin preparations - containing in one volume all the necessary vitamins and minerals. Examples of such complexes are Ortho Calcium + Magnesium, Vitrum Osteomag, Calcium D3 Nycomed. Also suitable are multivitamin complexes intended for pregnant and lactating mothers - Elevit, Vitrum Prenatal, Pregnavit.
• monovitamin - containing only one element. Monopreparations allow you to choose the right combination of vitamins in the required amount, in addition, they are suitable in case of individual intolerance to any components of multivitamins.

Photo gallery of medications

Multivitamin complexes make it possible to compensate for the deficiency of several vitamins and microelements at once Monopreparations contain only one useful element
Vitamin complexes for pregnant and lactating women meet the needs of the body of women who have given birth in vitamins and trace elements

Proper Diet

Instead of vitamin complexes, you can choose the right diet that fully satisfies the body's needs for vitamins and trace elements.

• Foods rich in calcium (mg / 100g) - sesame and poppy seeds (1100–1400), processed cheese - 500, sea fish - 350.
• Magnesium-containing products (mg / 100g) - seaweed (800), wheat bran (586), cocoa (420).
• Foods with B vitamins - beef liver, chicken, eggs and dairy products

Photo gallery of useful products

Calcium forms bone tissue Magnesium is responsible for muscle relaxation B vitamins normalize the activity of the nervous system

Physiotherapy

This subsection includes several techniques, including both medical procedures and various gymnastics:

• massage - reduction of puffiness, restoration of the anatomical position of the bones;
• electrophoresis - local saturation of the body with the necessary active substances (for example, calcium and magnesium);
• magnetotherapy - the impact of a low-frequency magnetic field on the area of ​​​​the pubic symphysis;
• therapeutic exercises - physical activity with symphysitis should be as limited as possible, however, special exercises, on the contrary, are recommended for implementation - they can reduce swelling, strengthen ligaments, restore the position of bones, increase muscle tone. A set of exercises is selected with the help of a doctor on an individual basis. Basic exercises:
  • "Cat" - standing on all fours, arch your back up, lowering your head down and straining your abdominal muscles, stay in this position for 5 seconds, then return to its original position; repeat 3-5 times;
  • lying on your back, bend your legs so that the feet are as close to the buttocks as possible; slowly spread your knees, lowering them as low as possible, return to their original position; repeat 5-10 times;
  • lying on your back, put your legs so that the lower leg and thighs are at a right angle; slowly raise the pelvis until a straight line with the body is obtained, slowly lower; repeat 6-10 times
• breathing exercises - relaxation of muscles, improvement of blood supply to internal organs and tissues.

Photo gallery of therapeutic gymnastics exercises

Lying on your back, spread your legs bent at the knees Standing on all fours, arch your back up Lying on your back with bent legs, raise your pelvis up

Mode change

In order for the pubic joint to be at rest, a woman is prescribed bed or semi-bed rest, the load is reduced. This allows you to speed up the healing of the symphysis, and sometimes enough for recovery.

Auxiliary and corrective means

A cane, crutches, or walker can help reduce stress, and a brace helps return the bones to their original position.

The greatest success is the complex application of methods under the supervision of a doctor.

In this article:

Many future mothers, preparing for childbirth, try to foresee everything. Some go to special courses to prepare for the upcoming event, others surf the information spaces of Internet resources. But all these actions are dedicated specifically to the process of childbirth, and most people forget the nuances that occur with a woman's body after childbirth.

After going through a grueling birth process, women in labor can suffer from various types of pain after childbirth. It all depends on which muscle group was under the main load during childbirth.

Pain in the perineum

The most common postpartum pain is pain felt in the perineum. Absolutely all newly-made mothers note that after childbirth it hurts between the legs. This is due to the stretching of the tissues of the perineum after childbirth, caused by the passage through them of a child weighing 2.5 kg or more. Especially if an episiotomy was used at birth or spontaneous tissue rupture occurred. In this case, after such a birth, the perineum hurts much longer, in contrast to the healing process of intact tissues.

You can relieve yourself of pain in the perineum by performing special exercises that are recommended to be done a couple of weeks after giving birth. And also requires careful hygienic care and cleanliness of the perineum.

Sudden and frequent headaches

Some women complain of frequent headaches after childbirth. Their nature may be different. Most often, the head can hurt after childbirth due to the strong overstrain of the woman in labor during contractions and attempts, or from constant holding of the breath during pain during contractions.

These pains can later be prevented if you constantly train proper breathing throughout the pregnancy. Then the process of childbearing can be a little easier.

Sudden and frequent headaches that occur after childbirth may also be due to the use of drugs: epidural anesthesia or general anesthesia. They are prescribed for medical reasons in the process of the birth of a child.

Complaints that the head hurts after childbirth, as a rule, should disappear within a month, otherwise you should consult a doctor for a more detailed study of the causes of its occurrence.

Problems with the gastrointestinal tract and pain in the lower abdomen

A common type of pain after childbirth is abdominal pain. This is due to a sharp change in nutrition, especially after a caesarean section. Stomach pain after childbirth can be due to the accumulation of gases. Many women may complain that their left side hurts after giving birth. During the first few days after delivery, such pain is due to the fact that the abdominal organs come to their usual location. During growth, the size of the uterus squeezed and displaced the stomach and intestines. After the expulsion of the fetus, the space previously occupied by the uterus is sharply reduced.

Problems with constipation can join the pain in the stomach. They also occur in women who have been operated on, and in those who have given birth naturally. Stool retention should not exceed 2-3 days. Otherwise, it is necessary to help the body with medicines, an enema, or an increase in the consumption of plant foods.

In the first few days after childbirth, pain occurs when urinating. This is due to the hard work of the muscles during the birth of a child. The tissues of the urinary canal are stretched, swelling of the tissues occurs, which presses on the urethra. Therefore, even though it is painful for a woman to write after childbirth, it is necessary to empty the bladder as quickly as possible. In the event that she is unable to do this on her own, she is excreted with urine using a catheter.

Pain in the coccyx and pubic part of the pelvis

Pain in the coccyx is a normal reaction of the body of a woman who has just given birth only if they last no more than three weeks. Otherwise, it may be signs of a birth injury, a lack of calcium, or a urinary tract infection. However, the most common cause of such pain is a pinched sciatic nerve. In this case, it is necessary to consult a neurologist and an orthopedist.

Some women may complain that all the bones of the pelvis hurt after childbirth, and especially the pubis. At the same time, pain in the hip joint after a long process of childbirth is the subject of the norm, because. during pregnancy, they were actively prepared, gradually expanding so that the fetus could successfully pass through them. And it is quite natural that after childbirth they return to their usual position, accompanied by painful aching sensations. If a woman complains of pain in the pubis for a long time, then this indicates that the interpubic cartilage was subject to severe stretching. Doctors call it inflammation of the pubic symphysis. With these symptoms, consultation with a specialist is required.

Pain in the back and lower back

During the recovery period after childbirth, the most common complaint of new mothers is back pain. These symptoms subside on their own within a few weeks. You can alleviate them with the help of massage and applying heating pads, taking warm short baths.

If the lower back hurts for a long time after childbirth, then you should immediately consult a doctor, because. it could be a sign of a spinal injury.

Video about how a woman feels after giving birth

Childbirth is the most important work in a woman's life. In this process, the expectant mother needs to skillfully combine moral and physical forces so that everything is fine. When contractions begin, a woman experiences severe pain and stress. After some time, when the child is directly born, the woman also has a hard time. In most cases, there are gaps and cracks in the perineum, which then heal for a long time and hurt a lot. Let's find out when the pain after childbirth goes away?

What hurts most often after childbirth?

Gynecologists note that, as a rule, young mothers complain of pain in the perineum after childbirth. Since, no matter how a woman prepares for childbirth, or follows all the necessary recommendations, it is very rare that a baby is born, and the woman in labor has absolutely no tears or cracks. These are often the wounds that hurt the most. In addition, in the first days after the appearance of the crumbs, a woman feels discomfort in the perineal area, it seems to her that the unpleasant painful sensations in this part will never go away. But this is not so, every day the pain will fade away. Meanwhile, of course, it is necessary to wait until the wounds heal. This process can take at least one and a half to two months.

Many women after childbirth complain that they have back and lower back pain. There is nothing surprising in this. During pregnancy, the spine and back muscles were subjected to a powerful load and changes as the fetus grew. As a result, after childbirth, the young mother experiences pain. This pain passes gradually, but it takes at least six months. In addition, the painful condition can be aggravated, since the woman has to carry the baby in her arms, sometimes for several hours a day, at least. Therefore, if the pain after childbirth in the back and lower back did not go away after two or three months, but only worsened, then it is necessary to consult a doctor. A woman may need to undergo a course of massage or physiotherapy, which produce an analgesic effect, and which can be used during lactation.

Also, women in labor often complain of pain in the lower abdomen. These unpleasant sensations are associated with contraction of the uterus, since this organ in the female body undergoes the greatest changes during childbirth. In the first days after childbirth, the uterus contracts strongly, especially when the baby suckles the breast, and the pain is sometimes as strong as during contractions. But it quickly passes, and literally after 5 days such unpleasant sensations no longer bother the young mother.

How to help the body so as not to suffer pain?

In the first weeks after childbirth, many women feel that their whole body aches and hurts. This is due to the fact that during childbirth, the body of the woman in labor experienced a huge load on all organs and muscles of the body. And now it just takes a few weeks or even months (depending on how the birth went) for the body to recover.

Thus, in order to get rid of various types of pain after childbirth, a young mother needs to take good care of her health. Despite the numerous worries about the baby, you should make time for yourself. Do not forget that if a woman in labor had tears and cracks in the perineum, then the first week you can not sit on a chair, you can only lie or sit in a “reclining” state. After a week, you can already sit down gently. A young mother is obliged to rest more when the baby is sleeping, not to lift weights, not to carry a stroller, not to move sharply. Also, a woman needs to carefully monitor her diet so that there is no constipation. Since during the trip to the toilet "by and large", in case of constipation, you will have to push, and such muscle tension will also lead to pain.

In addition, the mother needs to fully eat so that the body recovers more quickly after childbirth, and monitor her psychological state. Experts also do not recommend "getting hung up" on your painful condition and not forgetting that all pains will gradually pass. We focus your attention on the fact that if the pain is too strong and torments you daily, then you need to seek help from a doctor who will advise what needs to be done to reduce the pain.

Specially for- Tatyana Argamakova