Welcome back to the programme,
I'm your host Nick Evenson,
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and on the
Ultimate Prescription today,
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we're discussing pain
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that happens in
the urogenital areas,
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which is a difficult topic.
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And if you want to
get some information
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or ask us questions,
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we want you to visit our website
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at HeartwiseMinistries.org.
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There's a lot of
health resources there,
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and it also links
back to previous radio
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and television programs
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and they're just a lot of
good health resources there.
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So reach out to us
through the website
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if you have questions
and, Dr. Marcum, thank you
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for discussing this with
us, it's not an easy topic.
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Yeah, yeah, no.
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And gynecological
specialists are the ones
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that really have this knowledge.
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And we have several
of them work with us.
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And if they send their
questions to the website,
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we'll make sure
we get it answered.
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But I find it
very difficult for men.
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Men don't like to
talk about these things
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'cause they're proud,
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they have a lot of
reasons that they avoid it.
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And usually these problems
are not life threatening,
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but they can be
incapacitating in other ways.
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And so it's important
that we talk about it today,
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and there's been
quite a few questions,
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so let's try to
answer them the best we can.
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All right.
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Well, our first
viewer writes in and asks,
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"Why is pelvic inflammatory
disease so serious?"
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And what is pelvic
inflammatory disease?
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Let's describe that a
little bit, it's, you know,
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really not the
pelvis that's inflamed,
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but you have tubes,
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a female has tubes that
connect with the ovaries, okay,
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where they make an egg,
it travels down that ovary,
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it leaves the ovaries
and it travels down a tube
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called the fallopian tube.
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Right.
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And then it heads out
towards the uterus, okay.
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Well, different
pelvic inflammatory,
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different conditions can
cause inflammation of this area.
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Okay. Okay?
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And inflammation
is as we've learned
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in other parts of the body,
inflammation can cause pain.
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Right.
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Inflammation immune
cells come to this area
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can cause pain
and also can cause
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disruption in normal function.
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Okay. Okay.
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And there's certain things
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can cause inflammation
in this part of the body.
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Some women, as a
reproductive, for pregnancies,
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they use IUDs and sometimes IUDs
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can cause inflammation,
of course, infections.
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Especially the
sexually transmitted
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diseases of
Gonorrhea, Chlamydia,
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those can cause that.
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There's conditions we have
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chronic
inflammation endometriosis,
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some people have heard of that.
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Some chronic
infections can cause this.
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It has a lot of pelvic pain.
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You might diagnose this
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because when they
examine this area,
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there's lot of
tenderness in this area.
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It might hurt
when you have relations
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in this area.
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And one of the big reasons
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why I think we
need to bring it up is
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'cause people with
pelvic inflammatory disease,
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they have increased
risk of Ectopic Pregnancies.
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Okay.
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Okay, because when
the egg is fertilized,
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you know, it can't move
through the tubes as well.
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Right.
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So it can't get to the,
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so they have
ectopic pregnancies,
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that can be very dangerous.
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And so, that's, you know,
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they say if you have
pelvic inflammatory disease,
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the chance of an
ectopic pregnancy
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increases 10 times.
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Oh, wow.
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And that's, you know,
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we have
fertilization in the tube,
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and then it doesn't
move and then the tube
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can have
something serious happen...
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Yeah.
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In that, so this
is a big problem.
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Another situation that happens,
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if you have pelvic
inflammatory disease,
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it makes it harder
to have a baby later on,
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because, of course,
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the tubes
aren't working as well,
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it's harder to
work through those tubes
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to get what needs
to be accomplished.
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So those are two things
that we need to talk about
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pelvic inflammatory disease.
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If you're having lots
of tenderness in that area,
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see your doctor, they wonder
if they can do some examination
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to see if you might have
pelvic inflammatory disease
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if it's due to infection,
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of course, they
would treat that.
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And they might want to
be very sensitive to you
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if you ever
were to get pregnant,
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so watch out for
ectopic pregnancies.
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Right.
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We've got another
viewer who writes in and asks,
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"What is Peyronie's disease
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and what's the
treatment for it?"
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Yeah.
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Peyronie's disease is a disease
that affects about 1 in 20 men.
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Okay. Okay.
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That's a fair
number of 5%. Yeah, mm-hm.
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Okay.
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And this is really a simple way
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to think of it as
arthritis of the penis, okay?
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Inflammation of the
penis and specifically
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you have connective
tissue that's very painful.
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And it can lead to
a lot of scar tissue.
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And when the
scar tissue develops,
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it can cause lots of pain.
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Now the good news,
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the good news is even
though lots of people have it,
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20% of those that have
it spontaneously improve,
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so a lot of them just
get better on their own
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and it goes away.
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Mm-hm.
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However, if it
progresses and is very painful,
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some might need surgery
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or some might even need a
prosthesis if it progresses.
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Now those are the
most serious cases.
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Yeah.
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The doctors that specialize
in that are urologists.
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Mm-hm. Okay?
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And they would know
the questions to ask,
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the detailed questions
that would go into that,
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a lot of men don't
like to mention that,
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you know, they won't
even mention that things hurt.
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Right, sure, sure.
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But when a man has
his penis that hurts,
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there's some serious
things that it can be.
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It can be an
infection, it can be Peyronie's,
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and they want to
look and make sure
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all the parts are working well.
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They're doing
what they should do
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and make sure there's
nothing more serious going on.
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So the urologist
is the person to go to
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when you have
this type of symptom.
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Now, I generally
think, for some reason,
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I think of arthritis being
more in the hands or places
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where there's bone structures,
but really you're saying
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it's in soft tissue?
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Yes, soft tissue,
the connective tissue.
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The connective tissue?
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The connective tissue and
that's throughout the body,
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okay.
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You know, you
have connective tissue
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in the ear, unfortunately,
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it doesn't cause too
many problems in the ear,
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but yes, you can have
inflammation that's abnormal,
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it's plaques.
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You know, there's
connective tissue plaques
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and it pushes on
things it shouldn't put on.
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And when the normal function's
disrupted, guess what,
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the nerves say,
"Oh, I'm not happy here."
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There's lots of nerves
in this parts of the body,
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and they're used to
being very sensitive to things.
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And when things
aren't right, the nerves go,
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"Oh, this plaque is
disrupting my normal function,
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I'm going to cause pain.
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I'm going to tell the host
that something's not wrong."
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So, our duty when we
have pain, we should say,
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"Well, something's not wrong,
let me find out what it is."
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Because chronic
pain is not good.
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So if
something's not feeling well,
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get it checked out.
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Exactly,
exactly. Yeah. All right.
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We've got another question,
also again referring to men.
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"What causes
pain in the scrotum?"
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Yeah and...
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Is this a common thing
that people experience or...
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Actually, actually,
I'm not a urologist,
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so I don't know,
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but when I was
preparing for this program,
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it's one of the
most common questions
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that's not asked.
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Oh, really?
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So I said, "Well,
we're gonna ask this,
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you know, that we're gonna ask
this question today and see."
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Not talked about a lot.
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Talk about it, but
there's many different causes,
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and the number one cause of
scrotal pain is trauma, okay.
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Okay.
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Trauma, you know,
we talked about it,
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you know, bicycles,
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you know, constant
repetitious pain on this area.
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Some people get
inadvertently hit in this area,
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causes lots of pain.
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Whenever the
body has trauma to it,
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it starts to
swell, inflammation,
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lots of nerves are activated,
the body tries to fix itself.
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Sometimes, the pain
increases pressure in an organ,
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swelling in an organ
that causes major problems.
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Right.
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So trauma is
probably the number one
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cause of scrotal pain.
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I tend to think of
trauma in that area
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usually goes away on its own.
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Yes, usually, it does.
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Now if it's prolonged for a
period of time, what's next?
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That's right,
sometimes you can actually have
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damage to the testis, and
the other tissue in there,
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epididymis, etcetera.
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Mm-hm.
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And if it's damaged, then
you really sometimes things
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can get torsed, turned around,
and doesn't move as well.
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Sometimes the tubes
can get obstructed, okay.
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And that causes
lot of pain as well.
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And what would happen
if the pain continues?
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You would
probably see a urologist
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and they would do
a complete physical,
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they'd also do an ultrasound
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to see if there's
been serious damage,
00:08:05.15\00:08:07.15
to see if the testes or
the tubes have been damaged.
00:08:07.18\00:08:10.09
Sometimes, they actually find
00:08:10.12\00:08:13.59
that the scrotum
has been damaged,
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not by trauma, but
it's damaged by cancer.
00:08:15.96\00:08:18.76
Okay.
00:08:18.79\00:08:20.13
Testicular cancer is
rare but it does exist,
00:08:20.16\00:08:23.20
and testicular cancer
is another cause of pain
00:08:23.23\00:08:27.27
to the scrotal area.
00:08:27.30\00:08:28.84
And if it's diagnosed early,
it can be very well treated.
00:08:28.87\00:08:32.07
There's some famous athletes
that have had that in the past,
00:08:32.11\00:08:35.38
and it's been
Very well publicized.
00:08:35.41\00:08:37.51
But I'd say, you
know, if you're having pain
00:08:37.55\00:08:39.58
in the scrotal
area, see if it's trauma,
00:08:39.61\00:08:42.25
if the pain doesn't go
away, it needs help right away.
00:08:42.28\00:08:44.82
And then a man can
examine this area themselves.
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If you feel
anything that's hard,
00:08:47.86\00:08:49.26
that's like a rock,
00:08:49.29\00:08:50.76
that would be consistent with
something that shouldn't be,
00:08:50.79\00:08:53.29
and you need to get it
checked in to right away.
00:08:53.33\00:08:54.66
Right, right.
00:08:54.70\00:08:56.03
So those are some of
the more common causes
00:08:56.06\00:08:57.73
on trauma, torsion,
obstruction of the tube,
00:08:57.77\00:09:00.70
see a urologist.
00:09:00.74\00:09:02.07
He'd do some
ultrasound, make the diagnosis,
00:09:02.10\00:09:04.04
and in severe cases, they
have lots of modern medicine
00:09:04.07\00:09:07.34
that they can do to
take care of the problems.
00:09:07.38\00:09:09.58
I was gonna ask,
is it often surgery
00:09:09.61\00:09:11.48
that they use or...
00:09:11.51\00:09:12.85
Well,
sometimes, they have to do,
00:09:12.88\00:09:14.22
rarely they have to
do an orchiectomy, okay,
00:09:14.25\00:09:16.08
and that's where they,
you know, take the testes out,
00:09:16.12\00:09:18.49
and that can be done.
00:09:18.52\00:09:19.85
Right.
00:09:19.89\00:09:21.22
And that would be
the most extreme case.
00:09:21.26\00:09:23.29
And sometimes,
they can manipulate
00:09:23.32\00:09:24.73
and relieve the
pressure as well,
00:09:24.76\00:09:26.36
but you don't want it to,
00:09:26.39\00:09:28.90
especially if you're
young and want to have a family,
00:09:28.93\00:09:31.57
you'd want to get it evaluated
because a chronic problem
00:09:31.60\00:09:34.47
could hurt your
fertility down the road as well.
00:09:34.50\00:09:36.57
Sure. Right.
00:09:36.60\00:09:37.94
So that's why it's something
to have evaluated soon,
00:09:37.97\00:09:40.31
and a lot of men don't
like to talk about problems
00:09:40.34\00:09:43.18
in their
reproductive organs you know.
00:09:43.21\00:09:44.55
Yeah, right.
00:09:44.58\00:09:45.91
They'll talk about stones,
they'll talk about the pain
00:09:45.95\00:09:47.35
that they got, playing
ball with junior, you know,
00:09:47.38\00:09:49.92
"I got hit in the mouth,
and now I can't breathe anymore
00:09:49.95\00:09:51.95
and my shoulder's
hurting" and you know...
00:09:51.99\00:09:53.32
Right.
00:09:53.36\00:09:54.69
They like those type of pains
00:09:54.72\00:09:56.06
but when it gets
personal pains, they don't,
00:09:56.09\00:09:57.43
but I'm telling
them that it's okay.
00:09:57.46\00:09:59.76
Yeah.
00:09:59.79\00:10:01.16
Don't let a little
problem become a big problem.
00:10:01.20\00:10:03.73
Now you mentioned
cancer a minute ago,
00:10:03.77\00:10:05.57
and we've got another question.
00:10:05.60\00:10:06.94
Someone writes in, "how
is bladder cancer diagnosed?"
00:10:06.97\00:10:09.30
Yeah. well,
that's a good question
00:10:09.34\00:10:10.67
'cause cancer can occur
anywhere in the body, right?
00:10:10.71\00:10:13.31
Right.
00:10:13.34\00:10:14.68
It can occur in
the urogenital tract,
00:10:14.71\00:10:16.04
it can happen in the
kidneys, it can happen through
00:10:16.08\00:10:17.98
in the bladder cancer,
00:10:18.01\00:10:19.51
it can happen in
the reproductive organs
00:10:19.55\00:10:21.78
as well.
00:10:21.82\00:10:23.15
Bladder cancer
is usually diagnosed
00:10:23.18\00:10:25.35
by someone having a symptom
that they don't feel right.
00:10:25.39\00:10:28.12
Yeah.
00:10:28.16\00:10:29.49
It's something
out of the ordinary.
00:10:29.52\00:10:30.89
When they go to their doctor,
they might have something,
00:10:30.93\00:10:32.89
they usually have
blood in the urine, you know,
00:10:32.93\00:10:34.90
something like
that will show up,
00:10:34.93\00:10:36.43
they might have some pain
or some presenting symptoms.
00:10:36.46\00:10:39.03
And the doctor would go
00:10:39.07\00:10:40.50
and they do a test
where they can actually go
00:10:40.54\00:10:42.77
into the bladder, they
can look in the bladder,
00:10:42.80\00:10:44.67
and they can see
if there are cells
00:10:44.71\00:10:46.31
that shouldn't be there,
00:10:46.34\00:10:47.68
a growth that
shouldn't be there.
00:10:47.71\00:10:49.04
They will take
that growth out, okay,
00:10:49.08\00:10:51.41
and look at it
under the microscope.
00:10:51.45\00:10:53.65
Now other cancers
that are, you know,
00:10:53.68\00:10:55.28
bladder cancer happens
in the bladder, of course,
00:10:55.32\00:10:57.75
but we've heard a lot about
prostate cancer, okay and...
00:10:57.79\00:11:00.79
Right.
00:11:00.82\00:11:02.16
Men can, when they get
their prostate examined,
00:11:02.19\00:11:03.83
you can feel
nodules on the prostate,
00:11:03.86\00:11:05.59
feels like marbles,
00:11:05.63\00:11:07.03
and the doctor can
go up and biopsy that
00:11:07.06\00:11:09.30
and see if
there's a cancer there.
00:11:09.33\00:11:11.03
But, of course,
cancer in the testes
00:11:11.07\00:11:12.77
feels like a marble,
00:11:12.80\00:11:16.20
in the female tract,
uterine cancer, ovarian cancer,
00:11:16.24\00:11:19.97
those are cancers
that can press on organs
00:11:20.01\00:11:22.31
and have pain as well.
00:11:22.34\00:11:23.68
Yeah.
00:11:23.71\00:11:25.05
So whenever you have
pain in the urogenital system,
00:11:25.08\00:11:26.58
you know, they would say,
00:11:26.61\00:11:27.95
"Well, where's
the pain coming from?"
00:11:27.98\00:11:29.32
And you say, "Well,
it's coming from here."
00:11:29.35\00:11:30.79
So your doc will say, "Well,
let me see if I can find out
00:11:30.82\00:11:32.85
what's causing the pain."
00:11:32.89\00:11:34.32
They would think
infection but on the list,
00:11:34.36\00:11:36.46
they'd say,
"Well, could they have
00:11:36.49\00:11:37.83
a possibility of a cancer?"
00:11:37.86\00:11:39.53
And they would evaluate that
with ultra-sounds, CAT scans.
00:11:39.56\00:11:42.96
If they thought it was a cancer,
00:11:43.00\00:11:44.33
the next step
would be to biopsy it
00:11:44.37\00:11:46.30
and see exactly what it is.
00:11:46.33\00:11:47.87
Right, right.
00:11:47.90\00:11:49.90
You know, we're just
about out of time today,
00:11:49.94\00:11:51.27
but what would you
say is the most important
00:11:51.31\00:11:53.78
take home point that
we've discussed today?
00:11:53.81\00:11:56.01
Well, like we've
talked about in pain,
00:11:56.04\00:11:57.91
when you have pain,
that's your warning system
00:11:57.95\00:11:59.91
that something's not
right, get it evaluated,
00:11:59.95\00:12:02.65
and try to get
back to doing the things
00:12:02.68\00:12:04.65
to stay healthy
00:12:04.69\00:12:06.02
so we don't have chronic pain
00:12:06.05\00:12:07.46
and don't be embarrassed,
you know, go and get help.
00:12:07.49\00:12:10.16
That's right.
00:12:10.19\00:12:11.53
We have professional people,
00:12:11.56\00:12:12.89
and the professionals that
help with this type of pain
00:12:12.93\00:12:14.66
are the urologists,
okay, the gynecologists,
00:12:14.70\00:12:18.37
those are the ones
that really do the best job
00:12:18.40\00:12:20.60
with this type of pain.
00:12:20.64\00:12:22.00
And if you might have a question
00:12:22.04\00:12:23.37
that we can help you with
00:12:23.41\00:12:24.77
or get you to the right person,
00:12:24.81\00:12:26.14
go to our website
HeartwiseMinistries.org.
00:12:26.17\00:12:29.14
Okay, Marcum, thank you
for sharing your thoughts,
00:12:29.18\00:12:30.88
and thank you for at home
for viewing our program today.
00:12:30.91\00:12:32.71
We hope that
it's been beneficial
00:12:32.75\00:12:34.55
and helped you
through maybe some issues
00:12:34.58\00:12:36.38
that you're experiencing.
00:12:36.42\00:12:37.75
Stay with us and
there's more to come
00:12:37.79\00:12:39.12
on the Ultimate Prescription.
00:12:39.15\00:12:40.49
Let's take a moment
together as we pray.
00:12:48.53\00:12:51.73
Let's bow our heads.
00:12:51.77\00:12:54.14
Heavenly father,
there are many out there
00:12:54.17\00:12:55.80
that suffer from pain.
00:12:55.84\00:12:58.04
We pray that you be
especially close to them
00:12:58.07\00:13:00.71
and lead them in the path
00:13:00.74\00:13:02.28
that they should go to
deal with these pains, Father.
00:13:02.31\00:13:05.08
We thank you for
being our ultimate physician
00:13:05.11\00:13:08.12
and for your saving grace.
00:13:08.15\00:13:10.72
We thank you for
your love and kindness.
00:13:10.75\00:13:12.95
Amen.
00:13:12.99\00:13:14.92
Well, we covered a
lot of topics today,
00:13:14.96\00:13:18.13
if you like more information,
please go to our website,
00:13:18.16\00:13:20.56
that's HeartwiseMinistries.org.
00:13:20.60\00:13:23.80