A Ganglion impar block is a short, minimally-invasive procedure that can treat chronic, neuropathic perineal pain.
If you have vague, poorly localized perineal pain that is frequently accompanied by sensations of burning or urgency, you may benefit from this block. However, since the symptoms of burning and urgency, especially if they're associated with urination or defecation, may be secondary to a medical condition (i. e. urinary tract infection, sexually transmitted infection, prostate inflammation, etc.) it is important to first consult your primary care doctor to rule out those causes.
My symptoms are burning in the scrotum - very debilitating, and constipation. I do know that I have pelvic floor dysfunction (demonstrated by ultrasound) so that must be inflaming the nerves and driving the constipation; so that would suggest the block would do well. On the other hand I gathered (from stool and Small Intestinal Bacterial Overgrowth (SIBO) tests) that I have low levels of beneficial bacteria, moderate leaky gut and apparently hydrogen sulphide being produced down below - I got the result of the SIBO test today
Please find your Healthpath SIBO Report attached.
Your results have come back negative, but the shape of your graph indicates possible microbial imbalance.
We expect to see a rise in hydrogen in the final hour of the test. This is when the lactulose solution enters the large intestine and is fermented by the bacteria there. As you can see, your results don't show this rise in hydrogen. This may be because:
Lactulose did not enter the large intestine during the ‘normal' time period. This would typically manifest as severe constipation.
Not much hydrogen was produced. This can occur if you've recently taken a course of antibiotics.
Instead of hydrogen, hydrogen sulphide was produced. Symptoms associated with this include bloating, abdominal pain, diarrhoea or constipation (or fluctuation between the two) and eggy-smelling gas.
Based on your symptoms, the constipation you are experiencing may be the reason for these results.
So far as I can see, obviously not very far, the block may help with the symptoms - but clearly there are underlying issues which need to be addressed. Symptom relief would be like manna from heaven, but I worry that the block will make them worse.
Really appreciate responses to this, anyone got experience of blocks and thoughts generally?
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Thank you - I'll consider Inulin - I've just bought some supplements from the SIBO test provider. I had a look at the existing posts on the ganglion impar block here and it isn't all negative - somebody received significant relief. What worries me is that I could make it worse with this procedure, I have had no positive experiences with conventional medicine - and I haven't got one iota of confidence in it, antibiotics have been particularly disastrous for me.
I postponed the nerve block. The SIBO test results indicated I have a problem with hydrogen sulphide, this causes severe constipation which in turn exacerbates pelvic floor dysfunction and groin symptoms. It didn't seem a great idea to treat SIBO with a steroid injection, though perhaps it might have given symptom relief.
But I make mistake after mistake - I have been munching on pumpkin seeds, which being heavy on fibre is the very last thing a sufferer from SIBO should be eating, insane. This has greatly exacerbated my symptoms today and really upset me. I had a bit of a breakdown this morning - and the wife had to phone the GP. I feel everything is against me, and I am in a very dark place
SIBO is usually treated with antibiotics in adults. Have you been treated in this way? If not, why? And have you purchased inulin? Although inulin is usually frowned upon in SIBO patients, you literally cannot be constipated while taking it, and it will change the gut biota after a few weeks of daily use.
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Thank you for your reply. I have only discovered that I have SIBO within the last 2 weeks. The NHS is pretty ignorant on the subject, GP's I've spoken to so far have barely heaRd of it. I have a long history of issues with antibiotics; erythromycin, doxycycline, amoxicillin are poison to my system - in fact though I did not realise it they actually provoked SIBO symptoms. The antibiotic of choice for SIBO is apparently Rifaximin, which apparently at least has the merit of apparently acting within the confines of the small intestine, allegedly. But apparently this is not routinely prescribed by NHS doctors. And I doubt that any pharma antibiotic would do me any good - rather the reverse. Thus far I have made dietary changes to cater for this new, alarming, dispensation. I didn't buy Inulin because high fibre is apparently very contra-indicated so far as I understand
In general, probiotics, prebiotics and antibiotics have shown some promising results in managing IBS symptoms (which some suggest is what SIBO really is). If you can't get one part of that (viz. rifaximin, a nonsystemic antibiotic), you could try these basic steps:
Lactose avoidance (strict)
Probiotics like Yakult or similar (Yakult contains tiny amounts of lactose, but is okay for most lactose intolerant people)
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