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Pelvic Discomfort

Pelvic discomfort can disrupt daily life with pain, pressure, and frustration. Dr. Rishi Chadha at GastroDoxs in Houston provides expert diagnosis, personalized treatment, and advanced therapies to address underlying causes�from digestive issues to musculoskeletal imbalances�for effective, lasting relief and well-being.

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Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Pelvic Discomfort?

Pelvic discomfort is pain or pressure in the lower belly, hips, or groin. It can feel sharp or dull, and may come and go or stay constant. The pain may be deep inside or near the pelvic floor muscles. It can affect daily life, work, sleep, and emotional well-being.

Common Causes and Risk Factors

  • Urinary tract infections (UTIs) or bladder problems
  • Irritable bowel syndrome (IBS) or trapped gas
  • Endometriosis or uterine fibroids
  • Pregnancy-related pressure, especially in the second or third trimester
  • Tight or weak pelvic floor muscles
  • Kidney or urinary stones
  • Left-sided pain from ovarian cysts or diverticulitis
  • Spine problems that cause back and pelvic pain
  • Hormonal shifts after your period

Signs and Symptoms

  • A dull ache or cramping in your lower belly
  • Sharp pain during movement or lifting
  • Burning feeling when urinating
  • Bloating, gas, or changes in bowel habits
  • Pain during or after sex
  • Discomfort in the hips, groin, or lower back
  • A heavy feeling or pressure in the pelvis

How Dr. Rishi Diagnoses Pelvic Discomfort?

Symptom Review & Medical History

Dr. Chadha begins by discussing your pain characteristics, triggers, menstrual cycle, and any prior treatments or surgeries.

Physical Examination

A gentle abdominal and pelvic exam assesses areas of tenderness, muscle tone, and pelvic floor function.

Laboratory Tests

  • Blood tests to check for infection or inflammation markers
  • Urine analysis to rule out urinary tract infections or kidney stones

Imaging Studies

  • Pelvic ultrasound to visualize the uterus, ovaries, and bladder
  • MRI or CT scan for more detailed evaluation of soft tissues and deep structures

Endoscopic Evaluation & Specialist Referrals

If bowel issues are suspected, Dr. Chadha may recommend a colonoscopy or upper endoscopy. He can also refer you to a pelvic floor physical therapist for targeted muscle assessment.

Dr. Rishi Chadha
Treatment

Our Houston team offers comprehensive treatment options for pelvic discomfort.

1. Lifestyle and Diet Changes

  • Drink more water to stay hydrated
  • Eat more fiber to prevent constipation
  • Limit foods that cause gas if you have IBS
  • Try pelvic stretches or light yoga
  • Use warm baths or heating pads for relief

2. Medications

  • Pain relievers like acetaminophen or ibuprofen
  • Antispasmodics to ease cramping
  • Antibiotics for infections
  • Hormonal therapy for period-related pain
  • Muscle relaxers for tight pelvic muscles

3. Minimally Invasive or Advanced Treatments

  • Laparoscopic surgery for fibroids or endometriosis
  • Pelvic floor therapy with real-time ultrasound
  • TENS (nerve stimulation) for chronic pain
  • Botox injections to relax tight pelvic muscles
  • Radiofrequency ablation for nerve pain
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

What causes pelvic discomfort after your period?

Hormonal changes can trigger cramps and inflammation. Heat and OTC pain relief often help.

Can pregnancy cause pelvic pain on one side?

Yes. As the uterus grows, ligaments stretch and may cause pain on one side.

How are back pain and pelvic pain connected?

Back issues or tight muscles can send pain signals to the pelvic area.

Is gas and pelvic pain normal?

Occasional gas is normal. But frequent bloating may mean IBS or gut imbalance.

When should I see a doctor?

If pain lasts more than a week or comes with fever, weight loss, or blood in urine'seek care.

Can natural remedies help?

Yes. Warm baths, pelvic stretching, probiotics, and a low-FODMAP diet can ease symptoms.

What is pelvic floor therapy?

It uses gentle exercises and tools to relax or strengthen pelvic muscles.

Can left-side pelvic pain mean appendicitis?

No. Appendicitis usually causes pain on the right. Left-side pain points to other causes.

How soon will I feel better?

Most patients start to feel better in 2 to 6 weeks with proper treatment.

Can gas and pelvic discomfort be treated together?

Yes. Diet changes and gut treatments often ease both issues.

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