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Re: Jude, I want to know more about your adhesions

From: Jude (anonymous@obgyn.net)
Thu May 13 18:35:02 2004


Hi Amy,

I had surgery (laparoscopy) to separate the adhesions and had endo excised at the same time. I noticed the pulling feeling had gone soon after my surgery. This has been an ongoing problem for me (I have had two surgeries since) and I'm sorry I don't have any solutions other than to keep as active as possible doing gentle activites like walking.

When I was first diagnosed with endo I also had a colonoscopy because I was bleeding anally. The bowel specialist who performed the colonoscopy diagnosed me with irritable bowel syndrome and an anal fissure (after he changed his mind that I didn't have chrohn's disease).

It turned out that I had an adhesion pulling on my bowel. According to his information sheet from the NZ Endo association, "bowel symptoms can result from adhesions pulling on the bowel even if there is no active endo on the bowel. Common symptoms include: diarrohea/constipation, painful bowel movements, rectal pain, wind pain, abdominal bloating. Other symptoms include lower back pain, pain during rectal exam, abdominal cramping, rectal bleeding, blood in faeces, urgency to open bowels, nausea/vomiting.

"Bowel symptoms may also be caused by endo in the large intestine and by prostaglandins. These are substances which control the smooth muscle tissue of the body and non-voluntary muscles. These muscles cause contractions of the uterus at period time to eject out the period, change blood vessel diameter and regulate intestinal activity. Prostaglandins are produced by the lining of the uterus, also by endo implants and by macrophages (immune cells that destroy bacteria and other foreign material by surrounding them and eliminating them).

"Endo is connected with candidiases (overgrowth of yeast). Symptoms include chronic or episodic constipation and diarrhoea, abdominal pain, gas and bloating, rectal itching, thrush and irratible bowel syndrome (sometimes calles spastic colon or mucous colitis). Yeast lives in the colon and if not controlled can bring about food allergies and chemical allergies which cause gastrointestinal symptoms".

I also went on a wheat free and low dairy diet (with the advice of a nutritionsit/dietican who specialised in bowel and gynae problems) and have found that this has helped immensely in terms of bloating and discomfort in my bowel. A wheat free diet is not easy and can be disruptive for everybody in the household.

I personally found some naturopathic treatments helpful to calm my cranky bowel. These included taking aloe vera juice and also a prebiotic probiotic combination supplement. (According to my information sheet here, they are "thought to counteract any imbalance in the gut by increasing benefical bacteria like lactobacillus and bifidobacterium").

I hope this information is useful. Take care,

--
Jude.

At Wed, 12 May 2004, amy wrote: > >I found out in January that I had an adhesion going from my small >intestine (cecum) to my right cul-de-sac (that is what is in my surgery >report). the doctor said it was due to the fact that i have crohn's >disease because that area of my colon is swollen. he also told me that >i would have to see a general surgeon to have it separated. i wanted to >know what you did or do now, and if you still get the pain? >thanks for everything! >amy > >At Thu, 6 May 2004, Jude wrote: >> >>Dear Amanda >> >>I read your post and it sounded similar to what I experienced a few >>years ago. I too used my wheat bag extensively and found walking, >>exercise, or heavy lifting very painful indeed. When I had a lap it >>turned out that I had two adhesions caused by the endo, one had glued my >>bowel to my pelvic floor and the other had pulled the ultra-sacral >>ligament from my uterus out of place. Based on my own experience I was >>wondering if there is an adhesion causing you all this grief? >> >>Kind regards, Jude. >> >>At Thu, 6 May 2004, Amanda wrote: >>> >>>Hi guys, >>> >>>For the last two weeks I have been in pretty much constant pain. I sit >>>with the heating pad all day and night. But I have a quick question, it >>>seems that when I stand up and walk around the pain gets much worse. (I >>>try to exercise through it and stuff but that doesn't work.) I get these >>>sharp stabbing pains that take my breath away besides the normal aching >>>and pulling I always feel. I was just wondering if anyone else >>>experiences this and if there is reason for it. >>> >>>Thanks so much! >>>Amanda B.




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