WOMENS-HEALTH Messages for February, 2000: Re: Dr. Marchbein or other Drs.

Re: Dr. Marchbein or other Drs.

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 28 Feb 2000 19:33:16 -0600 (CST)

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Reply: Peggy: "Re: Dr. Marchbein(A little confused)"

At Mon, 28 Feb 2000, Peggy wrote: >
>Hi Dr. Marchbein,
>Back on January 5th I posted a question about endo on the bowel being a
>possible cause of diarrhea.Your responce to the post was you questioned
>wheither or not I was taking Lupron and my answer was no.Brief history:
>Hysterectomy and LSO April 1998 followed my a hematoma that had to be
>surgically drained 10 days later.These following surgeries were done for
>Chronic pelvic pain in the LLQ, Laporoscopy October 1998-Dr. found
>severe adhesions and Lysed them all.Trigger point injections to the LLQ
>which did not help at all,Laporoscopy April 1999-Lysis of adhesions and
>Intercede applied, November 1999-Dr. said that there were no adhesions
>at this time and I was diagnosed with endometriosis on the lower bowel
>and in the cul de sac and did a RSO.Dr did not excise the endo for fear
>of doing damage to the bowel.I have been having diarrhea since December
>and recently had a colonoscopy done and everything was normal with
>this.My pain management Dr. talked to my gyn about the pain and the
>diarrhea and was told that there is nothing more that can be done at
>this time.(He wants to wait 3 months before starting HRT)Because the
>colonoscopy was normal and I am still having diarrhea and LLQ pain my
>pain management Dr. wants to send me to another gyn for a second
>opinion on the endometriosis.My Question is:Should I be getting a second
>opinion from a gyn or a different Dr.? An endroconologist maybe? I have
>been to so many different Drs. the past 2 years that I am really
>frustrated on where to go.Your opinion on this matter is very much
>appriciatted.Thank you, Peggy

I read "Dr." Robin's opinion and concur that a second opinion is a good idea. With a normal colonoscopy, I can't see the endo being the cause of the diarrhea (not questioning of course that the endo exists). Diarrhea wouldn't be a localized disease (meaning endo on the bowel as opposed to systemic gastrointestinal disorder - e.g. irritable bowel syndrome (which would have a normal colonoscopy))

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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In reply to: Peggy: "Dr. Marchbein or other Drs."
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