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Re: Dr. Marchbein(A little confused)

From: Peggy (anonymous@obgyn.net)
Tue, 29 Feb 2000 09:49:36 -0600 (CST)

At Mon, 28 Feb 2000, Harvey S. Marchbein, M.D. wrote: >
>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))

>I'm Sorry but I am a little confused now! When asked back in January you said that depending where the endo was on the bowel that it could cause diarrhea.Unless the endo lesion is in the bowel(Which was stated could cause an obstruction)the colonoscopy would not detect this Am I correct? I am just trying to make sense of a very frustrating situation here.I have tried citrucel to try to regulate but it has not helped.It just doesn't seem normal to me to have diarrhea for so long.Peggy
>
>--
>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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