WOMENS-HEALTH Messages for July, 1998: Re: Abdominal Pain

Re: Abdominal Pain

From: J.Glenn Bradley MD (anonymous@obgyn.net)
Wed, 8 Jul 1998 18:56:19 -0500 (CDT)

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Previous message: Kendall: "uterine pollyps"
In reply to: Judy: "Abdominal Pain"

At Wed, 8 Jul 1998, Judy wrote: >
>I have been having a problem that comes and goes. I have been keeping
>records to try to determine what sets it off. About once every six
>weeks to two months, I get this really bad lower pelvic pain. The
>symptoms are lower backache, cramping (like gas pains sort of), nausea,
>distended belly, and pain when going to bathroom. When I urinate, it
>comes out in small stream and hard to empty bladder, and when having a
>bowel movement, painful and thin-like stools (like a pencil). I've gone
>to my obygn while in middle of these symtoms, and he says bladder,
>uterus and one remaining ovary seem all normal size. The symptoms last
>for two or three days, and I am just about worthless during this time. I
>have noticed that food may set off, so wonder if it could be
>gastrointestinal instead of pelvic problem. When I eat greasy or fried
>food, this could happen. Is it possible that you can get a "kink" in
>the lower intestine, and the pain and discomfort lasts until it works
>itself out? Thinking about looking into getting scope on lower
>intestine...what do you think?
>

A GI consult certainly sounds reasonable. If the problem not identified and solved, I would bet you have adhesions seondary to your surgery and are experiencing intermittent partial small bowel obsruction. If this is the case, the GI studies will be negative( this is almost always the case in my experience) .Opertive laparoscopy with lysis of adhesions should be considered. Do discuss carefully what this really means as laparoscopic lysis of adhesions many times is not for the novice, IMHO.

Good Luck

Dr.B >
>--
>Judy Hickman
>

Next message: J.Glenn Bradley MD: "Re: uterine pollyps"
Previous message: Kendall: "uterine pollyps"
In reply to: Judy: "Abdominal Pain"

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