WOMENS-HEALTH Messages for September, 2000: Re: abdominal and pelvic adhesions

Re: abdominal and pelvic adhesions

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 3 Sep 2000 09:04:10 -0500 (CDT)

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At Sun, 3 Sep 2000, Maria wrote: >
>I am a health care professional who has been suffering from both pelvic
>and abdominal adhesions for about 4 years now. Following removal of my
>gall bladder by a laparascopic procedure, I hemmoraged and lost a great
>deal of blood. A second laparascopic procedure was performed about 12
>hours later to stop the bleeding. Since then, I have had severe
>abdominal distention, anorexia, fever, and horrible pain around the
>navel and in the right lower quadrant. Every test known to medicine was
>performed to rule out any type of gastrointestinal disease, but even
>then, a specialist wanted to diagnose the symptoms as irritable bowel
>syndrome. I was continually asked if I was "stressed" or "depressed"
>and I tried to steer them away from a motility disorder (which was
>finally ruled out) and toward a mechanical problem. I explained that
>IBS doesn't come with fever and an elevated white cell count and that
>unmistakable "tugging and pulling" sensation in the abdomen, and
>finally,surgery was recommended. My surgeon decided not to perform the
>procedure due to lack of experience with adhesions, and "not being sure
>of exactly what was in there (volvulus, etc.") Another more experienced
>surgeon will be doing the procedure soon, laparscopically I hope, and
>mentioned some new products that may help the adhesions. I am anxious
>about the surgery because of the possibility that (a) the adhesions may
>actually become worse and (b) I'll be left with a severely distended
>abdomen for life. Does anyone have any experience or advice concerning
>this situation? Are there new methods or products available which will
>help adhesions? I'd appreciate hearing from you. My e-mail address may
>change soon, so please post to this forum if possible.
>
>Thank you,
>
>Maria

Maria

Intraabdominal blood collection and inflammatory conditions(both of which you have recently experienced) can lead to adhesions. I agree you need to be reevaluated by surgery. You may or may not be improved, but the odds are on your side you will get better. Good Luck

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

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In reply to: Maria: "abdominal and pelvic adhesions"
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