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Re: are these bowel spasms - help dr's??

From: gidge (anonymous@obgyn.net)
Sat, 10 Feb 2001 23:30:17 -0600 (CST)

THANKS for your response Dr. von Almen, what is myofacial pain? Please advise, thanks.

At Sat, 10 Feb 2001, William F. von Almen, II, MD, FACOG wrote: >
>At Sat, 10 Feb 2001, gidge wrote:
>>
>>I can't believe I am back here posting about yet another thing but here
>>I am.
>>
>>I am 35 and am almost 1yr post op from a TAH/BSO for endo and recurring
>>ovarian cysts. I have had recurrent pain since about 3mths post op and
>>have been diagnosed with IC since and additionally just had laprascopic
>>adhesion removal done on 1/21/01. I had two bands of adhesions removed
>>from my pelvic side wall that I believe were attached to my bowel at
>>that time and that was all that was seen, the bowel looked ok she said
>>and she left some fluid in there to "float the bowel" and help to reduce
>>further adhesions.
>>Since then I have still had some pain behind the right end of my
>>incision we have been able to locate a small pea sized lump of scar
>>tissue that my gyn believes is between my inner incision and the outside
>>sort of in the muscle layer that may be trapping a nerve...she froze it
>>with some local and my pain was gone for 3hrs ...she is going to open
>>this area with me awake probably (to avoid having another general for
>>like the 4th time in a year and a half) and although I recently had a
>>very bad reaction to the local when she gave it to me (throat swelled
>>and I couldn't breathe) she assures me that she can use a "different
>>local" and do it.
>>
>>Aside from this and the main reason for my post is since my hyst. once
>>a day I get this extreme pain that goes from my right side and moves
>>across my lower belly (and at this point the whole area including vagina
>>and rectum go into a spasm) and the over to my left side and then goes
>>away, but is quite intense for about 10seconds... well yesterday this
>>became so intense that I was unable to move for about 5mins and the pain
>>would get really bad and then start to go away and if I moved it would
>>get way worse......after about 10mins it was gone...it happened again
>>last night on a much smaller and less painful scale, but I didn't have
>>to have a bowel movement or anything during these two episodes and it
>>felt like something was twisting and releasing??? (reminded me of when I
>>used to have a cyst rupture when I still had ovaries - intensity wise.)
>>
>>Can anyone tell me what this is and how it relates to my hyst if at all?
>>Should my dr be opening me back up? Could I have adhesions on my bowel
>>that she might have missed, does it sound like that? Any help would be
>>appreciated, I am very scared. thanks
>Gidge
>
>Sounds more like myofascial pain. It may respond more to steroid
>injections or feedback. 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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