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Re: Having severe pain in lower right abdomen & upper abdominal bloating...

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 24 Jan 2002 10:42:04 -0600 (CST)


At Wed, 23 Jan 2002, anonymous@obgyn.net wrote: >
>I'd been seen by my military dr's due to very heavy periods, sharp pain
>& cramping, fatigue,some blood in stool, etc...I'd already been
>diagnosed with diverticulosis & adhesions (dr. told me mild but had
>written it up as moderate) They sent me for a pelvic CT scan, which had
>shown a mass highly suspicious for malignancy...which was a little scary
>because I have alot of breast/colon cancers in my family... and they
>called within an hour and had set me up with an ob/gyn appt for the next
>day. The ob/gyn was really great and said she suspected adenomyosis due
>to a very enlarged uterus, did a total abdominal hysterectomy about 3
>months ago which confirmed adenomyosis and she also said there had been
>endometriosis on the diverticulae, which she left because she was afraid
>of damaging my colon. I was really doing great until last night, when I
>started having extremely sharp pains in my lower right side. I'm
>wondering if it sounds like it might be the endo flaring up or something
>I need to go back in for. I've had alot of upper abdominal bloating,
>whether it's a small meal or even just a glass of water...I'd hoped
>because my uterus had been enlarged, it was just pressure from
>that...but it's still hurting, bloating & feels bruised inside, even
>after the hysterectomy. I would appreciate any ideas at all. Thanks in
>advance.

You don't mention whether or not you had your ovaries removed so I am gathering they were not. Given this, the first consideration would be a primary ovarian process, possibly involving endo. Second, there is certainly a risk of further endo activity with the ovaries in place-or even with them removed. Finally, given your diagnosis of diverticulosis and you symptoms, I would seek evaluation soon because it is certainly possible to rupture a diverticulum, which can become a surgical emergency... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**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 e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)




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