WOMENS-HEALTH Messages for April, 1997: Re: abdominal pain

Re: abdominal pain

From: Mary (anonymous@obgyn.net)
Tue, 15 Apr 1997 19:09:35 -0500 (CDT)

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Reply: D. Ashley Hill, M.D.: "Re: abdominal pain"

At Sat, 5 Apr 1997, D. Ashley Hill, M.D. wrote: >
>At Fri, 4 Apr 1997, Mary wrote:
>>
>>HELP!! For the last three years I have had (off and on) excruciating abdominal pain four (never more, never less) days before my period. What are the odds I'd have an ovarian cyst rupture on me eight times in the last three years EXACTLY FOUR DAYS BEFORE MY PERIOD? When my period starts, everything is fine again.
>
>Mary-
>
>If I had a medical student sitting here with me, he or she would be
>jumping up and down going "it's endometriosis, it's endometriosis!"
>Actually, it's simply impossible to make a diagnosis over the internet,
>but your symptoms sound very suspicious for endometriosis, a condition
>where minute amounts of the lining of the uterus (the endometrium)
>escape from the tubes during a menstrual period and implant on the
>various pelvic organs (such as the uterus, ovaries, rectum, etc). These
>little implants can cause severe pain, often (but certainly not always)
>right before a period. Often, when the period actually starts the pain
>diminishes.
>Others have pain all the time, due to scar tissue, or, probably, due to
>the endometriosis implants pressing against nerves. The diagnosis is
>made by looking into the pelvis during laparoscopy, where a small,
>lighted tube is placed through the belly button under general
>anesthesia. Any implants can be cut away, lasered, or burned to
>hopefully get rid of the pain. Since your symptoms include pain with
>gas or bowel function, I usually advise patients to cleanse their
>intestines with special medications prior to such surgery, since entry
>into the rectum is possible if there are implants in this area.
>
>Other conditions, such as infection, scar tissue, intestinal problems,
>PMS, and yes, sometimes, ovarian cysts, can cause such pain. (In my
>experience the overwhelming majority of ovarian cysts produce no
>symptoms at all, however).
>
>You seem uncomfortable with your current health-care system, so you may
>want to ask for a referral to a larger city, where an experienced
>gynecologist or reproductive endocrinologist can help you. Good luck!
>
>--
>Ashley Hill
>D. Ashley Hill, M.D.
>Assistant Director, Department of Ob/Gyn
>Florida Hospital Family Practice Residency
>Orlando, FL
>dahmd@gate.net
>

--
I am having this surgery on Friday the 18th and am not
having my rectrum cleaned out before the surgery.  I also
had this same surgery 2 years ago and the doctor did not
find anything.  My doctor now is almost certain I have
endometrious and thinks my last Doctor overlooked an
implant in an unusual place.  If I have had this for two
years will it be easily removed or will I need to have a
Hysterectomy?

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