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Re: 4th Degree Complications
From: Robert Radnich, MD (anonymous@obgyn.net)
Fri, 24 Jul 1998 06:39:03 -0500 (CDT)
Amy, Sounds like you are on the right track. The colorectal surgeon
will probably recommend surgical repair. This will not be an easy
proceedure, and if successful I would recommend cesarian delivery with
your next pregnancy. I hope that everything goes well.
At Thu, 23 Jul 1998, Amy wrote:
>
>4 1/2 months ago a gave birth to a 8lb 14oz baby . The ob. cut me
>and then I had a 4th degree tear. Also, low forceps were used to assist
>my daughter out. Shortly after I experienced rectal incontinence, but
>that has gotten much better. Now, I frequently leak something that I
>don't know if it is l or rectal (it really burns once I feel it in
>my ), I have "granulation tissues" in my perineum area and a very
>firm, extremely tender lump inside and to the right of my sphincter.
>Every time I have a bowel movement, that lump is painful for hours-
>sometimes days. Basically, I have 2 problem areas. #1- the tissues in
>the perineum always hurt and always bleed and #2- the painful lump and
>rectum area. My ob. has given me two injections of anesthetic, the
>first time feeling good for several days, the second time was no good.
>(The pain of these shots were so horrible I will NEVER accept that as
>treatment again) As it stands, I'm currently waiting for a referral to a
>colon specialist who will most likely do surgery (so I'm told). I am SO
>tired of the constant pain and, of course, my non-existent life that
>I want to do whatever is best and quickest to end this condition. Is
>surgery best? Do I have other options...that do not involve simply
>waiting? I do plan on having other children, but I will not go through
>this again. Should I have a C-section next time? I hope you can answer
>some of my questions and possibly alert me to anything else I should
>look into. Thank you for your time. Sincerely,
>Amy
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