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lower abdominal pain and confused lower abdominal pain and confused

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  #1  
Unread 02-27-2005, 02:13 AM
lower abdominal pain and confused

I lyed in bed for hours not feeling good,(abdominal pain and nauseous) so I finally got up to take a percocet.My abdoman has been hurting more the last couple days than it has for a very long time. My lower abdoman has remained tender every since my TAH almost 10 months ago. I know for certain I have quite a bit of scar tissue on my abdominal wall,because of a lap. I had done in Sept.I was hoping the recently repaired enterocele was the cause of this long lasting discomfort, but I don't believe so now. My incision is aching( 4 c sections and a open incision for 10 weeks from TAH) and I have a dull aching type of sensation going on on the lower left side. It almost feels like ovary pain. I had adhesions in that general area when I was opened for my tah.(bladder and uterus was adheared together and to abdominal wall)That is also the area where I have had all of that crazy thumping going on since my hyst. My gyn told me at my surgery post op the other day he believes the thumping is probably from adhesions holding onto my bowels, eventhough the surgeon didn't see any there 5 months ago.
With the rectocele repair my dr. told me to avoid getting constipated and no straining. I was told to decrease on my colace at my post op from 200mg a day to 100mg, then quit using the colace in a couple weeks and continue using fiber forever.I was only able to go two days using the 100mg of colace, before I had to up it back to 200mg a day. because I was having trouble going to the bathroom again.I have been eating plenty of green vegetables, drinking alot of water and juices and using benefiber twice everyday. I took a big dose of M.O.M. this evening(Sat) and used a glycerin suppository and was finally able to have a BM.This did relieve the cramps I was experiencing for a few hours. (felt like menstrual cramps)I was miserable.
I am to the point that I feel like I may just have to live with abdominal discomfort forever. It didn't hurt like this before my hyst, except for a very occasional pulling feeling. I had 4 c sections and never felt this way.
Sorry for being so long. I just needed to express how I am feeling and hoping some of you may be able to relate. Have any of you had adhesions that made you feel like this? I am not sure if I actually have adhesions holding on to anything.I didn't 5 months ago supposably, but am wondering if I do now.

Thanks for listening.

HUGS
Peggy
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  #2  
Unread 02-27-2005, 07:22 AM
lower abdominal pain and confused

I am sorry you are still having pain after all you've been through Peggy.

I don't have any first hand knowledge of the pain you are describing, but I do have chronic pain of a different type and it wears you down after awhile.

Try laying low today, Sun. and let your family wait on you hand and foot. See if that helps. Maybe you are forgetting to have enough down time.

(((((((((((((hugs)))))))))))))))
  #3  
Unread 02-27-2005, 07:50 AM
lower abdominal pain and confused

Peggy,
Where you are describing your pain is where the majority of my adhesion pains have been all along. When it first appeared after the hyst/RSO I thought it was endo again cause it was crampy in nature with occasional sharp stabbing pain. I would also sometimes have nausea with it and I will tell you that if it is adhesions there---there is a reason you are having trouble having a BM.
With my last lysis of adhesion surgery, I remember what my postop report said in re: the left sided pain---
Sigmoid colon, loop of small intestine, bladder and vaginal cuff were all attatched and pulling toward the vaginal cuff. I am putting a link here with a picture of the colon and you will see the sigmoid colon---it is on the left lower side of the pelvis and turns into the rectum and then anus. In real life it forms an almost perfect S shape which is where the came up with the name and then makes a hard 90 degree angle to make up the rectosigmoid portion and then the rectum. So imagine the adhesions pulling the sigmoid portion down toward the vaginal cuff, it is creating more "hard turns" so to speak which is probably why you are having difficulty having a BM without meds and then subsequently causing the nausea because of lack of BM or could be nausea just from the pain itself.
I think you should probably go ahead and make an appt to see the doc about this pain....I know, I know...this is the last thing you want to do right now.
Here is the link:

http://adam.about.com/reports/000326.htm


s
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  #4  
Unread 02-27-2005, 01:42 PM
lower abdominal pain and confused

Hi Marian
Thanks for you input and the info.
I am still thumping and somewhat sore this afternoon. Did you thump or gurgle in that lower left area after eating or drinking?It used to make me feel gassy, but right now as gross as it sounds, I can't even pass gas. My abdoman feels bloated eventhough I did finally go last night.
Up until the last few days (while using the same amt of fiber, colace) I was going to the bathroom several times a day. Now I am lucky if I go once.
I am wondering if my rectocele and enterocele came from the straining I have done since my hyst. I had bowel problems every since my surgery.I even had a bowel impaction at 5 weeks post op.During my lap in Sept. the surgeon looked for adhesions, but didn't see any, but did mention that he and the surgical tech had a hard time locating my colon. So now I do have to wonder if it was pulled down. The rectocele is the rectum pushing into the vaginal wall. The enterocele(hernia) is small intestines bulging down into the vagina.There must be a reason all of this happened. Now I wonder if it is all related to adhesions?
Did you have backaches constantly with your adhesions? Mine is the lower back and they are just there all the time. I am able to function ok, but wonder if they could be related. I also had a couple bulging discs a few years ago,(went through P.T.) so I have no idea what is up.

Thanks for all your help Marian. You are a sweetheart
s
Peggy
  #5  
Unread 02-27-2005, 02:03 PM
lower abdominal pain and confused

Hi Ladies,
I can relate to your posts. I seem to be switching back and forth between bladder issues and colon issues.

My surgery was 11-19, it was a LAVH. I had it because of left-sided pain. They Did a CT scan and saw a large uterus and fibroid and said my left ovary was out of place. So I did the surgery and now am back to square one.

I feel the lower left pain moreso after meals. I sometimes can't pass gas and get constipated. My PC thinks its IBS and has scheduled me for a colonoscopy.

I had a massage yesterday by a therapist with knowledge of soft tissue and alternative procedures. She suggested I look into a colonic (which sounds awful to me but makes sense). She also said that castor oil packs, placed directly over the painful area can help penetrate and break up adhesions. She said massage the area to see if you can help break them up your self.

I sure don't want more surgery, I'm still tired and have insision pain. Back pain too.

Hope to learn that you all are finding some improvement soon.

C.Anne
  #6  
Unread 02-27-2005, 03:46 PM
lower abdominal pain and confused

hi
My gyn is the one who said I had a barely #1 rectocele, but sent me to a colon rectal surgeon to be checked out for possible rectal problems, before he would think about doing my repairs.
I saw the nurse practioner at the colon surgeon's office. She wanted to try me on fiber for 2 months, then see if I needed testing done. I pretty much demanded testing, so she ordered them. I had a colon transit study done, then a defecogram. The defecogram showed a large rectocele and a enterocele, but no other problems in the hind end. I had the results sent to my gyn, so he set up the repair surgery. I never had the EMG done, which was to be next. I cancelled that appt. and never went back. I thought all my problems were rectocele/enterocele related.
I am now wondering if I need to go back to the colon surgeon, because of this ongoing thumping, abdominal pain. and hard time to have a bm again. I may give it a few weeks, but may seriously give it some thought to go back there.
I have had this problem pretty much since my tah.

Peggy
  #7  
Unread 02-27-2005, 04:31 PM
lower abdominal pain and confused

(((Peggy)))
I can relate to the abdominal discomfort. I very seldom have any pelvic pain but the abdominal problems persist. Sigh. You may want to look at things that you're eating as I have found thru trial and error that certain foods will cause me more problems than others. I also found thru some testing that I am allergic to many foods and chemicals. I try to stay away from those foods and the chemicals that I know irritate my

The best thing I ever did was to find a good acupuncturist. This lady is the best! While I am not 100%, she does look at the big picture and she has helped my bowel movement problems alot! I still have swelling and pain, but my problems have been going on for such a long time that it's going to take a long time to fix everything. I do feel MUCH better than I did before I started.

  #8  
Unread 02-28-2005, 07:12 AM
lower abdominal pain and confused

  Quote:
Originally posted by mtdewpeg
Hi Marian
Thanks for you input and the info.
I am still thumping and somewhat sore this afternoon. Did you thump or gurgle in that lower left area after eating or drinking?

I didn't have any thumping or anything like that, I know that when I had an appetite, if I ate a heavy meal, that would cause me pain---probably from trying to get through the narrowed area and twists and turns.

During my lap in Sept. the surgeon looked for adhesions, but didn't see any, but did mention that he and the surgical tech had a hard time locating my colon.

I don't see how it is possible that the surgeon had a hard time finding your colon unless there were adhesions present. It is kind of hard to miss.

Did you have backaches constantly with your adhesions? Mine is the lower back and they are just there all the time. I am able to function ok, but wonder if they could be related. I also had a couple bulging discs a few years ago,(went through P.T.) so I have no idea what is up.

Thanks for all your help Marian. You are a sweetheart
s
Peggy
I always have a backache due to herniated discs back in 1998, so my testimony for that is worthless..LOL
I do think it is worth looking into with the doc though.
  #9  
Unread 03-01-2005, 09:02 AM
lower abdominal pain and confused

Oh ((((Peggy)))) I'm so sorry you're having such a hard time

While I do not have the thumping pain you're describing, I've been having an on-going with constipation/diarrhea cycles since childhood. In my case, this is due to IBS. Since my hyst, the IBS is been much, much worse. Both my GYN and my GP contend that this is because the surgery unsettled my already fragile bowels.

IBS is one of those conditions that is diagnosed through elimination: basically, if the tests are all negative, they figure it must be IBS.

There are also bowel conditions that behave in this manner. Might be worth your while to explore possible causes, in addition to exploring the possibility of adhesions. Remember: your pain and problems may be due to a combination of issues, so treating one condition may not solve all the problems. This tends to get tedious and very frustrating

I do hope that you find answers, and get some much needed relief, very soon.
  #10  
Unread 03-03-2005, 11:21 AM
lower abdominal pain and confused

Hello

My abdominal pains(felt like menstrual cramps) seem to have gone away now. I switched from the benefiber I was using to metamucil and am continuing to use the colace. I am able to have a bm more easily now. I know this is something I am just going to have to work out. My insides have been through alot lately.I still have the abdominal soreness, but I am hoping it will lessen over time. I've been cut open quite a bit and do have alot of scar tissue on my abdominal walls. The surgeon who did my lapro and removed my gallbladder said I may always have that soreness. He believes the surgeries I've had has lead to some nerve damage. This soreness isn't too bad and I can easily live with it. It isn't near as bad as those terrible menstrual pains I used to have.

Peggy *pig*
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