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Re: dialated bowel?
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Re: dialated bowel?

Posted By Kristen on June 09, 1999 at 11:06:09
2 months ago I had a laperoscopy for what my gynocologist thought might be endometriosis.  I had been having severe stomach pain and was very bloated.  It seems there was no endometriosis but the doctor found that I had several adhesions on my large intestine and he said my bowel was dialated. I am a 34 year old female. I am not overwiehgt and up until the past couple years have been in genral good health except for a tonsil and adnoidectomy at age 26 and several episodes of neuro retinitis between 10 and 13 years ago.
I have never had abdominal surgey before.  For the past two years I have been seeing a rheumatologist for what appears to be some auto-immune problem that has several lupus like symptoms, but labwork has only turned up one positive ANA of a low titer.
A GI series was suggested after my laperoscopy but I have not had it done yet.  My pain has subsided tremendously but I still have days where I am uncomfortable and even almost prickly type pain in my stomach.  Also Before the laperoscopy  my stomach was very tender in that I wanted nothing to be touching it.  I still have some of that.
I know you cannot dx the problem but I am curious as to what kinds of things could be causing the dialated bowel and the adhesions (which were removed).  And is a dialated bowel the same thing as inflamed intestines?
thanks
My impression from the rheumatologist was that it could be related to all the other problems but she couldn't really say without me having seen a gastro.







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Posted By HFHSM.D.-Gastro-RF on June 29, 1999 at 07:01:30
Dear Kristen,
Abdominal adhesions, the scarring resulting from inflammation, are usually the result of previous surgery. However, adhesions can result from previous inflammation and does not always require surgery.  For example, patients who had gall bladder inflammation may have adhesions between the gallbladder and liver or anterior abdominal wall.  Pelvic inflammation or ruptured ovarian cysts can cause intraabdominal inflmmation.  Some medications cause increased fibrosis of the abdomen which can be confused with adhesions.Finally, adhesions may result from collagen vascular disease.U
I am uncertain what your physician meant by dilated bowel as there is a wide range of normal caliber,  Adhesions should not cuse dilated bowel unless there has been obstruction of the bowel. Dilated bowel can result from motility disorders, which can also be associated with autoimmune disease.
There is no exercixe or diet plan that can treat adhesions,  
This information is presented for educational purposes.  Ask specific questions to your personal physician.
HFHSM.D.-rf
*keywords: adhesions, inflammation
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