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Gastroenterology (Expert Forum)
complications from hysterectomy
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
complications from hysterectomy
by Katelynn, Sep 27, 2004 12:00AM
Hello, I had a hysterectomy and ovaries out 5 years ago when I was 51 because of non-cancerous growths, anemia caused by excessive bleeding. My small intestine was perforated during surgery-I became gravely ill w/peritonitis. Subsequently, I have been hospitalized several times – tests have revealed that my small intestine was perforated and I have excessive scar tissue from the infection that has compromised my small and large intestines.
During a recent colonoscopy(3 weeks ago) I had to have a General as an outpatient because my “large intestine opening was tacked to my abdominal wall from the infection” and the colonoscopy was performed "with great difficulty" - the surgeon had to to put me out because he could not go beyond the rectum to the large intestine opening without causing severe pain.
I have great difficulty having bowel movements and sometimes have projectile vomiting because of "kinking" or "blockages". I am careful with my diet and to stay hydrated. Thus far, I have not had to have surgery - my doctor is trying to prevent since the results will all likelihood cause more scar tissue.
I am nauseated often so last week my doctor performed an endoscopy & obtained 4 biopsies – positive for Helicobacter pylori – I am beginning treatment today. When I had perontonitis, I vomited feces and had a widespread infection.
My questions:
1)Could the …pylori be a result of the peritonitis? I am very careful with my hygiene.
2)Can I transmit the ...pylori to others and should they be tested?
3)Can you make any recommendations related to health care? Regards and thank you - especially for being available to provide medical information forlaypersons such as myself!
Kathy.
During a recent colonoscopy(3 weeks ago) I had to have a General as an outpatient because my “large intestine opening was tacked to my abdominal wall from the infection” and the colonoscopy was performed "with great difficulty" - the surgeon had to to put me out because he could not go beyond the rectum to the large intestine opening without causing severe pain.
I have great difficulty having bowel movements and sometimes have projectile vomiting because of "kinking" or "blockages". I am careful with my diet and to stay hydrated. Thus far, I have not had to have surgery - my doctor is trying to prevent since the results will all likelihood cause more scar tissue.
I am nauseated often so last week my doctor performed an endoscopy & obtained 4 biopsies – positive for Helicobacter pylori – I am beginning treatment today. When I had perontonitis, I vomited feces and had a widespread infection.
My questions:
1)Could the …pylori be a result of the peritonitis? I am very careful with my hygiene.
2)Can I transmit the ...pylori to others and should they be tested?
3)Can you make any recommendations related to health care? Regards and thank you - especially for being available to provide medical information forlaypersons such as myself!
Kathy.
Doctor's Answer
by Kevin Pho, MD, Sep 28, 2004 12:00AM
, Sep 28, 2004 12:00AM
To answer your questions:
1) I am not aware of H Pylori being caused by the peritonitis.
2) The transmission of H Pylori is unknown, but hypothesize to be fecal-oral or oral-oral. Typically close contacts are not tested for this bacteria. It has been estimated that approximately 50 percent of the world's population is affected by this bacteria.
3) Consideration should be made for various motility disorders. You may want to consider a gastric emptying scan to evaluate for gastroparesis. Otherwise, close follow-up with your surgeon is certainly recommended.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
1) I am not aware of H Pylori being caused by the peritonitis.
2) The transmission of H Pylori is unknown, but hypothesize to be fecal-oral or oral-oral. Typically close contacts are not tested for this bacteria. It has been estimated that approximately 50 percent of the world's population is affected by this bacteria.
3) Consideration should be made for various motility disorders. You may want to consider a gastric emptying scan to evaluate for gastroparesis. Otherwise, close follow-up with your surgeon is certainly recommended.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Member Comments (2)
by Katelynn, Sep 27, 2004 12:00AM
Dr. in my question I forgot to mention that the endoscopy indicated my sphinter muscle is weakened and the doctor indicated acid is in all probability adding to my nausea - in addition to all the other issues - performated bowel,H Pylori, etc.
by Katelynn, Sep 27, 2004 12:00AM
Dr. in my question I forgot to mention that the endoscopy indicated my sphinter muscle is weakened and the doctor indicated stomach acid seepage is in all probability adding to my nausea - in addition to all the other issues - performated bowel,H Pylori, etc.
