Ok, explain this doctors suggestion? From Adhesions post.

[Trickie636]

Just got back from General Surgeon!  He asks me my symptoms and such and I began to tell him all! He has me lay back and looks at my TAH incision. He said it looked fine. He then starts to push and mash around on my lower abdomen. He starts at the right side and he gets in this certain spot and I about come off the table it hurt so badly! I actually teared up! He starts working his way to my left side and it was fine, he could push and mash around all he wanted over there...which really shocked me, considering it had some subtle pain this morning. So I guess he wants to cause me more pain and has me act like I was raising my head while he mashed on my right side again and after the first time, I couldn't do it anymore...it hurt that bad.

So, he finishes and tells me to get up, I did. He starts telling me how he thinks it might be muscles in my abdomen that are trapped or it could be scar tissue that is trapped also. He says that the severe cramping I am having could be IBS. He did say that if it is what I mentioned above, there are shots they can give me in my abdomen to relax the muscles and nerves to make it quit hurting. Would this be long term, I mean come on!
So, he scheduled me a CT Scan for tomorrow morning at 8 and gave me a medication called chlordiazepoxide/clidinium.

I did take my records to him also and he stood outside the door and looked thru them.  Can someone explain to me what all this means.  I think he hurt me so bad that I couldn't really listen to him that well because of crying so much!

[EsmereldaPea]

Having had a TAH a year ago, and having adhesion problems post-surgery, I hope I can offer some suggestions.  My doctor recommeded Myofascial Release (MFR).  And yes, it hurts like the devil when it is pressed.  Please ask your doc about prescribing PT using MFR techniques.  Here is one site that explains about it:

http://www.myofascialrelease.com

Some people think it's a bit crackpot, but my surgeon is one of the top surgeons for gyn and minimally-invasive surgeries and his assessment was right on!  I can't tell you how much it helped me.  it did take about 6 months of twice weekly treatments to see substantial improvement.  And now, three months out fro the last treatment, I can feel some regression, but maybe it wouldn't be an issue if I did my exercises like I'm supposed to!  Good luck!

[blon]

My 22 year old son was experiencing lower right abdominal pain over a period of a few months..sometimes even vomiting or nausea.  The CT scan, ultrasound and Upper GI were all neg.  Finally the doctor went in laparoscopic to go ahead and remove his appendix, in case that was the problem. It definitely was the problem.  He was in the early stages of appendicitis.  They also checked his white blood cell count to see if it was high.  Never was above 10,200.  It may not be your answer but maybe it will give you something to think about.  My son has been doing great ever since.

[surgeon]

when there is a localized spot of such severe tenderness, there's usually something identifiable associated with it. The CT scan has a good chance of showing it. A possibility that it sounds like the surgeon was trying to explain is a hernia of some sort -- meaning some sort of hole with something trapped in it. He might also have been thinking about a trapped nerve: that might explain the injection he referred to -- I can't think of anything else he might have meant. When there's a trapped/irritated nerve as a result of prior surgery, sometimes a cortisone injection into the area can relieve some pain. As to adhesions: usually if they cause pain it's from causing a bowel obstruction, which leads to crampy pain, often with nausea and vomitting. They're not usually a cause of local tenderness as you describe, unless they've caused what's referred to as an internal hernia. Hopefully you'll learn something useful from the scan.

[Trickie636]

Well, I appreciate your reply.  I have to say that I found out the CT Scan showed NOTHING!!!  So, now what will happen???


GEEZ, I hate this!

Keri

[Christie2004]

Adhesions might be causing the problem-sometimes they can be very painful.  I don't know how well they show up on CT scan, though.  

IBS might also be the culprit.  It affects different people many different ways.  

I'm sure he will see you for follow up after the CT and give you some more ideas/try some meds for IBS or something else that may help.