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Not Having Normal Bowel Movement. CT Scan Showed Cyst In Ovary. What Should I Do?

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Posted on Mon, 3 Dec 2012
Question: I am a 41 year old female. I have one child, hysterectomy May 2010. For the last two weeks I have not been able to have a normal bowel movement. There is some, but not much. I have taken oral laxitives and 2 enamas and nothing. Went to ER last week because my stomach hurts. They did x-ray and CT Scan and said I am a cyst on left ovary, blood in my urine, but that was all they could see. They gave me Goelytle but it did not work. I'm at a loss now. What should I do? What could this be? I am still backed up, it hurts to stand up straight and walk, I have nausea, and little appetite.
doctor
Answered by Dr. Grzegorz Stanko (46 minutes later)
Hello!

Thank you for the query.

It looks like you may be suffering from partial intestines obstruction due to adhesions. Such adhesions do appear after any abdominal surgery and depending of the location can cause symptoms like yours. Such adhesion makes intestine (usually small intestine) hanging on it, disturb blood flow into intestine and/or makes it narrow.
Such obstruction can come and go. That is why sometimes it is hard to visualize it with abdominal X-ray or even CT.
There might be also other reason of intestines obstruction like Crohn`s disease, colon cancer, endometriosis, inguinal or abdominal hernia.
What you should do is to have colonoscopy performed, abdominal Ct with oral contrast (so called enteroclysis). If this tests will also be negative, you should consult with general surgeon and ask him about diagnostic laparoscopy. This is a kind of surgery where the camera is put into abdominal cavity to see what causes the problem.

Hope this will help. Feel free to ask further questions.
Regards.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5795 Questions

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Not Having Normal Bowel Movement. CT Scan Showed Cyst In Ovary. What Should I Do?

Hello!

Thank you for the query.

It looks like you may be suffering from partial intestines obstruction due to adhesions. Such adhesions do appear after any abdominal surgery and depending of the location can cause symptoms like yours. Such adhesion makes intestine (usually small intestine) hanging on it, disturb blood flow into intestine and/or makes it narrow.
Such obstruction can come and go. That is why sometimes it is hard to visualize it with abdominal X-ray or even CT.
There might be also other reason of intestines obstruction like Crohn`s disease, colon cancer, endometriosis, inguinal or abdominal hernia.
What you should do is to have colonoscopy performed, abdominal Ct with oral contrast (so called enteroclysis). If this tests will also be negative, you should consult with general surgeon and ask him about diagnostic laparoscopy. This is a kind of surgery where the camera is put into abdominal cavity to see what causes the problem.

Hope this will help. Feel free to ask further questions.
Regards.