HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Chronic Pain And Hernia Repair Surgery

default
Posted on Tue, 2 Dec 2014
Question: It's been some time since I last wrote and I'd like to update you. After putting the past together, both my husband I realized doctors couldn't get past the Chronic Pain and address the two surgeries. FYI, the colorectal surgeon not only discharged me with unchanged bandages which led to infection and a hernia surgery, he has been fired from original office, left to major hospitals and picked up my records from original office; they've disappeared. I tell you this only to verify that he made major mistakes and sounds like he has on others.
the Army doctors diagnosed me with Chronic Pain; to date, the area where the resection at rectum is still very painful along with pressure and, under the hernia repair right now I have ice on my entire abdomen because I am burning. Not indigestion; I took prep for colonoscopy x's 3 plus 8 laxatives and could not be cleaned out. Doctor thought nothing of this, which seems surprising to me. I'm to the point of not trusting anyone; I even called the CEO (also a retired Major General) of the hospital where I lie in fecal matter which the doctor knew and left with infection....called him to ask if he knew an outstanding colorectal surgeon. He didn't and suggested another major hospital. I tell you this because obviously others have had issues and probably sued, and to let you know I am totally upfront and honest in the way my case has been ignored. I can't go through another colonoscopy as it creates more pain; eventually I can evacuate but it can take up to two weeks. I'm very concerned about the burning under mesh where hernia repair was done. I could "fake it" around others until the colonoscopy which is when the burning, from sternum all the way around and under repair, started. I wouldn't begin to know where to go or what to do, but I do know that "Chronic Pain" has caused doctors to avoid looking at what I'm saying. Finally, I insisted the opiates be withdrawn and I'm down to 25 mg Fentanyl and Tramadol - had been prescribed up to 8 Percocet and started at 75 mg Fentanyl. It's good to be off such high doses, but, I'm resigned to home. All because of lack of communication, awful surgery, and messages about gastro pain going to a nurse; my doctor was out for 10 months and I thought nurse would report; she didn't. I'm between a rock and a hard place and the pain is crippling. The resection is right where the "toothache" pain is - isn't there a test that would focus on the two strips of mesh on each end and all around as I feel like it's pulled so tight it restricts walking...I seem to protect that area by my walk. Desperate and frightened; no confidence in any doctor believing this could all be true. I wouldn't believe it because it is so complex and has been so ignored. Hope this finds you doing well and understanding a little of my dilemma. A tens unit is the best I can do for the rectal area but the gastro cannot be controlled except for time.
Asked by Skaadland , 1 day ago
Let me back up to the day following hernia surgery - 8.3 cm in size. No pain at surgery point, but I had an epidural - and the pain I describe as labor pain or toothache - fired nerves - was so uncontrollable that I moved in bed so much that I broke the tube for the epidural. Is is possible the needle hit the area of the resection in the rectum or where it was attached.
It took this long to realize my provider didn't provide anything but meds. Once a person is labeled chronic pain (from rear ending) in my case, I didn't stand a chance because that was all that was addressed. Finally, my husband and I got smart and realized the pain in the S-3 S4 (rectum where he attached the colon) was coming from the resection. Too late; already a chronic pain patient. However, I had a colonoscopy and felt like I had a war going on inside; my ribs were sore and the nurse had to push on my stomach as dr had to drive the tube in; it was traumatic. Since then,
is it the least bit possible, because I am having unbearable burning and cramping under hernia mesh or better said, in colon or intestines. He tried to view the small intestines (is this normal) but couldn't. Needless to say, My husband and I are doing all the searching as, I had tests, called provider, who didn't know to pick them up. I'm terrified of trying to find anyone out there so, finally, I'm stuck. Motility? I have never had gastro pain or issues before and nobody is trying to relate the two? If I had a lawyer, I'd see why they are being so resistant to searching, but I don't and my insides are killing me as well as the area in the rectum.
doctor
Answered by Dr. Rishi (3 hours later)
Brief Answer:
You can try a CECT Abdomen.

Detailed Answer:
Hi XXXX.

I do understand you have been through an extremely rough period.

Its good that you have decreased the analgesic doses. That is definitely a positive move.

About the test to see the mesh. I can only think of a Contrast enhanced CT Scan of abdomen and pelvis with Reformatted images can show the exact location of the mesh and its relation to surrounding structures. You could get that done to get a clear picture of things.

The epidural needle injuring organs inside is unlikely and I have seen patients in whom the Epidural comes out itself on 2nd or 3rd day after surgery. So its quite normal.

Your stool frequency is worrisome. Hopefully it will improve and become more frequent. How more can I help you. Please do let me know. I would be happy to do so and please accept an apology on behalf of the medical community for the pain and suffering caused to you. I hope someone could make it disappear but I cannot do so.

Take care.
Dr Rishi, New XXXXXXX XXXXXXX
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. Rishi (17 hours later)
If I had a CT scan prior to colorectal surgery and of the hernia, I'd have something to compare; he didn't follow protocol. The reason I think the epidural caused so much nerve pain is it went in so close to the place the surgeon did the recap (he cut colon, secured, leaving about 4 inches just hanging loose, then cut a hole in side of rectum, securing with mesh. My belief, is the needle hit a raw area having never had any issues before that surgery.
Is it common to try to look in small intestines?
You have to understand, I got lost in the cracks for so long; provider then she was away, then back; scared me into the surgery which, as I told you, surgeon agreed it wasn't mandatory and he failed - don't hear many doctors admitting this. But his failure has ruined life for myself, husband, children and grandchildren - until the last colonoscopy, I could sit with the kids, but, now because such gastro pain, even taking a shower is difficult; today I had a had time breathing because the mesh is so close to the sternum; and stomach. Have you ever heard of such a nightmare. We are trying to find a place where I can get unbiased help; where facts are presented and doctors put heads together. Everyone deserves better.
The doctor I was talking to is Naniksingh Kukreja, Thu, and he has tons of info. Guess I lost him, but appreciate your kind help.
doctor
Answered by Dr. Rishi (1 hour later)
Brief Answer:
A CT with reformat would tell location of mesh

Detailed Answer:
Hello XXXX. I feel deeply about your condition and I have only seen one or two such cases in the past. It is quite a rare case.
Dr Kukreja might be available and you can try by asking him a Direct query and he might respond if he is there.
A CT with reformatted images would be able to tell the location and extent of the mesh and then a decision can be taken whether to remove it partially or not. Do consider it. Please let me know if you get it done.
Small intestine visualisation would have been necessary beacuse of your severe constipation to rule out problems in the small intestine.
Keep up the faith and I hope things get better from here.
Take care.
Dr Rishi, New XXXXXXX XXXXXXX
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Rishi

General Surgeon

Practicing since :1999

Answered : 1312 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Chronic Pain And Hernia Repair Surgery

Brief Answer: You can try a CECT Abdomen. Detailed Answer: Hi XXXX. I do understand you have been through an extremely rough period. Its good that you have decreased the analgesic doses. That is definitely a positive move. About the test to see the mesh. I can only think of a Contrast enhanced CT Scan of abdomen and pelvis with Reformatted images can show the exact location of the mesh and its relation to surrounding structures. You could get that done to get a clear picture of things. The epidural needle injuring organs inside is unlikely and I have seen patients in whom the Epidural comes out itself on 2nd or 3rd day after surgery. So its quite normal. Your stool frequency is worrisome. Hopefully it will improve and become more frequent. How more can I help you. Please do let me know. I would be happy to do so and please accept an apology on behalf of the medical community for the pain and suffering caused to you. I hope someone could make it disappear but I cannot do so. Take care. Dr Rishi, New XXXXXXX XXXXXXX