Brief Answer:
Other causes need to be ruled out
Detailed Answer:
Hi,
Thanks for the query.
I am sorry for all the pain that you are undergoing.
I do agree that this pain may be due to positioning but other causes need to be ruled out.
You have had three sections so the procedure may have been a difficult one, but even then if it was possible to remove the polyp it does indicate that the doctor was able to get inside the
uterine cavity. It would help to know the duration of the procedure as well as your weight to say if the pain is due to positioning.
Other causes of pain are the
hysteroscopy fluid entering the abdominal cavity that happens as the tubes are open. Potentially this occurs in every procedure but it may cause pain in some women.
Peritonitis may also cause severe
abdominal pain. If bits of polyp remain behind they too can cause pain at times but usually it is associated with bleeding.
Uterine perforation and damage to peritoneal structures is a rare but possible cause.
Other common causes are urine infection especially if catheters have been used.
Please check to see if you have any fever. If no, then chances of injury and perforation are very low. Also note if you have any burning while passing urine or excessive urination as these may indicate urine infection.
I suggest that you take a simple analgesic like ketorolac sr to control pain. Local application of analgesic ointment like
diclofenac will help decreasing the pain if it is due to positioning.
If the pain does not decrease, you will need to see your doctor, get a urine test and an abdominal examination to look for any other signs like
rebound tenderness and so on. If the pain is severe an ultrasound of the abdomen and pelvis will also be needed to localize the cause.
I am sorry that you are undergoing such
severe pain but am sure you will get over this.
Hope I was able to help you. Thanks for using Health Care Magic.
I would be happy to answer any further queries.
Have a nice day.
Dr. Madhuri Bagde
Consultant Obstetrician and Gynecologist