Brief Answer:
Right lower abdomen recurrent colicky pain/Under Investigation

Detailed Answer:
Brief Reply-Right lower abdomen recurrent colicky pain/Under Investigation



Hi,Welcome for the query to My Virtual Clinic at HCM.I reviewed your query and found it very short of the expected information needed to reply your health concerns of -Reccurring Rigth lower abdomen bad pains..

I would suggest you to update the information by your replies against each of the questions asked herewith as follows-
As its very important to have this information along with any test reports done in the past and currently-

Please update following information soon as follows-

i-Since how many years you have this recurring colicky pain in right lower abdomen?
ii-Did you got any USG /CT abdomen-study done by your doctors for this pain?
iii-Was there any complicated recovery after appendectomy/ or
after Gall bladder removal-19 yrs back /
or after hysterectomy 5 years back?
iv-When did the recurring pain started -after cholecystectomy/ or after appedicectomy / or after Hysterectomy -5 years ago.?
v-Diarrhoea is accompanied by the chills and with these colicky pain in right lower abdomen?
vi-If Any nausea/vomiting/chills /fever / and gurgling accompanied with each of the painful sessions you get with diarrhoea?
vii-After How much time after the food intake,you get this right lower abdominal pains?
viii-Update the past /present lab tests/radiological tests done ?
ix-Any other illness and medicines, you have currently or in the past with it?
x-Do you have any habit of alcohol/tea/coffee/excesses?if yes since how long you have these excesses?

I expect you to write your replied information against each of the above 10-subqueries.

If need be after study of this information ,some more information may be needed to evaluate the gravity and nature of the cause for your right lower abdominal pains.

As I don't have more information from you and no access to direct information from your treating family / or specialist doctors,its very difficult to get the feel of your complaints,which is very essential to plan suggestions for your health concerns.

Hope you would attend to all the above information asked patiently.

Await detailed information and any further query or / information in regard to the health concerns of this query from you.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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Brief Answer:
Recurrent Adhesive Bowel Disease-with Closed loop Reducible Obstructions

Detailed Answer:
Clinical Impression-Recurrent Adhesive Bowel Disease-with Closed loop Reducible Obstructions -

due to Omental adhesions, which relieves with recurrent diarrhea with closed loop syndrome-

Hi,thanks for the patient detailing of the information from YOU.
I reviewed all the updates in context of the health concerns of your query.

Based on the detailed study of all these facts with my expertise and experience over last 35 years following is My Impression of your illness and plan of suggestions for the best possible way out with least pain and morbidity to you.

*My Impression-
You seem to suffer from-
Adhesive Bowel Disease-with Closed loop / or Incarcerated Intestinal Obstruction due to Omental adhesions, which relieves with recurrent diarrhea with closed loop syndrome-
Though you had uneventful surgeries of Gall bladder(19 yrs back),appendectomy- and )-Hysterectomy(5 yrs back), they are all prone to develop some adhesions due to the infective accompanied inflammation.
With right sided concentration of adhesions with Gall Bladder and appendicitis surgery, the cumulative added effect became vocal and was expressed in the form of –Adhesive Bowel disease-after 1 yr of hysterectomy for endometriosis.( and is there for last 4 yrs almost, with more exacerbation since last 1 month)
Recurrent right lower abdominal Pains which are Worst than the labor pains experienced by you in last few yrs (since last 3-4 yrs ),were due to these Adhesive Bowel Disease with Closed bowel Incarcerated / ie-Reducible obstructions, which used to get reduced with diarrhea attacks in last few months.
Right sided hurt /tenderness near belly button, after session of severe abdominal pains with the diarrhea, is due to the enteritis of the reduced Closed loop bowel obstruction,with surrounding peritonitis of the bowels.

*Risk and Alerts-
a-IF not treated, you may suffer from Chronic Mal-absorption Syndrome from the affected loop of the intestines with Pernicious Anemia and weight loss and weakness after few months/ or years.
b-Risk of Strangulation developing in the Non-Reducible closed loop bowel obstruction with risk to LIFE is very high and is there and needs to be avoided by proper steps as advised herewith as follows-

*Remedy-

1-Conservative measures-
–Suggestions To prevent emergency of Strangulation / or Reducible Closed loop Obstruction-
a-Low volume small sips with liquid diet / and soups /Liquid diet with low fiber /soft diets.
b-Tab Zincovit
c-Tab Folic acid
d-Plenty of water in form of-lemon juice/ oral electrolytes

2-Surgical Remedies-
Open laparotomy adhesiolysis or –
Laparoscopic Adhesiolysis- and enterolysis –has short recovery time and early relief of pain in abdomen.

3-Intra-operative –Care to reduce post-procedural adhesion recurrence.

a-Intraperitoneal wash with steroid and NSAID / dantrium(Dantrolene)(muscle relaxant)/ dextran-70/ mannitol /
and Pneumo-Peritoneum for Enteroclysis - to reduce post-procedural adhesion recurrence.

*Specialist Doctor to be consulted-
For executing all this treatment would be Surgeon with team of Laparscopic Surgeon and Physician.

Hope this reply would help you to plan treatment with your doctors in near future for the recurrent right lower abdominal pain with recurrent diarrhea over last 1 month.
Hope this reply would help you to resolve the pain and suffering and anxiety associated with it over last 4 years .

Will appreciate your writing excellent review comments, to help visiting needy patients like you, at HCM.

Welcome for any further query in this regard if need be,in which case I would love to attend to it, before I close this query from My end.

Keep me updated on further health progress.
Do contact by Direct Premium question to Me, if needed.

Wishing you early painless recovery from your complex illness in time to come.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist,
M.S.Genl-CVTS.

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