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What Causes Post Operative Pain In The Stomach And Shoulder After Hernia Repair?

Posted on Wed, 28 May 2014

Question: My husband had surgery last Monday April 28th for gastric sleeve and hernia repair. He had this done in Mexico and the doctor prescribed Ketorolaco (Toradol) for pain but it reacts with his blood pressure meds and they took him off for a few days. After he was released from the hospital, we decided that the pain meds reaction with the high blood pressure meds was too much risk so he has not taken any more of the Ketorolaco. However, he is now having pain and wants some relief. I believe it is from the gas left over after the laporoscopy. We go to a local doctor tomorrow for advice but he is in a lot of pain right now. I gave him Milk of Magnesia for the discomfort of the gas and constipation. What else can I do? Sorry for the long email.

Answered by Dr. Deepak Kishore Kaltari (20 minutes later)

Brief Answer:
Request you for further information

Detailed Answer:
Hi
Welcome to Healthcare-magic
Greetings of the day

Dear Ms,

It would be more helpful if you could ellaborate few additonal points about the character and nature of pain, so that I would be able to suggest appropriate medicine.
1. Where is the exact location of pain?
2. How long has is the pain present
3. Any burning sensation in chest?
4. Any nausea ?
5. Is he passing stools normally? Is there any constipation

There are many causes of post operative pain, so it becomes very important to know the cause for pain so that appropriate treatment is started.
I do understand he requires immediate relief, I am sorry for the questions. But they are very much required.
Assuring of prompt reply as soon as you get back.

Take Care

Best Regards
Dr Deepak Kishore
MBBS,MS,MCH
Consultant Surgeon

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Deepak Kishore Kaltari (33 minutes later)

In response to your questions, I will try to answer as completely as possible.
1. Where is the exact location of pain? Belly (intestinal areas), and in the shoulder (left) up into the neck.
2. How long has is the pain present (intermittent every 3-4 hours since yesterday afternoon)
3. Any burning sensation in chest? No pain in chest
4. Any nausea ? yes there has been some nausea as he has been introducing new tastes to his new stomach so some of those do not agree.
5. Is he passing stools normally? Is there any constipation. Yes there is constipation. He has not passed a stool in 3 days.

Answered by Dr. Deepak Kishore Kaltari (8 minutes later)

Brief Answer:
Constipation and residual gas could be the cause

Detailed Answer:
Hi
Greetings

The cause of pain is likely to be due to colonic distension due to impacted stools and also due to residual gas present in peritoneal cavity . Gaseous distension may irriate the diaphragm causing referred pain to shoulder.

I would suggest you the following which will definitely help

1. Bisacodyl( Dulcolax suppository): One suppository inserted into the rectum will cause evacuation of stools and make him feel better. The distension will be reduced and also relieving of the pain
2. Simethicone containing antacid will be helpful
3. Combination of Pantoprozole + Domperidone taken twice a day will relieve him of nausea.
4. Antispasmodic: Tablet Drotaverine will be helpful in relieving intestinal spasm.
5. Soft diet
6. Avoid caffeinated beverages/ carbonated beverages

Do let me know the improvement.
wishing him speedy recovery

Take Care

Regards
Deepak

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Deepak Kishore Kaltari (6 minutes later)

Thank you doctor! I have uploaded the medical chart I am creating for him so that you can see if there is anything else you would suggest. I hope you find it helpful. I will move on the directions you have given me and I appreciate your help so very much.
Lynn XXXXXXX

Answered by Dr. Deepak Kishore Kaltari (9 minutes later)

Brief Answer:
Have not received medical chart

Detailed Answer:
Greetings

Dear Ms

I have not received any medical chart.
Keep posted about his recovery.
Do not worry he will be fine soon.

Take Care Madam

Best Regards
Deepak

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Yogesh D