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What Causes Severe Back Pain Post A C-section?
Question: Hello Doctor
My wife had a csection delivery couple of months ago. After a month or so she started having severe pains on her right back. She did some massage etc but that did not help much. After a day, it went away.
Yesterday she had a sonography and report says lumen is filled with multiple stones.
She is having pains as and when she takes fatty stuffs in meals, other time she will not have pain.
Can u plz suggest the treatment based on her current situation ?
thanks XXXXXXX
My wife had a csection delivery couple of months ago. After a month or so she started having severe pains on her right back. She did some massage etc but that did not help much. After a day, it went away.
Yesterday she had a sonography and report says lumen is filled with multiple stones.
She is having pains as and when she takes fatty stuffs in meals, other time she will not have pain.
Can u plz suggest the treatment based on her current situation ?
thanks XXXXXXX
Brief Answer:
Cholecystitis
Detailed Answer:
Hello XXXXXXX
When you say the sonography showed "lumen filled with multiple stones" I am assuming this was her gall bladder. Given that she has pain after eating fatty foods, I will assume she has gall stones and gall bladder inflammation related pain.
Gall stones can happen to any adults but the high hormones of pregnancy and subsequent weight loss can all predispose a woman to gall stone development.
The usual treatment is to surgically remove the gall bladder, if the stones are causing problems. The gallbladder is a sac that the bile the liver produces is stored in and when a person eats, the gall bladder contracts and the bile goes into the small intestines where it helps break up oils and fats. If the gall bladder is removed, the bile goes directly from the liver into the small intestines. Usually, nowadays, removal of the gall bladder (cholecystectomy) is done laparoscopically - not an open surgical incision.
In the meantime, she should avoid eating fats, oils, greasy foods as these may cause her more pain.
There is medication to dissolve the stones, but this takes months, sometimes doesn't work, and it's usually only given to people who are not able to have surgery.
Some people have gall stones but don't develop symptoms. In those people, usually surgery is not needed.
I hope this information helps. Please let me know if I can provide further information or clarification.
Cholecystitis
Detailed Answer:
Hello XXXXXXX
When you say the sonography showed "lumen filled with multiple stones" I am assuming this was her gall bladder. Given that she has pain after eating fatty foods, I will assume she has gall stones and gall bladder inflammation related pain.
Gall stones can happen to any adults but the high hormones of pregnancy and subsequent weight loss can all predispose a woman to gall stone development.
The usual treatment is to surgically remove the gall bladder, if the stones are causing problems. The gallbladder is a sac that the bile the liver produces is stored in and when a person eats, the gall bladder contracts and the bile goes into the small intestines where it helps break up oils and fats. If the gall bladder is removed, the bile goes directly from the liver into the small intestines. Usually, nowadays, removal of the gall bladder (cholecystectomy) is done laparoscopically - not an open surgical incision.
In the meantime, she should avoid eating fats, oils, greasy foods as these may cause her more pain.
There is medication to dissolve the stones, but this takes months, sometimes doesn't work, and it's usually only given to people who are not able to have surgery.
Some people have gall stones but don't develop symptoms. In those people, usually surgery is not needed.
I hope this information helps. Please let me know if I can provide further information or clarification.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doctor Thanks for prompt response. My concern is let's say she does not go for surgery right now and she avoids fatty foods and let's say she does not have pain as well , will it be good to prolong surgery. Can there be any other harms to lever etc if we don't remove stones ? Given that she has already went through surgery very recently, would you recommend another one within 3 months ?
Brief Answer:
Information
Detailed Answer:
If no treatment is done and she has no further gall bladder attacks, things may go ok, but there are also risks of complications. The gall bladder can get infected (symptoms include fever, increased pain and feeling ill). Or a stone can wedge into the duct that allows the flow of bile out of the gall bladder, thereby blocking it. Symptoms of this are usually clay (light) colored stool (because the bile pigments are not getting into the intestines to make the stool the normal brown color); and dark urine.
Usually it is best to wait 3 months between operations. However, I suggest making an appointment with the surgeon to discuss her ultrasound. If the lining of the gall bladder is swollen/inflamed, it may be best to have the surgery sooner. If, on the other hand, she is feeling ok, and the gall bladder looks otherwise healthy (except for the presence of stones), she may be able to wait.
Information
Detailed Answer:
If no treatment is done and she has no further gall bladder attacks, things may go ok, but there are also risks of complications. The gall bladder can get infected (symptoms include fever, increased pain and feeling ill). Or a stone can wedge into the duct that allows the flow of bile out of the gall bladder, thereby blocking it. Symptoms of this are usually clay (light) colored stool (because the bile pigments are not getting into the intestines to make the stool the normal brown color); and dark urine.
Usually it is best to wait 3 months between operations. However, I suggest making an appointment with the surgeon to discuss her ultrasound. If the lining of the gall bladder is swollen/inflamed, it may be best to have the surgery sooner. If, on the other hand, she is feeling ok, and the gall bladder looks otherwise healthy (except for the presence of stones), she may be able to wait.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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