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Have painful stomach cramps after C-Section. All tests fine. Cure?

good morning doctor. ever since my c-section 4 years I have been suffering from persistent very painful stomache cramps . they are so painful that I cannot sleep and continue for several weeks. I have gone to my gynae doctor and she s done numerous tests on my uterus and ovaries but all is fine. she cannot explain the reason for this pain. I also had ultrasound tests but also everything is fine. What is the cause of my pain and how can I cure it completely?
Asked On : Fri, 15 Mar 2013
Answers:  2 Views:  51
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General Surgeon 's  Response
After any surgery over the abdomen,there is chance of adhesions formation inside.
The bowels or fat(Omentum) will get attached to the inner part of the scar inside the abdomen and there will be pain when these structures move or get pulled.
If the adhesions are dense ,the abdomen will get distended followed by vomiting and constipation.
If these are not present,then cramps may be due to mild adhesions.
Please take smooth muscle relaxant like Dicyclomine during pain.
Nothing to worry.
If the symptoms still persist,go for CT scan abdomen.
Wish you good health
Answered: Fri, 15 Mar 2013
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General Surgeon Dr. Grzegorz Stanko's  Response

Thank you for the query.

Every abdominal surgery leaves some adhesions inside the abdominal cavity. Some adhesion wont cause any problem, however others can impede bowels movements and cause partial bowels obstruction.

Other possibility is that during the C-section some endometrium cells were left outside the uterine in the abdominal cavity. It can be a reason of endometriosis and give abdominal pains which do aggravate with menses.

You should also have your scar checked to rule out hernia in this location.

Abdominal ultrasound wont visualize partial bowels obstruction. I suggest you to visit gastroenterologist, have abdominal CT with oral contrast (enteroclysis). If this test will also be negative, diagnostic laparoscopy should be considered.

Hope this will help.
Answered: Sat, 16 Mar 2013
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