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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Abdominal Pain, Diarrhea And Gas In A Fistula Patient?

Hi I m 29 y/o female. Earlier this year I spent three weeks in patient for a fistula between my bladder and sigmoid colon. Last week I started having extreme abdominal pain, diarrhea, sulfar belching and gas and also four smelling urine. Today my pain in incredibly worse, unbearable. I m in a new state and have no doctors yet. I feel I should go to the ER but keep talking myself out of it as they don t know my medical hx and I m on prescribed vicodin for bulging disc and don t want to be judged but I know it s not good and I need to have looked at immediately. Any advice?
Thu, 26 Feb 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Read and understood your problems. This is a complicated problem as you have a fistula between the sigmoid colon and the urinary bladder .
This can cause severe in infection of the urinary bladder and urinary tract as a whole causing septicemia or any other complication.

You have to get admitted .
Antibiotics and catheter insertion for proper drainage .
Contrast CT scan studies and a plan for proper surgery to have disconnection of the two organs and removal of the fistula.
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How To Treat Abdominal Pain, Diarrhea And Gas In A Fistula Patient?

Hi. Thanks for your query. Read and understood your problems. This is a complicated problem as you have a fistula between the sigmoid colon and the urinary bladder . This can cause severe in infection of the urinary bladder and urinary tract as a whole causing septicemia or any other complication. You have to get admitted . Antibiotics and catheter insertion for proper drainage . Contrast CT scan studies and a plan for proper surgery to have disconnection of the two organs and removal of the fistula.