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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stomach Fullness Below Rib Cage, Discomfort. Gall Bladder Removed Through Surgery. Cure?

Hello, my name is , I am 32 years old. I ve been experiencing a fullness in the upper part of my stomach below my rib cage. It s very uncomfortable and painful. My gallbladder has been removed, I ve had repaired hernias so I have mesh in there too. I also recently had surgery two months ago and I ve searched the Web for answers and came across people not being helped by with this issue. Oh and that there is no cure. Can you help!!!!!!
Fri, 18 Jan 2013
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Gastroenterologist 's  Response
Hello,howlingcraneestell,
I can understand your frustration. You mention that you have had
abdominal surgeries including gallbladder and also mesh insertin
for hernias. Your symptoms of pain and fullness in the upper part
of the abdomen may indicate slow passage from the stomach
into the intestine of your ingested food. This could happen in
different circumstances. If you have some scarring at the lower
end of the stomach opening from an old healed ulcer , that could
cause mild blockage. If you are a diabetic and not well controlled
you can have a condition called Gastroparesis that would slow down
the stomach. But my best guess in your case, is "Adhesions".
Especially after multiple abdominal surgeries , scar tissue develops
and in some, this can cause kinking of the intestine and cause intermittent
blockage or obstruction. If you get relief after passage of gas or after
belching , this could be a cause. It is very difficult to identify adhesions
but some cases a GI series and a small bowel follow through X-rays
can show abnormalities, if there is significant kinking.
In some cases mesh itself can cause reaction and scarring with pain.
Hope you have had complete blood work.
You can discuss these with your doctor and get tested .
I wish you well.
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Stomach Fullness Below Rib Cage, Discomfort. Gall Bladder Removed Through Surgery. Cure?

Hello,howlingcraneestell, I can understand your frustration. You mention that you have had abdominal surgeries including gallbladder and also mesh insertin for hernias. Your symptoms of pain and fullness in the upper part of the abdomen may indicate slow passage from the stomach into the intestine of your ingested food. This could happen in different circumstances. If you have some scarring at the lower end of the stomach opening from an old healed ulcer , that could cause mild blockage. If you are a diabetic and not well controlled you can have a condition called Gastroparesis that would slow down the stomach. But my best guess in your case, is Adhesions . Especially after multiple abdominal surgeries , scar tissue develops and in some, this can cause kinking of the intestine and cause intermittent blockage or obstruction. If you get relief after passage of gas or after belching , this could be a cause. It is very difficult to identify adhesions but some cases a GI series and a small bowel follow through X-rays can show abnormalities, if there is significant kinking. In some cases mesh itself can cause reaction and scarring with pain. Hope you have had complete blood work. You can discuss these with your doctor and get tested . I wish you well.