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After delivery feeling extreme pressure and pain in rectal area, urge to pass gas or motion. Suggest? - Online Doctor Chats

Date : 03-Jul-2013
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1527 Questions
User:Good Evening Dr. XXXXXXX
Doctor:How can I help you today?
User:I am 4 weeks post partum (Delivered by LSCS).
User:This was my 2nd delivery and the 1st one was also an LSCS 5 years back.
User:For the last 3 days I am feeling extreme pressure and some pain in my rectal area
User:it feels like a strong urge to pass gas or pass motion
User:My stool has been slightly hard. My consultant had advise Duphalac and PAN D for gastric troubles.
User:I have been taking these for the last 2 days
User:Duphalac 1 Tbsp, at night and PAN D before breakfast and dinner
User:My stools have softend somewhat but the pressure and pain have shown little improvement
User:Also, everytime I do pass gas or motion, I have acute pain in the lower abdomen as if I can feel the gas and bowel move inside me very painfully.
User:I am on soft, light, diet and have been walking for 20 minutes in the evening
User:How can I help releive the rectal pain / pressure and deal with the acute abdominal pain while passing gas / motion?
Doctor:It seems that the uterus is causing the symptoms as its size is still big
Doctor:Still we need to know the cause
Doctor:I will suggest that you get tests done like USG whole abdomen and rectal examination by a physician
Doctor:These are the starting tests
Doctor:How about the bleeding that happens after delivery?
Doctor:Did it stop?
User:There has been very minimal bleeding, like a regular period for the 1st week and mostly just spotting thereafter
Doctor:Is it still going on?
User:Last one week even the spotting has subsided and it happens maybe 1ce in 2 days a little bit
User:yes, one may say it has stopped
Doctor:I think there may be retained products of conception or infection in uterus
Doctor:Thus we need testing
Doctor:Do you have any fever?
User:mild fever, yes. About 99.8 in the evenings only..
User:and it goes down by itself
User:last 2 days
Doctor:Go to your gynecologist
User:ok. will do
User:Thank you for your advise!
Doctor:Thanks for consulting me
User:Thank you for your advise!
Doctor:Take care
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