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Had hysterectomy. Feeling nauseous, headaches, bloated stomach and irregular bowel movement. Family history of cancer

May 2013
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Answered by
Practicing since : 2006
Answered : 4909 Questions
Hi Dr,

I had my hysterectomy on March 22nd 2012, after having a 10cm wide fybroid removed on my 40th birthday and the doctor kept my ovaries. I have been going through menopause since I was 38, however once I had my hysterectomy I have been getting full on menopausal symptoms. (Early menopause runs in the family). Firstly I was taking Harmony Natural Therapy Menopausal tablets, which made me sick and caused my liver to slowly shut down. As soon as I went off them I became well again. Since my hysterectomy I have been unable to go to the toilet properly and metamucil, prunes, etc, do not work, however Psyllium Husk seems to be working for me. But I have had irregular bowel movements, a fair bit of diorreha and then constipation and this has been a regular occurrance with further increased bloating to the point I look nearly 6 months pregnant. I wee very often and sometimes it comes on suddenly. I have been taking fluid tablets which happens to ease some of the bloating and swelling in my left foot, but the bloating is getting worse. Night sweats, chills, etc are a regular occurrence every few hours.

Recently in the last couple of months my belly has swollen more, I have become nauseous, dizzy, more frequent headaches, getting stitches in my sides especially on my left hand side where the fybroid was removed and also generally a little sore on the left hand side of my belly where I have noticed the swelling is a bit more, I passed blood last week were my urine was pink and had a little bit of spot bleeding. I have also had quite yellow urine and sometimes it does smell quite strong for the past few weeks. I have also increased in weight even though I am eating less. I have a constant full feeling in my stomach and have quite a lot of wind in my stomach also and have shortness of breath constantly.

I went immediately to the doctor, I then had an XXXXXXX and external ultrasound and my right ovary is around 3cm and they were unable to view the left ovary, which they said does happen. I had a CA125 blood test and urine test immediately after my ultrasound, so my urine was more clearer as I had drunk a significant amount of water. The tests have come back negative and the doctor said I need to have metamucil. (He is not my regular doctor) and that is all. My regular doctor i have been unable to see and previously I asked if I could go on hormone replacement therapy and he avoided the subject. I currently take magnesium, evening primrose oil, ginkgo biloba and vitamin e tablets to assist with the menopause symptoms.

Cancer runs in my family with my mother and aunty both having breast cancer and my father has a history of heart disease. My mother had problems with her ovaries after her hysterectomy at 38 years of age, where her ovaries were kept, however after 3 months they had died inside her and made her body toxic and she had to have them removed.

My body is telling me things and I just need a little guidance - are you able to assist? (My apologies for the long email).

Kindest regards,
Posted Sun, 23 Jun 2013 in Women's Health
Answered by Dr. Sree Gouri SR 1 hour later
Thanks for the query.

You are having symptoms like irritable bowel syndrome. That can present with alternate diarrhea and constipation etc. That can occur due to anxiety.
You may be thinking continuously about the problem and getting tensed due to the family history.
Better to avoid stress, which will help in decreasing the symptoms.
The measures you can follow are:
-Use tablets or sachets containing lactobacillus with your doctor's advice. That will help in reducing the gastrointestinal symptoms.
-Continue the laxative which was suitable to you.
-If the urinary symptoms persist, go for culture and sensitivity of urine.
-Take regular ultrasound examinations and sonomammography to find out any abnormality at the earliest.

Some amount of pain abdomen is common after surgery due to the possibility of adhesions.
Your ovary size is normal as you underwent hysterectomy only one year back.
As at present you are not having any major problem, be peaceful. And take the support of your family members in dealing with these things.

Hope I have answered your query. I will be available to answer your follow up queries. If you are satisfied with all my answer, please rate the answer after closing the discussion.
Take care.
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