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Noticed diverticula after colonoscopy. Having swelling sensation in abdomen. Suggest

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General Surgeon
Practicing since : 2008
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Yes, I have been having some issues in my lower left groin/abdomen are for a few months -- since December 2012. Initially I thought there was a hernia but was ruled out with Ultrasound and CT Scan. I had a Colonoscopy also and there were diverticula found otherwise normal.
The issue is on my left side. I can sometimes feel what I was told was my intestines along the top to lower left near my hip bone down to the bottom of my lower abdomen in the pelvic region when the ultrasound was conducted. Throughout the day and in the mornings especially its like I can feel my bowel forming and it eventually feels like a thick rope that I can move side to side when pressing on it.
The thing is, this has never been the case before so I'm not sure what it is. It feels like I have a constant dull swelling sensation in that area with tingling along my left side and left abdomen.
I have been having this issue since after exercising and leaning on my left side for a few hours. When I got up I felt a pain in my left groin area and that's when I started noticing the pain/dull/tingling sensations.
Initially it just felt like I over tensed my side and pulled/strained a muscle. So there was a period where I was pressing in that area as well to try and ease the pain. The pain eventually went away but now I just have the muscle cramping issue. It size of the rope like muscle that I feel now used to be considerably larger but it has gotten a little bit better over time but its still there.
The doctor mentioned that my iliacus/iliopsoas and Trans Versus Abdominal muscles were tighten against my intestines. And said it may be because I am relatively thin and may have lost fat in that area which is why I can feel it now, but I have been this size most of my life.
Is it possible for this muscle group to cramp and tense up of and on for this long of a period of time -- since December 2012. Is it possible to irritate nerves in this area that is just taking a long time to heal? After I have a bowel movement the muscles tense up even more and it gets hard like a rope. With increased activity I get the burning and tingling sensations on my left side and groin area as well.
From my statement above, do you have any possible diagnosis or suggestions? I also have my Colonoscopy results posted as well as ultrasound images. Are you able to see possible nerve damage via CT Scan and Ultra Sound?
I know this is a lot but I wanted to give as much information as possible.
Posted Sat, 8 Jun 2013 in Abdominal Pain
Answered by Dr. Grzegorz Stanko 12 hours later

Thank you for the query.

As you have probably been consulted by many specialists and many tests were done, it will be hard to help you from the point of this service. But lets try.

Pain in the groin area does not have to be caused by hernia only. There is many other muscular reasons which can give similar symptoms. Please imagine that some part of inguinal hernia surgeries is done to the patients with such symptoms and hernia is never found. Its because if you will try really hard during the examination, you may palpate a hernia even if its not there.

If you are thin person, your structures are not separated from the skin with fatty tissues. And it makes you able to feel some stuff. The structure you are able to feel in the groin area is most likely "inguinal ligament" which is exactly in this area and can be palpated just like a rope. This is very normal thing.

The very common (other than hernia) reason of pain in this area is adductor muscle strain or inflammation, inflammation of the pubic bone joint (osteitis pubis). These conditions are more often when you are physically active. And if not treated property, symptoms can be present for a very long time. When you have a bowel movement, you use many muscles to push the stool. This may be the reason of pain after the bowel movement.

Nerves irritation or intestines being compressed by muscles is rather unlikely. And no ultrasound or CT will tell anything about possible nerves damages.

So in my opinion, you should try to visit orthopedist. He is able to perform physical examination and test if and which muscles are causing the pain. The best test for muscles inflammation diagnostics is MRI of the pelvis.

Hope you will find it helpful. Feel free to ask further questions.
Above answer was peer-reviewed by
Follow-up: Noticed diverticula after colonoscopy. Having swelling sensation in abdomen. Suggest 42 hours later
Thank you Dr. Stanko, your advice was very helpful.

I will make a request to my PCM to see an Orthopedist and let you know how it goes.

I will be in touch -- thank you!

-Best Regards-
Answered by Dr. Grzegorz Stanko 4 hours later
You are welcome. I`m looking forward to hearing from you.

Above answer was peer-reviewed by
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