Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Abdominal Pain And Ventral Hernia
Question: I am a femal with 65 years age.Due to abdominal pain appendicitis was removed and again XXXXXXX in 1997 and. Then abdomen was further operated for ventral hernia in 2002.However still i have persistent mild pain in lower abdomen since last few years . Some time it goes severe. Doctor gave pain killers and digestive medicine. However the pain continues. Recent ultrasound report is enclosed . In the urine report Pus cell 3-4/hpf and epithelial cell 4-5/hpf . The report is enclosed . Please advise .
Brief Answer:
Could be adhesions
Detailed Answer:
Hi
Thanks for writing in
Have gone through your reports most are normal
The urine with 3-4 pus cells can hardly cause severe lower abdominal pain
We have seen these symptoms in patients with repeated surgery who have developed adhesions
I would suggest you get yourself clinically examined and if need be a CT Scan of abdomen to rule out adhesions
Conservatively take small frequent meals, manage consitpation f you have and take a good probiotic
Hope this helps
Do write back in case of concern
Could be adhesions
Detailed Answer:
Hi
Thanks for writing in
Have gone through your reports most are normal
The urine with 3-4 pus cells can hardly cause severe lower abdominal pain
We have seen these symptoms in patients with repeated surgery who have developed adhesions
I would suggest you get yourself clinically examined and if need be a CT Scan of abdomen to rule out adhesions
Conservatively take small frequent meals, manage consitpation f you have and take a good probiotic
Hope this helps
Do write back in case of concern
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
If this is the problem , what is the way forward . what are the clinical test required to dignose the adhesion and treatment . what are the non surgical treatment as the patient may not like to go under knife fourth time . since the age is around 70 , clubbed with the chances that the adhesion may reoccur even after surgery , please suggest the best possible treatment . Further the prevention and precaution should also be discussed . The patient lives in rural west bengal ( near XXXXXXX ) , onsidering this , please suggest the best course of action.
Brief Answer:
Unfortunately no investigation clearly demonstrates the adhesions
Detailed Answer:
Hi
Thanks for writing in
Unfortunately no investigation clearly demonstrates the adhesions
It is with clinical examination supported by plain xray, barium meal follow through , ultrasound and/or CT which can help in arriving at the diagnosis
It is true adhesions can reoccur after surgery but unfortunately again there is no non surgical treatment available
Prevention also is possible at the time of surgery using tissue separator
The best conservative treatment as I said earlier is small frequent meals and prevention of constipation and collitis, a probiotic as advised will help
I would eagerly respond to any further clarification needed considering the fact the patient is in remote area keep some pain medicines handy
Regards
Unfortunately no investigation clearly demonstrates the adhesions
Detailed Answer:
Hi
Thanks for writing in
Unfortunately no investigation clearly demonstrates the adhesions
It is with clinical examination supported by plain xray, barium meal follow through , ultrasound and/or CT which can help in arriving at the diagnosis
It is true adhesions can reoccur after surgery but unfortunately again there is no non surgical treatment available
Prevention also is possible at the time of surgery using tissue separator
The best conservative treatment as I said earlier is small frequent meals and prevention of constipation and collitis, a probiotic as advised will help
I would eagerly respond to any further clarification needed considering the fact the patient is in remote area keep some pain medicines handy
Regards
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Pradeep Vitta
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
