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Suggest Treatment For Severe Abdominal Pain After Draining An Abscess In The Colon

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Posted on Wed, 18 Jan 2017
Question: My 43 year old son has diverticulitis
he was admitted to hospital with an abcess in colon
A drain was placed for 3 days
when drain was removed the needle punctured his colon causing a lot of bleeding and admission to ICU for 24 hours
the answer we got was this never happens
he was told the blood in his colon / intestin was causing pain
he was released from hospital 2 days later with antibiotics and appt with doc in 3 weeks.
two weeks after puncture his pain level is still at a 5+ level
Should he still be in this much pain?
My feeling is someone made a big mistake and it was glossed over.
Any info would help
thank you
doctor
Answered by Dr. Shoaib Khan (2 hours later)
Brief Answer:
There does exist a chance for that, pain needs management

Detailed Answer:
Hello and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. In my honest opinion it does sound more like a case of bad luck than an iatrogenic cause (caused by the doctor or medical team). But then again I cannot accurately comment without actually being present for the procedure. But you should know that it is certainly possible for this to have been caused by the doctor.

Healing of the colon is indeed very slow in comparison to most other organs, so it can take time, but he should not have to experience pain on a 5+ level, and should have been prescribed medication to ease the pain. So please do not let him endure the pain and speak to his doctor or a pain specialist to help manage the pain better.

I hope you find my response both helpful and informative. Please feel free to write to me for any further clarifications, I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Shoaib Khan (22 minutes later)
So when there is excess bleeding from a procedure like this, where does that blood go?
Is there a chance it would clot, break off and travel to another part of the body?
doctor
Answered by Dr. Shoaib Khan (6 minutes later)
Brief Answer:
Depends on the situation and location

Detailed Answer:
Hello once again.

1. In most cases it has to be drained out

2. If it is a small amount then it can be reabsorbed, not requiring drainage

3. It also depends on the location, like with your son the bleed was in the colon or in the peritoneal region (if the colon was ruptured and penetration was present).

If it was only within the colon, then a small amount will get reabsorbed, the rest will pass out along during a bowel movement

If there was a rupture and/or perforation, it would result in peritonitis. Peritonitis may require percutaneous drainage or even surgery

I hope this helps clear your doubt. If I have not explained things in a manner best understood by you, or if you have any further clarifications, please do write back to me anytime, I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Shoaib Khan (48 minutes later)
Thank you
I have a better understanding now.
doctor
Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
I am glad I could be of assistance, best wishes

Detailed Answer:
Hi.

You are most welcome.

Please feel free to write to me anytime, I am always here to help.

Best wishes.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Suggest Treatment For Severe Abdominal Pain After Draining An Abscess In The Colon

Brief Answer: There does exist a chance for that, pain needs management Detailed Answer: Hello and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. In my honest opinion it does sound more like a case of bad luck than an iatrogenic cause (caused by the doctor or medical team). But then again I cannot accurately comment without actually being present for the procedure. But you should know that it is certainly possible for this to have been caused by the doctor. Healing of the colon is indeed very slow in comparison to most other organs, so it can take time, but he should not have to experience pain on a 5+ level, and should have been prescribed medication to ease the pain. So please do not let him endure the pain and speak to his doctor or a pain specialist to help manage the pain better. I hope you find my response both helpful and informative. Please feel free to write to me for any further clarifications, I am always here to help. Best wishes.