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Suggest Treatment For Severe Abdominal Pain

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Posted on Mon, 3 Nov 2014
Question: My wife had been having severe abdominal pain. She went to see her Dr on a walk-in, a CT scan done and they found what they are calling Afferent loop syndrome. My wife had a gastric bypass surgery in 2008 w/ to date no complications. I live in a town that doesn't have a bariatric surgeon, this was all done this afternoon. My wife's Dr told her that there is nobody in this town who could treat her. The pain seems to be backing off. The plan is to wait and get an appt at soonest with her Dr ( that performed her gastric bypass surgery)
Should I take her to that town and and take her to he ER or just wait and see if it worsens then take her. Is this something that can wait over the next week or so or not? Her Dr didn't really give her a lot of info. Thanks
doctor
Answered by Dr. Dr. Klerida Shehu (6 hours later)
Brief Answer:
Should go to that town again...

Detailed Answer:
Hi,

I have gone through the medical history of your wife and understood her concerns.

You are reporting that she has had a bypass surgery on 2008. The part of intestines where the pancreatic and biliary liquids are secreted is called afferent loop. This part has not been removed, is still available.

Later on life, there might be blockage of this intestinal part, called Afferent loop syndrome. Your wife's case should be further evaluated as there are 2 main types of blockage:
- acute: where a total blockage has occurred and need immediate surgical help
- chronic: there is still a part of intestines working, but still needs surgical treatment.

So, I highly recommend to send her to the other town immediately. If you cannot get an immediate appointment with her surgeon, then, should send her to ER to avoid further complications.

Hope it helped!
Dr.Klerida
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

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Suggest Treatment For Severe Abdominal Pain

Brief Answer: Should go to that town again... Detailed Answer: Hi, I have gone through the medical history of your wife and understood her concerns. You are reporting that she has had a bypass surgery on 2008. The part of intestines where the pancreatic and biliary liquids are secreted is called afferent loop. This part has not been removed, is still available. Later on life, there might be blockage of this intestinal part, called Afferent loop syndrome. Your wife's case should be further evaluated as there are 2 main types of blockage: - acute: where a total blockage has occurred and need immediate surgical help - chronic: there is still a part of intestines working, but still needs surgical treatment. So, I highly recommend to send her to the other town immediately. If you cannot get an immediate appointment with her surgeon, then, should send her to ER to avoid further complications. Hope it helped! Dr.Klerida