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Suggest treatment for upper abdominal bloating and pain

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Posted on Fri, 23 Sep 2016
Question: my cousin sister Age-41 sufferring from uppper abdomen bloating & slight pain. She has 3 kids, last two times cesarean and she was also operated for Hernia 6 years back. Now her Gyno advised for a CT SCAN and the reports are attached herewith for your perusal. Kindly check and advise the treatment plan,dos and donts and further proceedings.
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Answered by Dr. Dholariya Sagar Jayantilal (3 hours later)
Brief Answer:
As mention below

Detailed Answer:
Hello dear
Welcome to HCM.
I understand your concern.

1. Small bowel adhesion:
CT scan report: there is minimal small bowel adhesion with anterior abdominal wall.
It is mostly occur in history of repeated abdominal surgery.
If there are no symptoms, then no treatment is required for adhesion.
But in future it cause small bowel obstruction.
If you will develop obstruction symptoms (abdominal pain, vomiting, bloating), then immediate consult the surgeon.
Treatment will depend on the presence of obstruction symptoms.
Surgery should be required for complete obstruction.

2. Adenomyosis of uterus:
Treatment of adenomyosis depends on the symptoms and its severity.
Most common symptoms are painful and/or profuse menses, pain during sexual intercourse, and chronic pelvic pain.
Mild symptoms should be treated by medicine like:
cyclical progesterone therapy:It should be taken for 10 days in each menstrual cycle (15th to 25th day of cycle).
Pain should be treated by ibuprufen.

DO not take heavy meal.
Take small frequent meal rather than large meal.
Take more liquid diet.
Do mild exercise like walking and yoga.
Avoid excessive exertion.

Hope I have answered your question.
Let me know if you have further question.
Best regards
Dr. Sagar

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
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Answered by
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Dr. Dholariya Sagar Jayantilal

General & Family Physician

Practicing since :2009

Answered : 5898 Questions

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Suggest treatment for upper abdominal bloating and pain

Brief Answer: As mention below Detailed Answer: Hello dear Welcome to HCM. I understand your concern. 1. Small bowel adhesion: CT scan report: there is minimal small bowel adhesion with anterior abdominal wall. It is mostly occur in history of repeated abdominal surgery. If there are no symptoms, then no treatment is required for adhesion. But in future it cause small bowel obstruction. If you will develop obstruction symptoms (abdominal pain, vomiting, bloating), then immediate consult the surgeon. Treatment will depend on the presence of obstruction symptoms. Surgery should be required for complete obstruction. 2. Adenomyosis of uterus: Treatment of adenomyosis depends on the symptoms and its severity. Most common symptoms are painful and/or profuse menses, pain during sexual intercourse, and chronic pelvic pain. Mild symptoms should be treated by medicine like: cyclical progesterone therapy:It should be taken for 10 days in each menstrual cycle (15th to 25th day of cycle). Pain should be treated by ibuprufen. DO not take heavy meal. Take small frequent meal rather than large meal. Take more liquid diet. Do mild exercise like walking and yoga. Avoid excessive exertion. Hope I have answered your question. Let me know if you have further question. Best regards Dr. Sagar