Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

180 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes lower abdominal pain, nausea and vomiting after laparoscopy for cyst removal?

Answered by
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1656 Questions

Posted on Mon, 19 Oct 2015 in Women's Health
Question: I had a laparscopy surgery 6 weeks ago today. I had an ovarian torsion due to a cyst. the cyst ruptured soon before surgery. the doctor said everything looked good, and he cleaned up the fluid from the cyst. I went back to the doctors due to continued pelvic cramping ranging mild- severe. from dull achy, discomfort, to pain similar to contractions, on and off daily. I feel more crampy and discomfort after eating. I am bloated All the time. and feel discomfort after using the restroom, and
prior to using the restroom. I feel nauseated daily from mild-moderate. I also have occasional lower back pains on my left & tight side. it's sudden and random. and very uncomfortable. my doctor said he thought it would be best to see a gastenologist, and said I may have colon problems. I'm feeling a bit nervous and curious what others may think is wrong with me. I've been sick for two months now, and I'm ready to be better already.
Answered by Dr. Sameer Kumar 55 minutes later
Brief Answer:
Likely PID or endometriosis.

Detailed Answer:
Thanks for the query to hcm ,
There are all chances that after laparoscopy for cyst removal and untorsioning surgery, the cyst unless have been proved to be a simple cyst on histopathological examination there are chances of endomteriotic spread in the peritoneum which can cause secondary pelvic inflammatory disease post surgery. This can present as abdominal cramps bilaterally and pain , often increased urinary frequency and bloating sensation. The aim should have been adequate washing of peritoneum during surgery with atleast 2 litres of normal saline to remove if any endometriotic contents which would have spread during rupture.
It is unlikely to be gastrointestinal cause which is unlikely to present suddenly only after surgery in 6 weeks as you were never a GI patient earlier.
So it is suggested that you should get a per vaginal examination for and high vaginal swab with a repeat ultrasound to rule out any PID now with likely adhesion development intra-abdominally.
An empirical course of antibiotic for 14 days should be undertaken to treat any infection which may be still persistent along with NSAIDS for pain relief.
I hope i have answered your query in detail,
Wishing you good health,
Above answer was peer-reviewed by : Dr. Prasad
Follow up: Dr. Sameer Kumar 16 hours later
I'm feeling really nauseated, but I can't seem to throw up. I feel awful. I called my doctor and the nurse told me it takes 5-7 days to get a referral to a GI . I'm unsure as to what to do, I feel awful, my head is throbbing I feel sick, Ive taken my tempature but I don't have a fever.
Answered by Dr. Sameer Kumar 2 hours later
Brief Answer:

Detailed Answer:
If nausea is a prime concern at present, then you may take TAB METOCLOPROMIDE 10mg stat and repeat it again after 8 hrs, this shall allay your nausea to a great extent. Its an anti-emetic.
Throbbing headache can be dealt with an NSAID and adequate water intake and sleeping in a closed noise free environment for some time. You may take 150mg dispersible disprin tab for the same. This shall give quick relief.
You may get it prescribed from your GP if need be .
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Procedures
Medical Topics

Recent questions on  Endometriosis

doctor1 MD

Hi...I have a problem of Endometriosis and IBS. I have ahd 1 laproscopy in the past. I have one child now after doing IUI. I got the problem back 1 year after my delivery. It has been 4 years now. Since last October, I am on the Hormonal therapy...Have completed 5 injections. I am taking them after every 6 weeks. But after 4 weeks or so, I start getting pain back in lower abdomen and lower back...and have to take pain doctor says that after 6 injections, we will have to take a break of 6 months....I can get my periods back during those 6 months but pain should not be there....but looking at the current situation, I think the pain will be that case, is there any other treatment that I can take since I cant take injections during that time? I am 34 Ys old.

doctor1 MD

okay here goes. Post-menopausal, 53 y/o 300lb woman. Previous history of bilateral oopherectomy (hence post-meno, at at 37) and both tubes removed: endometriosis. HRT for 5 years, then stopped due to inability to regulate bleeding. several endo biopsies and hysteroscopies in the past all negative; HPV test neg, All prev PAP neg. 1 benign polyp removed in 2008, bleeding stopped for about 3 years. para 3, gravida 1. current situation. ENDOMETRIAL BIOPSY results are ENDOMETRIAL INTRAEPITHELIAL NEOPLASIA, cribriform type, arising in an ENDOMETRIAL POLYP. Fragments of hemorrhagic proliferative endometrium. The endometrial polyp is extremely hemorrhagic and contains multiple glands demonstrating atypical nuclei and internal cribriforming consistent with EIN. TVUS 2 weeks ago showed 19mm endo thickness. PAP and cervical/vaginal checkup 4 weeks ago all normal. thoughts?

doctor1 MD

Hello, I wonder if you can help me please, I have Endometriosis baring in mind, but I have been on my period for 4 days and came off yesterday. I had sexual intercourse with my long term boyfriend this evening and started bleeding again. I am really worried, what could cause this? Thanks Ellie

doctor1 MD

hello my name is Tinika I am 42yrs old and I think I may have endometriosis... The pain is really severe usually after sex, sometimes I feel like passing out, cold sweats etc etc... I am going to see my Doctor on Thursday about it... How can I stop it?

doctor1 MD

I get a lower back pain which is excrucitating right after my cycle ends.its remians for 4-5 days. And have to take painkillers.Its very debiliating.The feeling is like something in stuck inside which is unable to come out.My lower portion gets...

doctor1 MD

My daughter, 30, no children has always had severe cramps and periods. Now, every two or three months, she almost passes out with pain, sweats profusely, turns white and freezing. I just witnessed this last night. How soon do I need to get her to...

doctor1 MD

Hello, my 18 year old daughter has been having HORRIBLE female problems. Within the last year she has been on Deproprevara, exploratory endometriosis surgery and then switched to Mirena IUD. Last week she switched to a new OBGYN and he put her on...