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What Does The CT Scan Report Of The Hernia Repair Area Suggest?

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Posted on Tue, 3 Mar 2015
Question: I'm sorry you no longer are involved; the opportunity I finally have to look at how the surgeon messed up inside; and, hopefully, get repairs. You had mentioned CT and I had asked what test should be done to see the area he removed the colon. Do you mind just answering this one question.
If not, I understand as I have taken up much of your time.
My best to ypu
doctor
Answered by Dr. Ajit Naniksingh Kukreja (8 hours later)
Brief Answer:
High resolution ultrasound

Detailed Answer:
Hi

Did I at any place mention I am no longer involved? You have all the right to get replies to the questions asked

Had I been your treating doctors I would ask for a high resolution ultrasound from an experienced sonologist

Please do not hesitate to write back

@ Moderators - Please see that this patient's queries come to me when ever she asks for as has been the standard protocol of the platform

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ajit Naniksingh Kukreja (54 minutes later)
Customer Service said there is no longer need for me to contact you.
doctor
Answered by Dr. Ajit Naniksingh Kukreja (15 hours later)
Brief Answer:
You can contact me anytime with your medical concerns.

Detailed Answer:
Hi,

I had a discussion with customer service team and they have informed me that they have mailed you my direct link. So, you can contact me directly for any of your medical concerns.

If you have not received it, you can follow this link - http://www.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=60761.

You can contact me anytime with your medical concerns.

Regards.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Ajit Naniksingh Kukreja (15 hours later)
You are too kind. I did not receive it and thank you - I will not take advantage of your kindness.
Respectfully and hoping the day is a good day for you.
Thank you very much.
doctor
Answered by Dr. Ajit Naniksingh Kukreja (16 hours later)
Brief Answer:
Wishing you a very healthy life ahead

Detailed Answer:
Hope they do allow you to write to me in case of need
Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ajit Naniksingh Kukreja (6 hours later)
These are questions I submitted to panel at the Military Hospital; I received the answer from this site regarding the epidural; this was beginning of many problems but panel has addressed none. I am not allowed to follow the site you sent. This is long so I will try to edit, but, it allows you to see the dilema I'm in. Today, I'm resting on couch with absolutely no pain; I had PT yesterday and every nerve in my body fired so there's more than the colorectal issue, but, I see no reason to puruse because four years of ignoring by some, how can one figure this out?

The CT scan of the hernia repair area, where I experience “pricks” of pain and discomfort, reported “partial” visualization of the hernia-repair mesh. Was the CT scan incomplete? Was the area filmed “deep down” to see if this is contributing to my pain in the area where 24” of colon was removed, then infected, and subsequently repaired? Are there possible problems under the hernia-repair mesh that could explain the pricking, tugging, and constriction of the digestive track in that area?

The pelvic MRI reported “stranding” at the anterior wall, but we have received no explanation of the possible pain impacts this may indicate. Can you explain this?

The CT scan noted inflammation of the large bowel, but the colonoscopy did not see this in the “rectal loop” or the rectal resection where it appeared most prominent. What caused this inflammation, and how can this be addressed? Why am I unable to fully evacuate even after extensive “flush-out” preparation for colonoscopy or barium enema? I did not have this difficulty prior to the colo-rectal surgery.

I kept a specimen of one of the solid deposits from my body into the bathtub, apparently from the vaginal area. Can you send this specimen to the lab for analysis to see if it might offer clues as to why I have these deposits and from where they are coming?

My digestive cycle includes long periods (up to 2 weeks) without a bowel movement, during which I experience cramping and inability to eat over several bites at a time, then a huge bowel movement followed by extreme pain for several days. The barium enema and colonoscopy did not show blockage in the colon, but I believe something is causing a hang-up/delay in movement through the small or large intestine, and a subsequent nerve-firing when so much has to pass at one time. Once I know the BM is in the rectum, it passes easily; but getting it there, even with laxatives, is very difficult. Often I feel burning under the hernia-repair mesh. Two days ago, the movement was very large and the result was terrible pain and much gut movement under that mesh. I repeatedly go through the painful sequence: 1. cramping and pain during long buildup period when I cannot pass anything; 2. passing of a huge amount without pain or cramping; 3. several days of gut movement and gastro suffering after the passing. What can be done to stop this painful cycle?

The ganglion impar block injection reduced the “toothache” pain in the sacral plexus (rectal) area at least temporarily, but walking and increased activity on day 2 seemed to bring that pain back, and by day 4 the relief was totally gone. Is there any potential for delayed/extended relief from this injection or need for additional injections in the coccyx that may help? Given the short duration of relief from the ganglion impar block, do you recommend an S4 nerve block to deaden the nerve most likely to be impacted by the rectal resection?

When I walk, I experience a raw tugging, rubbing, pressure in the rectal/coccyx area that feels like something is restricting movement “deep inside.” Something is interfering with my movement in the same area that the ganglion impar block produced short-lived relief. Despite the injection, I still felt the restriction and pressure which are critical. Could any of the mesh in my body (bladder sling, rectum, or hernia) be responsible for this raw, restricted feeling? What can be done to recheck all mesh emplacements and the tissues/nerves connected to them to see what causes these restrictions, pain, and extreme discomfort? Can something be done to release the restrictions apparently imposed by the mesh?

We’ve seen many reports of my cystocele and rectocele, as described as a bulging of the front (anterior) wall of the rectum into the back wall of the vagina, and the bladder sling as sitting low in the pelvis, but no one has traced this back to explaining the symptoms of pain, rubbing, discomfort, cramping, etc described in the questions above. Aren’t the back wall of the vagina and the front wall of the rectum the same wall, into which I’ve had many interventions? Are we missing something about the pain these interventions may be causing?

My medical care has been little more than medication management, resulting in heavy doses of opiates and many varied opinions about which ones to take in what doses how often. The more we try the more we hear of dangers of addiction, warnings against stopping consumption “cold turkey,” and the dismal path toward depression. Yet, my pleas for help to get off of these drugs aren’t being acted upon, and I am sinking into bouts of depression as a result. Is someone going to join my side of this and help through other therapies or medical procedures?

Which nerves are predominantly and commonly impacted by an epidural (during hernia-repair surgery), SI-joint injection, monography, defecating proctogram, and spinal decompression? The extreme “nerve-firing toothache” pain resulted during all of these, suggests a common trigger point or central nervous response.

The colo-rectal surgery included strips of mesh sutured to the sacral promontory. Could this lash-up explain the pain experienced when the colon/rectum is stressed by large bowel movements or other influences? Could the end-to-side resection of the colon, now showing in the colonoscopy imagery as rings of scar tissue covering staples, be the area least able to expand to accommodate a large BM, therefore the point of greatest pain or partial blockage? Right leg movement also fires the nerves in the rectal area, suggesting a restriction of some kind was imposed by the colo-rectal surgery. What can be done to ease this discomfort and enhance movement?

Again, thank you for your help and attention. I don’t take for granted your time, intellect, and energy; I appreciate it very much. I know these questions don’t pass the medical science test, but hopefully they will give you clues as to what should be done to get my life back to some remnant of normalcy. Through your efforts and care, each of you is helping me regain a little faith in “the system,” but we still don’t have the answers. Please bear with me.
You're saved. It won't go through. Thank you for trying; for caring enough to allow me your time. Too ignored for too long; too complicated thanks to the few who ignored my pleas. My best and I'll forever be grateful for your dedication to helping me. Why your site won't allow me in, I don't know. Did the moderators resent the time spent trying to help. I understand. Blessings to you and gratitude from me.

I uploaded, but, after the fact, it's just too much to expect of you or the site. I suppose I will hear from Customer Service that I broke the rules.
It's a shame to have to lose your advice and good counsel but I did require a lot of you and am sorry for that.
Keep focusing on your patients; they are fortunate and I continue to send wishes for your well being and blessings.
doctor
Answered by Dr. Ajit Naniksingh Kukreja (8 hours later)
Brief Answer:
They did send me the detailed upload

Detailed Answer:
It is indeed a detailed history

Which site did they recommend to you ?

Also keep me posted on the reply you get from the military hospital

I am sure the customer care will be considerate with you as yours is a challenging case and most would like to divert you

I have a different mode of practice, I ask my colleagues to send me those patients which are refused treatment from their regular consultants and I have with passage of time generated enough maturity to give a good listening ear

Thanks a lot for all the kind words and blessings
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Ajit Naniksingh Kukreja (9 hours later)
I went to site you gave me and "not allowed" if I recall.
You deserve to receive in kind, what you give to others.
Thank you.
doctor
Answered by Dr. Ajit Naniksingh Kukreja (29 minutes later)
Brief Answer:
DO not recall

Detailed Answer:
Unfortunately I do not recall the site
But in case the customer service here does not allow you to communicate with me - you may request them to proivde you with my contact details and email me
Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ajit Naniksingh Kukreja (25 hours later)
Thank you. I'm afraid, due to surgeries and being treated for Chronic Pain for so long; i'm hitting XXXXXXX walls. Surgeries, failed, reported, however, as I've told you, I continually was treated for MVA. I'm at a loss. Thank you for so much valuable information and sticking with me. Starting over with a new doctor was a shock when he told me he didn't want to get mixed up with my mess.
This is all so unbelieveable, I feel overwhelmed and what to do. But, if anything good happens, I will let you know as your kindness deserves accolades. Have a blessed day and thank you. I would ask, however, the area where he pulled the colon continues to be an issue - there is pulling. And, I assume that the abdomen covered with mesh is why I feel the fecal matter go through. It is extremely uncomfortable.
However did I get in such a dilemna? Thank you for everything.
doctor
Answered by Dr. Ajit Naniksingh Kukreja (22 hours later)
Brief Answer:
Could be adhesions

Detailed Answer:
Hi

Never hesitate to write back as and when need be

I think the symptoms you are talking about could be due to adhesions. They are bands of tissue that form around the operative site and squeeze the bowel.

As advised get a good ultrasound done

Wishing you a healthy life ahead
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Ajit Naniksingh Kukreja

Gastrointestinal Surgeon

Practicing since :1984

Answered : 925 Questions

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What Does The CT Scan Report Of The Hernia Repair Area Suggest?

Brief Answer: High resolution ultrasound Detailed Answer: Hi Did I at any place mention I am no longer involved? You have all the right to get replies to the questions asked Had I been your treating doctors I would ask for a high resolution ultrasound from an experienced sonologist Please do not hesitate to write back @ Moderators - Please see that this patient's queries come to me when ever she asks for as has been the standard protocol of the platform Regards