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What does these tests for breathing problem and stomach distention indicate?

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Posted on Sat, 29 Mar 2014
Question: sir, Here enclosed my wife case history and test reports. Pationt now suffering from brething problem. and her stomuch becoming big size. but weigh is same as 80 kg. I admit her at belgaum hospital 7days.(Janavary22-2014) in that time motion is not cleared.thats way her stomuch become big size. but slowly reduse. and also we discharged from hospital. Now 8 day back she has stomuch pain. and becoming big size. we afraid from this problem. so we go to bgm and return that same hospital. Doctors are cheq the pationt and tested all reports.report saying normal. no diognose abnormal report. they also we cant say about this problem. said. we returned our home. but pationt problem not solved. she is suffering problem about brething. so please suggest me what will do. Pationt history she has two children both ar sergery. one is female-13 age seccond is male-10 age. then she has tubactomy operation. Ofter nine year she is pregnant. So one year back removing her bothe side tubes. Totally she has three operation. And her body dis lik to B+Complex contained any drugs. Please help me Thank you. XXXX
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Answered by Dr. T Chandrakant (38 minutes later)
Brief Answer: X-ray abdomen in standing position Detailed Answer: Hi. Thanks for a detailed history and your confidence in us. Gone through the reports and photos carefully USG report says ''RIGHT OVARY NOT VISUALIZED''. Was she pregnant even after tubectomy operation and was it a ''tubal pregnancy '' for which right sided tube and ovary was removed ? From the history- this looks to be a case of an intestinal obstruction due to adhesions. The abdomen grows in size due to accumulation of gases and the patient can not pass stool or gases. This enlarges / swollen abdomen causes pressure on the lungs in the chest - so there can be a a breathing problem. ON admission to the hospital , due to rest to the intestines the size of the abdomen reduces and also the breathing problem. Since the obstruction comes again, she will suffer again and again. I would advise such a patient : X-ray of the abdomen in standing position to see the level and severity/ degree of the obstruction. If the X-ray shows many gas-fluid levels, your wife may need surgery to remove the cause of obstruction to the intestine to get complete sure. If the obstruction gets relief with medicines , IV fluids and not allowing her any thing orally, we have time to go for a better investigation like Enteroclysis ( barium is given through the tube and many x-rays done) to see the level of obstruction. I hope you will get these X-rays done as soon as possible and will get the exact diagnosis and treatment. If Surgery is required , please go ahead. Please let me know if you need any further information or clarification. Wishing Her best luck for early recovery.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Dr. T Chandrakant

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Practicing since :1984

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What does these tests for breathing problem and stomach distention indicate?

Brief Answer: X-ray abdomen in standing position Detailed Answer: Hi. Thanks for a detailed history and your confidence in us. Gone through the reports and photos carefully USG report says ''RIGHT OVARY NOT VISUALIZED''. Was she pregnant even after tubectomy operation and was it a ''tubal pregnancy '' for which right sided tube and ovary was removed ? From the history- this looks to be a case of an intestinal obstruction due to adhesions. The abdomen grows in size due to accumulation of gases and the patient can not pass stool or gases. This enlarges / swollen abdomen causes pressure on the lungs in the chest - so there can be a a breathing problem. ON admission to the hospital , due to rest to the intestines the size of the abdomen reduces and also the breathing problem. Since the obstruction comes again, she will suffer again and again. I would advise such a patient : X-ray of the abdomen in standing position to see the level and severity/ degree of the obstruction. If the X-ray shows many gas-fluid levels, your wife may need surgery to remove the cause of obstruction to the intestine to get complete sure. If the obstruction gets relief with medicines , IV fluids and not allowing her any thing orally, we have time to go for a better investigation like Enteroclysis ( barium is given through the tube and many x-rays done) to see the level of obstruction. I hope you will get these X-rays done as soon as possible and will get the exact diagnosis and treatment. If Surgery is required , please go ahead. Please let me know if you need any further information or clarification. Wishing Her best luck for early recovery.