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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain After Tubal Ligation?

Hi, I getting very worried about myself let me start by telling you my past I ve had two stillborn babies and I ve got three children I m 39 years old and married and I ve had my tubes tied. I ve been suffering with abdominal pain 4 the past I think 17 years, around about 17 years ago I had gone to the hospital and had an ultrasound done and the doctor said to me if I had a diaphragm stuck inside me which I then replied I don t use them. You could see on the screen something the size of a diaphragm inside my uterus but the doctor didn t know while it was and he made me an appointment to go to another hospital for a second opinion which at a time I had bit of family problems and never went to my appointment. Now about 6 years ago I went to my local doctors and I had a pap smear test done and it came back positive, again I had family problems and never did nothing about it. I have a very low underactive thyroid and I m on 400 milligrams of my tablets for that and I have cysts on my ovaries and I have a stomach ulcer and I was born there s a hole in my kidney which the hospital put iTube through the hole into my bladder, that s just some of the things wrong with me that I can say. I m sorry to make this message so long, to make a long story short I get really really bad adominal pains and I suffer with bad migraines, I just need to know what is wrong with me now, I gush out a lot of thin milky watery discharge kinda fluid and I mean a lot. It just happened to me 10 minutes ago, I ve got really bad lower abdominal pains and then I run to the toilet and before I do urine in the toilet I gushed out a whole lot of that thin milky watery discharge and it does not smell but I m getting worried as it happens often. Can you please help me by giving me some information of what you might think it is. Thank you kindly, from very stressed and depressed and worried
Mon, 30 Sep 2019
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General Surgeon 's  Response
Hi,

Noted your detailed history and understood the concerns.
He commonest causes of abdominal pain after tubal ligation can be one of the following:
Injury to intestine can cause stricture, adhesions and so on.
Secondary bleeding that caused immediate and latent pains due to local fibrosis or so.
Infection, acute or chronic.
Old PID that is pelvic inflammatory disease.
Any other problems related to gastrointestinal and urinary tract.
Any other cause that may need proper clinical evaluation and investigations.
Hence I would advise you the following in such a situation:
Consult a General Surgeon as he can have proper clinical examination.
X-ray of abdomen in standing position.
CT scan of abdomen will tell most of the complications.
Tests of blood, urine and stool.
Once a specific cause is found one gets guided management as per the cause found.
Second opinions of a Gastroenterologist or Gynecologist if needed.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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What Causes Abdominal Pain After Tubal Ligation?

Hi, Noted your detailed history and understood the concerns. He commonest causes of abdominal pain after tubal ligation can be one of the following: Injury to intestine can cause stricture, adhesions and so on. Secondary bleeding that caused immediate and latent pains due to local fibrosis or so. Infection, acute or chronic. Old PID that is pelvic inflammatory disease. Any other problems related to gastrointestinal and urinary tract. Any other cause that may need proper clinical evaluation and investigations. Hence I would advise you the following in such a situation: Consult a General Surgeon as he can have proper clinical examination. X-ray of abdomen in standing position. CT scan of abdomen will tell most of the complications. Tests of blood, urine and stool. Once a specific cause is found one gets guided management as per the cause found. Second opinions of a Gastroenterologist or Gynecologist if needed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon