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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Left Abdomen Discomfort With C Diff After Colon Resection?

I had a colon resection (due to bowel perforation during a colonoscopy) 7 wks ago. I do not have diarrhea or constipation, but I do have nagging discomfort in my left abdomen, which seems to increase as the day progresses. I ve tried to be careful with my diet, avoiding high-fiber foods, but this discomfort is becoming annoying. I m wondering at what point I should be worried enough to consult my physician. I have no other symptoms, i.e. fever, etce, and the incision has healed well. I did have C.diff postoperatively, but am asymtomatic for that in terms of diarrhea. Any suggestions?
Mon, 7 Mar 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted your history of colonic resection due to perforation during colonoscopy 7 weeks ago. Nagging discomfort on the left side, you are avoiding high fibers in diet, no other symptoms like fever or so, wound has healed well. Have C.diff after surgery but no diarrhea.
All this history is suggestive that there is a possibility of residual infection or post operative small collection or fibrosis or some sort of partial obstruction or so.
You need the following in such a situation:
CT scan to see if there is any collection or signs of obstruction.
Colonoscopy to see for any kinking or so.
The treatment will depend upon the reports and clinical evaluation.
It is better to go to ER and get admitted properly investigated and treated as it is already 7 days post op.
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What Causes Left Abdomen Discomfort With C Diff After Colon Resection?

Hi. Thanks for your query. Noted your history of colonic resection due to perforation during colonoscopy 7 weeks ago. Nagging discomfort on the left side, you are avoiding high fibers in diet, no other symptoms like fever or so, wound has healed well. Have C.diff after surgery but no diarrhea. All this history is suggestive that there is a possibility of residual infection or post operative small collection or fibrosis or some sort of partial obstruction or so. You need the following in such a situation: CT scan to see if there is any collection or signs of obstruction. Colonoscopy to see for any kinking or so. The treatment will depend upon the reports and clinical evaluation. It is better to go to ER and get admitted properly investigated and treated as it is already 7 days post op.