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Suggest Treatment For Severe Abdominal Pain In An Elderly Person
Question: 51 year old female presented with c/o Abdominal pain since 3 days with not passing stool nor flatus with bloating of abdomen with nausea and 3-4 episode of vomiting.
Patient took glycerine suppository after which passed black coloured stool.
Diagnosed to have Adhesive (band) obstruction.
Underwent exploratory laparotomy with adhesiolysis .
Patient is having h/o Hysterectomy 10 month back.
Is the current diagnosis is related to previously done surgery of Hysterectomy?
Patient took glycerine suppository after which passed black coloured stool.
Diagnosed to have Adhesive (band) obstruction.
Underwent exploratory laparotomy with adhesiolysis .
Patient is having h/o Hysterectomy 10 month back.
Is the current diagnosis is related to previously done surgery of Hysterectomy?
Brief Answer:
Difficult to say as per the history you have provided.
Detailed Answer:
Hi.
Thanks for your query, very specific.
Noted the history and gone through all the papers and report you have posted.
Patient had a history of chronic constipation for 3 years and Hysterectomy done in March 2016 that is one year back.
Developed symptoms for 3 days before surgery.
Surgical noted say: Adhesiolysis- Division of band.
Since there is history of constipation for 3 years - Hysterectomy 1 year back but the development of obstruction only for 3 days it will be difficult to say whether the problem was long standing as per history of constipation of 3 years, it is difficult to say whether this problem was already present for 3 years or was due to Hysterectomy as a known sequel/complication of any intra-abdominal surgery.
If Surgery has to cause intestinal obstruction it would usually develop within 3 to 6 weeks of surgery as the scars start getting matured.
Your operating Surgeon can tell you the best as the observation-on-table indicate towards the cause.
I hope, this answers your query. Please feel free to ask for further relevant further queries if you feel that there is a gap of communication.
Difficult to say as per the history you have provided.
Detailed Answer:
Hi.
Thanks for your query, very specific.
Noted the history and gone through all the papers and report you have posted.
Patient had a history of chronic constipation for 3 years and Hysterectomy done in March 2016 that is one year back.
Developed symptoms for 3 days before surgery.
Surgical noted say: Adhesiolysis- Division of band.
Since there is history of constipation for 3 years - Hysterectomy 1 year back but the development of obstruction only for 3 days it will be difficult to say whether the problem was long standing as per history of constipation of 3 years, it is difficult to say whether this problem was already present for 3 years or was due to Hysterectomy as a known sequel/complication of any intra-abdominal surgery.
If Surgery has to cause intestinal obstruction it would usually develop within 3 to 6 weeks of surgery as the scars start getting matured.
Your operating Surgeon can tell you the best as the observation-on-table indicate towards the cause.
I hope, this answers your query. Please feel free to ask for further relevant further queries if you feel that there is a gap of communication.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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