Brief Answer:
A normal CT scan exclude Aortic aneurysm.

Detailed Answer:
Hello!
I read carefully your query and understand your concern.

Everyone can feel the pulsation of abdominal aorta and this is more evident in lying position and in skinny people.This is a normal finding.
An Abdominal Aortic Aneurysm (AAA) is a dilation (ballooning) of part of the aorta that is within the abdomen.
The ballooning of the aneurysm does not cause any symptoms unless it becomes large enough to put pressure on nearby structures. If symptoms do occur, they are likely to be mild abdominal or back pains and a pulsating mass in abdomen.

In your case I would exclude this possibility because it is easily diagnosed in CT scan and MRI.
The pulsation feeling when you press the navel is normal finding.
Your fast heartbeat might be related with stress and anxiety.

You don't need to worry about Aortic aneurysm.If you had AAA it would be obvious in CT scan or MRI.

Your persistent abdominal pain might be due to your IBS or it might have other causes.
Since you have done some surgeries (appendix removal,gall bladder removal,partial hysterectomy ), an option to be taken in consideration is intestinal adhesions after surgery.
Adhesions are fibrous bands that form between tissues and organs, often as a result of injury during surgery. They may be thought of as internal scar tissue that connect tissues not normally connected.

These adhesions may bind neighboring structures that are designed to move independently. When that happens, the post-surgical adhesions and scars can create unusual pulls in the body, often causing pain or dysfunction that can confound patient and physician alike.

In my opinion you should consult a general surgeon and discuss this option with him.

Hope my answer has helped.
If you have any other question ,please feel free to write me ,I will be happy to help.

Take care.
Dr.Rovena Murati

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Brief Answer:
Abdominal adhesion is a possibility.

Detailed Answer:
Hello again dear!

I understand your concern about AAA because it is a very frightening condition but if you have an AAA, it would have been obvious in CT scan and MRI.
Since CT scan and MRI are normal,AAA is not an option.

In a post-surgery patient with chronic abdominal pain and severe constipation ,adhesion is an option to be taken in consideration.

If you had adhesion from previous surgeries then in your last surgery ,the surgeon would have seen them (not necessarily ) but still is possible that abdominal adhesion is formed after the last surgery.
MRI, CT or ultrasound detect adhesions only in limited circumstances.
The only way to see adhesions is by direct surgical observation (laparoscopy).


Since your constipation is severe and chronic ,you probably should do some investigation to evaluate it including colonoscopy,colon transit study,etc.

In my opinion you should consult a general surgeon and get his opinion.

Meanwhile you should do some lifestyle changes to relieve your constipation including:
-A high fiber diet
-Drink plenty of fluids
-Physical activity. Try to fit in exercise most days of the week.

Wish you all the best.
Let me know if you have additional questions.

Regards.

Dr.Rovena Murati.

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Brief Answer:
You can get a second opinion.

Detailed Answer:
Hello again XXXX

Irritable bowel syndrome is a chronic disease and may be a lifelong condition with symptoms that tend to come and go and probably after some time the symptoms of your IBS will go away or get milder.
Probably all you need to do is to be patient,maintain a healthy lifestyle and try some relaxation techniques (including Yoga) to help with your symptoms.

If I were your treating doctor I would also evaluate Thyroid function ,just in case because Hypothyroidism and Hyperthyroidism can cause constipation and in this way making worse your IBS symptoms.

Probably your gastroenterologist has right and it is just your IBS but still I suggest to consult a general surgeon and get a second opinion.

Take care!

Dr.Rovena Murati

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