
What Causes Post Operative Pain In The Stomach And Shoulder After Hernia Repair?

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Detailed Answer:
Hi
Welcome to Healthcare-magic
Greetings of the day
Dear Ms,
It would be more helpful if you could ellaborate few additonal points about the character and nature of pain, so that I would be able to suggest appropriate medicine.
1. Where is the exact location of pain?
2. How long has is the pain present
3. Any burning sensation in chest?
4. Any nausea ?
5. Is he passing stools normally? Is there any constipation
There are many causes of post operative pain, so it becomes very important to know the cause for pain so that appropriate treatment is started.
I do understand he requires immediate relief, I am sorry for the questions. But they are very much required.
Assuring of prompt reply as soon as you get back.
Take Care
Best Regards
Dr Deepak Kishore
MBBS,MS,MCH
Consultant Surgeon


1. Where is the exact location of pain? Belly (intestinal areas), and in the shoulder (left) up into the neck.
2. How long has is the pain present (intermittent every 3-4 hours since yesterday afternoon)
3. Any burning sensation in chest? No pain in chest
4. Any nausea ? yes there has been some nausea as he has been introducing new tastes to his new stomach so some of those do not agree.
5. Is he passing stools normally? Is there any constipation. Yes there is constipation. He has not passed a stool in 3 days.
Constipation and residual gas could be the cause
Detailed Answer:
Hi
Greetings
The cause of pain is likely to be due to colonic distension due to impacted stools and also due to residual gas present in peritoneal cavity . Gaseous distension may irriate the diaphragm causing referred pain to shoulder.
I would suggest you the following which will definitely help
1. Bisacodyl( Dulcolax suppository): One suppository inserted into the rectum will cause evacuation of stools and make him feel better. The distension will be reduced and also relieving of the pain
2. Simethicone containing antacid will be helpful
3. Combination of Pantoprozole + Domperidone taken twice a day will relieve him of nausea.
4. Antispasmodic: Tablet Drotaverine will be helpful in relieving intestinal spasm.
5. Soft diet
6. Avoid caffeinated beverages/ carbonated beverages
Do let me know the improvement.
wishing him speedy recovery
Take Care
Regards
Deepak


Lynn XXXXXXX
Have not received medical chart
Detailed Answer:
Greetings
Dear Ms
I have not received any medical chart.
Keep posted about his recovery.
Do not worry he will be fine soon.
Take Care Madam
Best Regards
Deepak

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