
What Causes Stabbing Pain While Inhaling, Belching And Passing Gas?

Consult your treating surgeon to rule out the following causes.
Detailed Answer:
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Thanks for consulting at my virtual clinic. I have carefully worked through your case, and can realize your health worries. Being your physician, I will take care all of your medical concerns.
It happens in some patients post surgery. There are many reasons for this problem.
*Pelvic Inflammatory disease... Inflammation in pelvic area of the surgery due to postsurgical bacterial infection.
*Stricture formation due to manipulation.
*Oozing of some fluid inside the peritoneal pouches and leading to inflammation and pain on straining, coughing, laughing.
*Constipation is also one of the causes for pain of this type and after surgery sometimes constipation is a risk.
*Ectopic pregnancy (less likely in your case).
Why are they monitoring CA 19-9? Although CA 19-9 is not so sensitive,specific but it is mostly monitored to see the prognosis of treatment for chronic Pancreatitis or Pancreatic Cancer with pancreatic duct dilatation.
Your levels for CA19-9 are high definitely, normal being less than 37 U/ml.
Advice:- Consult your treating Surgeon to rule out the above mentioned causes. If I was your treating physician and PID was the diagnosis I must have prescribed you with Azithromycin class of antibiotic if not allergic to. If constipation, Lactulose syrup is good. An ultrasound abdomen is a must for you to help diagnose the cause of your illness.
Have a wonderful time ahead. Hope I answered all of your questions. Let me know if you have any further clinical concerns. I will be happy to get back to you shortly. If satisfied here, please give a five star rating and don't forget to close the discussion.
Regards!
DR. XXXXXXX HANIF
USA

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