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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Partial Hysterectomy, Easy Recovery. Abdominal Swelling, Cramps, Spotting. No Relief With Mortin Pills. Cure?

Hello,

I had a partial hysterecomy August 12th via DaVinci, kept my overies and cervix. I have had a realtively easy recovery, little pain, no bleeding, main discomfort is swelly belly. I started back to work this week, September 9th. I have a desk job but I am required to move around fairly frequently. Two days ago, I started having a lot of cramping and by the end of the day was spotting. I have a lot of abdominial swelling by the afternoon and all my limbs felt tight like I am retaining water. The spotting was not bright red, more orange brown and there wasn't a large amount. There is a slight odor. I rested the whole evening and yesterday was better. However, by 3:00 p.m. yesterday the cramping was back and the spotting was too. Again, I rested all evening. The spotting stopped but the pain did not. The cramping has turned in to a stinging, burning pain, mainly on the right side and is shooting down my leg. I have taken 3 motrin pills and no relief. The spotting has not started yet today. I am trying to stay off my feet at work today. Could this pain be because I am ovulating? Or perhaps I am simply doing too much. I have a decent amount of energy and am being careful not to lift heavy things. I just don't know if I should be concerned or not. My doctor has been great but not really good on some of the details as to what I should expect during recovery. I don't want to bother her if it is a routine issue. The pain is similar to pain I had before my procedure.
Thu, 19 Sep 2013
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OBGYN,  's  Response
Thanks for your question. One of the major benefits of robotic hysterectomy is the quick recovery and resumption of normal activity. However, it is still a major operation and the internal tissue still requires about six weeks to heal back to about 95%. Postoperative bleeding is minimal when the cervix is left in place (a supracervical hysterectomy) so I would be concerned with internal bruising or bleeding that may occur after major surgery such as hysterectomy. A bruise (or hematoma) can develop if oozing occurs from the cut blood vessels required to perform hysterectomy. An imaging study using ultrasound would help determine if this may be contributing to the cramping pain. Ovulation may explain the cramping pain but does not explain the spotting. Most surgeons want to hear from you if you are experiencing these types of problems postoperatively. You should not hesitate to contact your gynecologist and be seen.
I hope this help you answer your questions. I am available for further consultation if needed.
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Had Partial Hysterectomy, Easy Recovery. Abdominal Swelling, Cramps, Spotting. No Relief With Mortin Pills. Cure?

Thanks for your question. One of the major benefits of robotic hysterectomy is the quick recovery and resumption of normal activity. However, it is still a major operation and the internal tissue still requires about six weeks to heal back to about 95%. Postoperative bleeding is minimal when the cervix is left in place (a supracervical hysterectomy) so I would be concerned with internal bruising or bleeding that may occur after major surgery such as hysterectomy. A bruise (or hematoma) can develop if oozing occurs from the cut blood vessels required to perform hysterectomy. An imaging study using ultrasound would help determine if this may be contributing to the cramping pain. Ovulation may explain the cramping pain but does not explain the spotting. Most surgeons want to hear from you if you are experiencing these types of problems postoperatively. You should not hesitate to contact your gynecologist and be seen. I hope this help you answer your questions. I am available for further consultation if needed.