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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Cryotherapy Effective For Abdominal Pain?

I have had abdominal pain for over 2 years after surgery for adhesions, I am currently on Fentanyl patches 87 microgrammes and Oramorph 40mg in 2 ml every 2 hours as needed and 75mg Amitriptyline and am still in severe pain. I've had 2 Pulsed Radio Frequency treatments which only worked for 5 days. The next step is an Ultrasound Guided PRF treatment. Do you have any other suggestions? Would Cryotherpy treatment be better?
Mon, 20 Oct 2014
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General Surgeon,  's  Response
Hi.
All the treatments you have mentioned are related to ablation of the neurological pain. Whenever there is intestinal Obstruction such therapies as medicines you have mentioned and the medicines will not work as the mechanical obstruction has to be treated . I would suggest you the following :
First of all to undergo enteroclysis under fluroscopy control to find out the mechanics of peristalsis and to find out the level of obstruction
To rule out any electrolyte imbalance by blood tests.
CT Scan to find out any compressing lesions .
Once the cause is found The surgical correction has to be done to relieve the adhesions to get a relief.
This alone can help you.
Cryotherapy is not effective in abdominal pain of any reason, so no role .
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Is Cryotherapy Effective For Abdominal Pain?

Hi. All the treatments you have mentioned are related to ablation of the neurological pain. Whenever there is intestinal Obstruction such therapies as medicines you have mentioned and the medicines will not work as the mechanical obstruction has to be treated . I would suggest you the following : First of all to undergo enteroclysis under fluroscopy control to find out the mechanics of peristalsis and to find out the level of obstruction To rule out any electrolyte imbalance by blood tests. CT Scan to find out any compressing lesions . Once the cause is found The surgical correction has to be done to relieve the adhesions to get a relief. This alone can help you. Cryotherapy is not effective in abdominal pain of any reason, so no role .