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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Pain, Bloating. Post Partial Hysterectomy. On Depo Lupron. What Is Wrong?

Hi Doctor, I am a 44 year old , 2 yrs. post partial hysteroctomy. I had stage 4 endo and my GYNE had to leave my ovaries due to compramising othe organs. In December 2012 I was told I have a 2cm complex cyst and to do a follow up trans vaginal US. I did this maont and I am now being told I have a endometrioma chocolate cyst with dabris. My GYNE suggested the Depo Lupron shot but I just want my ovaries removed. I have severe pain , major bloating and eliminations issues. I am scheduled for a colonoscpy next moth to see if there is anything going on with my GI track. Do you have any sugestion and/or advice for me I so very confused? Thank you in advance.
Sat, 20 Jul 2013
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General Surgeon,  's  Response
Hi ! You have not mentioned about your bowel habits. The pain may be due to some adhesion formation between your intestines and the scars of the previous operation, which may be causing some kind of subacute intestinal obstruction. Another cause of the pain could be the ovarian cyst itself for which you have already been given treatment. You can go ahead with your colonoscopy to exclude any other patholgy for your bloating.
In the meanwhile, you may start taking some proton pump inhibitor along with a probiotic which may relieve your bloating. In case the colonoscopy report is also inconclusive, I would suggest you to discuss with your gynaecologist/surgeron for a diagnostic laparoscopy. Wishing you an early recovery.
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General & Family Physician,  Dr. Veera Raghava Rao Buddha.'s  Response
Hi, your surgeon has left the ovaries due to surgical reasons ,so even now not willing to remove the ovaries. If ovaries are removed you will be having problem with the harmonal imbalance , needing harmone replacement therapy. You also can have pains due to the adhesions of the surgeries. So discuss with your doctor and if she is convinced you can have the surgery. Thank you.
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Severe Pain, Bloating. Post Partial Hysterectomy. On Depo Lupron. What Is Wrong?

Hi ! You have not mentioned about your bowel habits. The pain may be due to some adhesion formation between your intestines and the scars of the previous operation, which may be causing some kind of subacute intestinal obstruction. Another cause of the pain could be the ovarian cyst itself for which you have already been given treatment. You can go ahead with your colonoscopy to exclude any other patholgy for your bloating. In the meanwhile, you may start taking some proton pump inhibitor along with a probiotic which may relieve your bloating. In case the colonoscopy report is also inconclusive, I would suggest you to discuss with your gynaecologist/surgeron for a diagnostic laparoscopy. Wishing you an early recovery.