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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Pain In Right Side Of Abdomen. Had Appendix Removed Previously. Being Treated For Constipation. Unable To Walk. Opinion?

i have seveir pain on thecright hand side of my abdonom i have already had my appendix out last november and i have continuedvto have pain since this operation. i am in hospital now and they are treating me for constipation. i think i have a blockage as they have given me 3 sopositarys and i havenot had much bowel movement at all, and all the movement i have had it is soft. i am fed up of it now because it is not allowing me to move my right leg with the pain of my stomach and it dosent allow me towalk easily it is very painful. i am a fit and healthey 14 year old male . mabie i shouldnt be asking for second opinion but i am in severe pain and i am fed up of them not giving me answers. i have my mom with me and she has given me permission to ask for a secon opinion
Mon, 16 Sep 2013
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General Surgeon 's  Response
HI Minnaas ! Sometimes there are post operative adhesion formation at the site of operation which might stick to a part of your intestine, causing it to twist and get obstructed causing pain. It might be of sub acute nature giving rise to intermittent pain or it could be acute giving rise both to pain and acute intestinal obstruction resulting in absolute constipation and inability to pass gases as well with distension of the abdomen. I feel that in your case it could be sub acute in nature because of the long duration of your pain since the operation more than six months before.
However, there are many different pathological processes which could give rise to such pain in the abdomen, which if could not be diagnosed clinically, warrant for further investigations like plain X ray of abdomen, ultrasound of abdomen, and a urine culture and sensitivity test to exclude various other conditions giving rise to such abdominal pain.
I do not want to confuse you by giving all the details of these conditions , but you can always discuss with your treating doctor on these points. If nothing is conclusive, then a diagnostic laparoscopy may be helpful.
Wishing you an early recovery. Thanks and good luck.
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Allergist and Immunologist Dr. Suman Kumar's  Response
it is definately food related
you have already been operated for appendix and if medicines are not working you should think on food theory lines
as one or more of major food we take can start affecting and reacting with body proteins and give negetive health effects causing these symptomps
get blood serum tests for specific antibodies for milk wheat potato chana or other food you take
withdraw accordingly and you will benefitted till then go for supportive therapy
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Severe Pain In Right Side Of Abdomen. Had Appendix Removed Previously. Being Treated For Constipation. Unable To Walk. Opinion?

HI Minnaas ! Sometimes there are post operative adhesion formation at the site of operation which might stick to a part of your intestine, causing it to twist and get obstructed causing pain. It might be of sub acute nature giving rise to intermittent pain or it could be acute giving rise both to pain and acute intestinal obstruction resulting in absolute constipation and inability to pass gases as well with distension of the abdomen. I feel that in your case it could be sub acute in nature because of the long duration of your pain since the operation more than six months before. However, there are many different pathological processes which could give rise to such pain in the abdomen, which if could not be diagnosed clinically, warrant for further investigations like plain X ray of abdomen, ultrasound of abdomen, and a urine culture and sensitivity test to exclude various other conditions giving rise to such abdominal pain. I do not want to confuse you by giving all the details of these conditions , but you can always discuss with your treating doctor on these points. If nothing is conclusive, then a diagnostic laparoscopy may be helpful. Wishing you an early recovery. Thanks and good luck.