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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sore Back And Sides Under Ribs. Painful, Constipation. Concerned

Hi, I have had ongoing probs and some lap surgery 1 and 2 yr ago. I had expensive test and cam back as volvulus. My gsdoc and specialist said no. I had massive pain and and went to many hosp, finally got into one and was operated on for numerous things incl aadhesions and perintinis. I was treated and released,e adg pain still pretty bad, had another lap which showed liver and gallbladder flipped and massive binding/ adhesions and colon . My liver got snipped as cysts though o.k. Anyway here I am with really sore back (1 month) and sore sides under ribs down to hips, worse on r/h side... Am some days. constipated and some o.k. Am in pain and concerned. Thanks, WEndy age 42 mother of 1 11 yr old boy
Wed, 20 Mar 2019
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General Surgeon 's  Response
Hi,

Noted the history of Volvulus, Lap Surgery for adhesions, peritonitis and have now pain in the back and under ribs area.
The causes of such pain be as follows:
Local myalgia and spasm.
Costochondritis as the pain is under ribs.
Neurological pain due to involvement of the nerves supplying the area where you have got pain.
Intra-abdominal conditions like adhesions can also cause referred pain in back.
Hence this can be diagnosed by the following ways.
A proper consultation with your Doctor, preferably a Surgeon for proper clinical evaluation, actual examination and investigations.
MRI of the back for knowing about any local problem related to spine, muscles, discs and so on.
Barium studies to know the present status of adhesion or obstruction.
If there is any local cause causing the pain in back then have second opinion of an Orthopedic and/or Neurosurgeon for proper diagnosis and management as per the cause found.
If the contrast studies indicate any intestinal obstruction then you may need further surgery.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General Surgeon
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Sore Back And Sides Under Ribs. Painful, Constipation. Concerned

Hi, Noted the history of Volvulus, Lap Surgery for adhesions, peritonitis and have now pain in the back and under ribs area. The causes of such pain be as follows: Local myalgia and spasm. Costochondritis as the pain is under ribs. Neurological pain due to involvement of the nerves supplying the area where you have got pain. Intra-abdominal conditions like adhesions can also cause referred pain in back. Hence this can be diagnosed by the following ways. A proper consultation with your Doctor, preferably a Surgeon for proper clinical evaluation, actual examination and investigations. MRI of the back for knowing about any local problem related to spine, muscles, discs and so on. Barium studies to know the present status of adhesion or obstruction. If there is any local cause causing the pain in back then have second opinion of an Orthopedic and/or Neurosurgeon for proper diagnosis and management as per the cause found. If the contrast studies indicate any intestinal obstruction then you may need further surgery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon