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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Swelling?

my abdomen is swollen most of the time but only on the right hand side by nighttime it looks really abdnormal i have a right hemicoelectomy eight year ago for suspected tumour but found only inflamation i have a very raised cea of 16 last colonodcopy showed small ulcers in bowel biopsys were normal told i had ibs but no symptoms of this i was at doctor theysaid my abdominal swelling was gas or wind but no pain at all i am 51 had no periods for 5 years no menopausal symptoms although i feel my body temperature has risen i am 8st 3lb and five foot eight this height is normal but weight has goneup from 7st 12 in last couple of mmonths is this just wind
Mon, 12 Jan 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.
Your history of colectomy on the right, colonoscopy with biopsy reports and ulcers noted.
The swelling on the right side of the abdomen after right hemicolectomy is definitely due to intestinal obstruction, one of the most important complications after intra-abdominal surgery.

I would advise you the following:
-First of all the simple test of X-ray of the abdomen in standing position whenever you have bloating gives the best idea.
-Enteroclysis by Barium meal or enema will help further diagnosis.
-CT scan to rule out Gastrointestinal cancers.
-IF the findings are positive you have to go for exploratory Laparotomy / Laparoscopy and get corrected the problem.
you will be fine.
-Maintain proper levels of blood proteins and hemoglobin to have the best possible results.
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What Causes Abdominal Swelling?

Hi. Thanks for your query and an elucidate history. Your history of colectomy on the right, colonoscopy with biopsy reports and ulcers noted. The swelling on the right side of the abdomen after right hemicolectomy is definitely due to intestinal obstruction, one of the most important complications after intra-abdominal surgery. I would advise you the following: -First of all the simple test of X-ray of the abdomen in standing position whenever you have bloating gives the best idea. -Enteroclysis by Barium meal or enema will help further diagnosis. -CT scan to rule out Gastrointestinal cancers. -IF the findings are positive you have to go for exploratory Laparotomy / Laparoscopy and get corrected the problem. you will be fine. -Maintain proper levels of blood proteins and hemoglobin to have the best possible results.