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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Severe Abdominal Pain After D&C Procedure Indicate?

I gave birth on march 30, i retained some placenta and also contracted an infection from that which was treated with 3 antibiotics. A DNC was performed 3 weeks after delivery of the baby. Since the DNC I am still having severe abdomen pain, the middle of my abdomen feels like im being gutted or really sore like sore muscle but severe and the upper abdomen, mostly middle-right, there is a really strong pain as well but different from middle. I also started having severe diarrhea with these symptoms as well as nausea. I am also experiencing pain in my upper right side between abdomen and back, kinda sharp pain. The baby is now almost 10 weeks old and pain seems to keep getting worse as time goes on. Also should note i had my gall bladder removed during 10th week of pregnancy. My ob sent me to primary who sent me to GI and still no answers. All of the obvious has been tested with blood work and urine samples and ultrasound. anything outside the box that they could check for?
Thu, 22 Oct 2020
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General Surgeon 's  Response
Hi,

Pain in upper abdomen on right side after D and C for retailed placenta could be due to one of the following reasons:
- The pain after D and C is usually lower abdomen if there was any perforation of uterus.
- Pain on the upper right side of abdomen in the absence of gallbladder as it was removed can be due to problems with intestines, colon, liver, pancreas right kidney problem, stomach and so on.

You can have the following in such a situation:
- Consult a surgical Gastroenterologist for proper clinical examination and review of the investigations to get a clinical diagnosis
- Colonoscopy if colitis is suspected
- CT scan of abdomen will give better information than ultrasound of abdomen
- Tests of stool, urine and blood may help to get a diagnosis
- Symptomatic treatment and specific treatment as per the cause found
- It is better to be checked by your obstetrician once again may help to rule out PID that is pelvic inflammatory disease

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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What Does Severe Abdominal Pain After D&C Procedure Indicate?

Hi, Pain in upper abdomen on right side after D and C for retailed placenta could be due to one of the following reasons: - The pain after D and C is usually lower abdomen if there was any perforation of uterus. - Pain on the upper right side of abdomen in the absence of gallbladder as it was removed can be due to problems with intestines, colon, liver, pancreas right kidney problem, stomach and so on. You can have the following in such a situation: - Consult a surgical Gastroenterologist for proper clinical examination and review of the investigations to get a clinical diagnosis - Colonoscopy if colitis is suspected - CT scan of abdomen will give better information than ultrasound of abdomen - Tests of stool, urine and blood may help to get a diagnosis - Symptomatic treatment and specific treatment as per the cause found - It is better to be checked by your obstetrician once again may help to rule out PID that is pelvic inflammatory disease Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon