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Old 02-23-2003, 08:07 PM   #1
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Post Tenderness along lower abdomen

Has or does anyone out there have major tenderness mostly starting from your left lower side {where colon is}radiating over to your right lower side?I have had this now for 7 months straight,but last week just started getting a little worse.It is very very tender to touch.One little poke hurts it.
Back in Sept.I went to doctor and he said I had a hernia.So I went with that because there is a small lump that you can feel when you cough.
1week later I was so bloated like 9 months pregnant,I went to a walk in clinic doctor,he diagnosed me with IBS.
1week later again back to my doctor about the bad bloating and what walk in clinic doctor said.My doctor said NO to IBS.I got blood work that came back negative for any infections.
November comes along I'm still bloated.It's constant and very uncomfortable,he refers me to see a general surgeon about the hernia.
December I see the surgeon to tell me I don't have a hernia,but ordered a ct scan on my lower abdomen.
December I went back to doctor to ask for an ultrasound.He orders one for my pelvic region.
December Christmas week.I had a bm that was black,and I freaked out.I also was vomiting because of me bloating so badly,everything sat on my upper half and I would vomit.
January I had my cat scan done,only to find I had a kidney stone on my right side that has never bothered me and will be one I never will pass.
January I had the pelvic ultrasound and came back negative.
January to speak to surgeon about whatever I may or may not have.My colon area showed nothing,but I never took that dye stuff to mabe show anything.So I told surgeon on the black bm I had and the vomiting only for him to order an ultrasound of my upper half.{kidneys,gallbladder etc}
I told surgeon I have no problems up there it's my lower abdomen I'm concerned about And he won't do a colonoscopy because he said it's too risky.????
February I have the ultrasound and again it's negative only because they're checking the wrong areas in my mind.But the kidney stone showed up.
February,I take in my own hands to see a gastrologist{refers in stomach problems etc.}I saw him and he ordered blood tests for diverticulitis.They came back negative for it.He will perform the colonoscopy in May.
I have had the hugest runaround probably in history for 7 months as you have read.They have checked all my regions except my colon.I know I don't have IBS.
My symptoms are really bad bloating which isn't relieved by a bm or farting.
My bm are once a day,light brown,skinny,and float to the bottom.They aren't hard and I don't strain.Sometimes there's mucous in it as well.
I have the chills and have nightsweats.I sweat badly at night over the last 3 months.
I'm not contipated.
I have a constant tenderness along my lower abdomen.
I'm hoping someone out there has had something similiar to me and tell me about it.I'm 26 and f.
I have had 2 cesearean sections.Last one which was 2 and half years ago.
If anyone has had similiar please reply.I'm sorry for it being long,but had to explain it all to understand.


 
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Old 02-23-2003, 10:04 PM   #2
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Hey there...

I know what you mean, I've been getting quite the runaround myself. Similiar symptoms however I am male, so I know it's not a c-section. Have you been on sntibiotics for prolonged periods of time or had any yeast infections. Take the time to learn about aomething called "candida or candidiasis" on the internet. See if some of these symptoms apply to you. Casue I've noticed that the diease is more prominent in women, and that doctors don't really read to much into candida being a disease causing agent.

 
Old 02-23-2003, 10:57 PM   #3
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Jooner,no I don't get yeast infections.Last yeast infection I had was my one and only 5 yrs ago.I had a bladder infection one time only as well 5 yrs ago.If I did have a yeast infection I would know because it's a womanly thing and she knows.Trust me.Besides my problem isn't in that location,it's on my lower left side on or around my colon.But thankyou for responding.

 
Old 02-24-2003, 11:50 AM   #4
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bump up ********Anyone know of anyone with similiar symptoms?

 
Old 02-24-2003, 02:08 PM   #5
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Me too, with pain in what feels like cramping in my uterus, like really bad period pains. (I posted on Open Topic about it because I have no clue what "area" this really is even in since nothing has been diagnosed with me).

I also bloat, a lot, but it will mostly be gone by morning, worse at night. I have one BM per day, always in the morning. But for me, it's like pooping a box of milk duds! Always round, hard, like stones or rocks. And, there's sometimes mucus (I always wondered what that was about!)

I have pain to the left of my navel as well (it doesn't really feel like the decending colon but I do think it's in that area,- the pain is), but the cramping feels like it's right below my navel.

I also have GERD (I'm also a very emotional person so I'm sure stress is not helping this one bit, plus I'm on a number of medications for a slew of other issues).

My dad had diverticulitis (or was it "osis?" I'm not sure which one actually), and he also had sevral heart attacks, and eventually died last year of cancer of his intestines (which they found on his second kidney surgery, by accident, because all his tests came back negative, and he presented with no symptoms to even remotely suggest intestinal cancer). He died within 3 months of his diagnosis.

Anyway, there's some history on my family's side.

I've had these symptoms (above described) for about a year now. Before that, just your every day sort of normal everything I guess...

I'm also 40 years old, and I'm sure my hormones are going wacky, not sure if that's related.

But here's a response so you know you're not alone, the symptoms suck, they feel wierd...

I don't vomit but sometimes the bloating is so bad that I cannot wear regular pants (especially jeans), and the pressure makes me short of breath. I've worried this may be heart related because some of the pain seems to be near my aorta.

I'm not trying to say what I've got or you've got, or trying to imply any specific disease or disorder. Truth is I'm just confused, and realize abdominal symptoms can be a "sign" of just about anything, so there's some food for thought.

------------------
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Thoughts don't make us who we are -- Actions do.

 
Old 02-24-2003, 02:52 PM   #6
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I'm wondering if this could have something to do with the appendix. I say this because, on the day before I had to have mine removed, I had odd symptoms over my entire abdomen and the sensations moved from one side to the other. I never had any of the "classic" symptoms of appendicitis such as the stabbing pain in the lower right side. Even long before I had the acute appendicitis attack, I often would have on and off sensations of mild pain, and tenderness in various locations of my abdomen. This never returned since my operation. If I understand correctly, a troubled appendix can act up and cause discomfort well before it reaches the point of a genuine serious condition where an operation is needed asap. I remember the doctor telling me of something called "referred" pain where a specific troubled area can cause pain to be felt in other areas. Anyway, hope this helps.

[This message has been edited by gar fla (edited 02-24-2003).]

 
Old 02-24-2003, 02:58 PM   #7
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Bruised, I am a woman and have very similar problems as you are experiencing.
I too have gotten the medical diagnostic run around. 13 Doctors worth in less than a years time.
We now know what has been the problem.
I don't know if your problem is the same as mine but all I can do is convey what has been discovered in my case based on comparison to your issues.
I will answer your post in sections pasting the statements on which I can share my experience.
Hope at least some of this helps.

Post>>Has or does anyone out there have major tenderness mostly starting from your left lower side {where colon is}radiating over to your right lower side

answer>> yes,both HAD and do have. Not as bad as before I got treatment. Much much better and still trouble shooting but at least not rushing to the ER in crisis anymore.

Post>>I have had this now for 7 months straight,but last week just started getting a little worse.It is very very tender to touch.One little poke hurts it.<<

answer>> Mine began over a year before the accute stage. The accute stage came on suddenly and became unrelenting and I degraded very quickly.

Post>>1week later I was so bloated like 9 months pregnant,I went to a walk in clinic doctor,he diagnosed me with IBS.<<

answer>> Ditto. Diagnosis IBS.

Post>>I got blood work that came back negative for any infections<<

answer>> It usually does. Thats one of the ways they help to rule out other conditions.

Post>>December I see the surgeon to tell me I don't have a hernia,but ordered a ct scan on my lower abdomen.
December I went back to doctor to ask for an ultrasound.He orders one for my pelvic region.
December Christmas week<<

answer>> Ditto and Ditto again. Depending on a number of factors the standard Imaging tests almost never show the real situation. I've had more than one CT scan and more than one set of both internal and external sonograms.
No MRI has been done.
I hear those are somewhat helpful but still doubtful.

Post>>I had a bm that was black,and I freaked out.I also was vomiting because of me bloating so badly,everything sat on my upper half and I would vomit.<<

Answer>> Ditto again. Bad sign. always my personal warning of more bad bad trouble.
I use either OTC anti nausea meds or I now get a call in prescription of phenergan suppositories to tide me over until medical intervention can happen.

Post>>I told surgeon I have no problems up there it's my lower abdomen I'm concerned about And he won't do a colonoscopy because he said it's too risky.????<<

answer>> Colonoscopys do carry risk. However, not following through with important diagnostics is risky too. The eventual possibilities of the MAYBE developing problem is something that should be an assessment and joint decision between doctor and patient.
If your doctor is not of the philosophy to view diagnostics with at least a discussion to give you information on the procedure and let you decide, then find another Gastroenterologist who is more open to diagnostics. Since you have already seen that importance yourself and now have an appointment in May
that would be the next required step.
However, if your discomfort or your pulse and BP begin to show signs of stress, call the Gastroenterologist and request an emergency colonoscopy or try an Emergency Room and see if they might help with the matter.
If your pulse spikes up over 100 with severe abdominal/pelvic pain, leg pain, back pain or on going nausea, or even just spikes, GO TO THE EMERGENCY ROOM!
If your Pulse suddenly drops below 60 and you feel dizzy, GO TO THE EMERGENCY ROOM!

Post>>I don't have IBS.
My symptoms are really bad bloating which isn't relieved by a bm or farting<<<

answer>> Most Gastroentologists do not strictly adhere to that "ROME CRITERIA" of the discomfort relieved by a bowel movement.
The Rome Criteria is a set of guidelines to help identify IBS and differentiate between IBS and IBD or other problems, mostly so IBS sufferers can get help.
Since technical IBS might not have any detectable organic cause IBS sufferers have had a rough time getting medication and help.
The Rome Criteria is there to help define the syndrome as a real medical problem.
It's not there to block needy patients from getting help. If a doctor would begin with the original diagnosis of IBS and still look further into symptoms that might be cause for concern, you might just have a bit of relief while trouble shooting other contributing factors.


Post>>My bm are once a day,light brown,skinny,and float to the bottom.They aren't hard and I don't strain.Sometimes there's mucous in it as well.<<<

answer>> That is a bowel to be worried about.

Post>>I have the chills and have nightsweats.I sweat badly at night over the last 3 months.
I'm not contipated.<<

answer>> might be hormonal and then again it might be your bowel. When in crisis my symptoms are the same.
Sometimes it takes months to get really bad but I personally have had to have an Emergency Surgery for a life threatening Impaction.

Post>>I have a constant tenderness along my lower abdomen.<<<

answer>> There could be a few different reasons for that. maybe all related. maybe not. It's one of my signs that I need to give my bowel a little help before I need an emergency Room for intervention or another emergency surgery.
My Endometriosis and Adhesion problems contributed to that specific kind of pain.

post>>I have had 2 cesearean sections.Last one which was 2 and half years ago.<<<

answer>> basic reality....women who have had babies and/or C sections have a risk factor in the causes of adhesion development in the pelvic area.
Has anyone done a laproscopic procedure for you?
Has anyone gone inside of the pelvis to look around and clean things up if need be?

past>>If I did have a yeast infection I would know because it's a womanly thing and she knows.Trust me<<

answer>> yes, we usually do know don't we. But adding yogurt to your diet as a maintenance thing is a good idea anyway.
I like to use high culture plain no fat yogurt.
I mix it with water and make a yogurt milk and eat it over Bran flakes which specifically do not have any soy additives. The yogurt branflake morning meal will help your bowels move better which will ease your pelvic situation. This is not a cure but you might be a lot more comfortable. You need to work with fiber anyway and the bran yogurt combo is real helpful providing you do not have Celiac Disease.

So what was it in my case? That is a very complicated answer that is actually a whole syndrome in it self.

I had/have>>> A metabolic Endocrine disorder.

The initial problem was found to be my colon that was wrapped around the left ovary and stuck together with adhesions with enodmetriosis between the adhesions triggering more adhesion to grow compounding the severity of my adhesion situation every time I had a period. Both the left ovary and the colon were also found to be plastered to the musculature of the pelvic girdle. This condition was found ONLY by the surgeon going inside my pelvis and looking around through a laproscope that was inserted through my belly button.
The crink in the colon and the irritation of the adhesions on the outside of the colon cause for my whole bowel to become Irritable from top to bottom.
The shreddy bowels were explained as being bowel that was breaking itself up to bypass a partial blockage of hardened stuck bowel that was catching on the side of the colon when (A)The Colon would go into spasm from the irritation. (B) when the bowel would get stuck at the curve where the colon was twisted and attached to the ovary and the pelvic muscle.
And YES, the pain was UNREAL and right up there with natural child birth on the pain levels.
Natural child birth with a breech birth position because it was actually more intense.

Dark hard bowels happen for a couple of differnt reasons. Ruling out the color of the food you ate, it could be a sign of blood in the stool or it is also what happens to the bowel when it's been stuck.
When the bowel has been stuck the stool turns dark and gets hard because the intestines act like a big sponge. The intestines themselves will suck all the water out of your stools and eventually harden them up like dead wood if peristolis is not kept in action.
Unless of course your liver is in bad shape and then the stools might be light to light gray in color and that's another problem that needs a Doctors attention.

Additonal contributing problems. Cysts on the ovaries making a huge imbalance in the body.
Pancreatic dysfunction. Either inderproduction of Insulin which would be Diabetes or over production of Insulin which would be Hypoglycemia. Either condition can get to the point that medication to make the body cells receptive to Insulin would be the answer.

Adenomyosis. A Uterine condition which is Endometriosis Interna. It eventually makes the Uterus swell and become tender contributing to the whole pelvic pain reality.
Adenomyosis can only be really diagnosed by pathology.
Doctors who know the disease can identify by symptoms and a pelvic exam for tenderness.

The specialist who might be most help to you would be the Reproductive Endocrinologist and the Gastroenterologist.
But you want a Gastroenterologist who has experience with the bowel problems of women who have had Hysterectomys or Endometriosis.

I get anti spasmodics 3x a day for my bowel condition as well as a prescription laxative powder that is one of the few things that really works well. It is an osmodic laxative so it binds the essential water to the stool so the intestine can not make a sponge disaster when the colon is working through a spasm.
I get lots of other meds to for the management of this problem but all that is really comples so I'll leave off here.
Hope you find the right help soon.
Take care and let us know how you are doing.
kat

P.S. There was nothing wrong with the inside of my colon. My colonoscopy returned showing a very healthy internal gut.
My problems are with the external pelvic side of the gut.
Do I have an Irritable Bowel? Most definately.
Is it IBS? That's debatable since my problem is linked with an anotomical crink adhesion problem.
Do my medical records list one of my problems as IBS?
YES. That's because the classification makes it easier for doctors to treat my symptoms and help me live more comfortably.
Also, because even though the adhesions have now been removed on 2 different occasions, my Bowel remains Irritable which then fits the criteria for IBS.
It's not a real clearly defined line.
With medication and prudence with my diet and exercise my bowel are much better and there has been progressive relief.


 
Old 02-24-2003, 05:57 PM   #8
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Hi KAT...I read your post on the other posting and was going to set up a new post for you to reply what your problems had been!Thankyou so much for what you put down.3 and half years ago actually I had an ectopic pregnancy which they did laparotomy or laproscopy.One of the 2.What's funny though is today I was looking in the mirror to locate where my problems are.{it was sunny today}The one location along my lower half is where the slice was half way to my right side from the ectopic pg.Just by my belly button on my right side.Then I found directly across to the left side a kind of bulge beside the belly button also.It's just a little lower then where the belly button is.Then you move a little lower on the left side also where your hip bone is kind of, but a little down on your stomach part and there's another liitle bulge.You can really see the blue veins where this is.My c sec is the happy face kind just above the pubic region.My tenderness is mainly right above it from the hip bone area to the other hipbone area,connecting like another happy face.I don't know if this makes sense?I'm not "fixed",and am on the pill for quite a while.I haven't taken any medications except gas x to help with the bloating,which hasn't worked and i'm not a cramper when I get my "period".I'll get a cramp shooting to my back when the tenderness is bad though.I'm still very worried there could be some infection of some sort no one has picked up on.We know our bodies when they don't feel proper but doctors and others don't really know what your going through unless they've had the same symptoms.Today and yesterday I have felt pretty nauseas but haven't vomited thankgod.That's another thing.I'm not a vomiter.And when I do I know somethings wrong.But I hate feeling like this,not knowing how serious or not this is.Thankyou for responding.

 
Old 02-24-2003, 08:41 PM   #9
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Bruised, An ectopic pregnancy can give you adhesion scaring in the pelvis.
It's one of the things that is on the list of possible triggers for adhesion formation.
Some women get adhesion formation with none of the triggers present but most women do have at least one if not more triggers.
I had a bulge too.
On my left side mostly down by my pelvic bone which felt very round. But then sometimes the bulge would be different. It would feel longer more cigar shaped and sometimes it would be as hih up as my ribs.
It would swell and subside with my pain.
The bulge turned out to be stool blockage even though I was passing those thin shreddy stools.
I did not have a total pluged up impaction right away.
the stools would also liqify and present as diarreah
to get past the muck.
When I finally did get the full blown impaction it progressed very quickly.
Now this sounds gross but I actually did manage to pick some of that dreadful impaction out at home before going to the hospital.
It was like black hard dry wood.
The Colon surgeon told my husband that my descriptive of the impaction was very acurate. He pulled out a solid 6 inch piece at one point.
There were several sections of the impaction but the 6 inch one was the biggest.
I used to vomit ALOT. The vomiting went on for a long time before the impaction.
I have developed vomit phobia to the extent that I get so upset when I get nauseas that my throat will close up. It's a horrible experience.
Early on when I first started trying to find the answers to the pain and problems I had one Gynecologist tell me that the swelling I felt was my Rectus Abdominus. Was that craziness or what!?!
The terrible thing is that the Gynecologists were the worst about diagnosis and the worst about my after disaster needs.
the shooting towards the back is common with these problems. Some women, myself included have our tail bones stick out when the spasms get so bad.
And yes, they do get THAT bad.
That's why we get anti spasmodics that work on the colon and the bladder.
start taking your pulse and BP with a home kit.
If you notice your vitals getting higher than normal keep a good record and talk to the doctor.
Will keep you in my prayers to find some good doctors who can help you.
Keep the faith and keep on knocking on doors till the right doctor answers.
kat

 
Old 02-24-2003, 08:50 PM   #10
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Kat..What's impaction?Is it a blockage?
Also did you have surgery of any kind ?If so,what was it again?Have you had a colonoscopy?

 
Old 02-25-2003, 09:59 AM   #11
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B, A blockage is more of an anatomical problem like a twist in the gut that gets so tight that it chokes off the bowel and it's a huge mess that requires surgery and possibly a resection of the damaged piece.
An impaction is where the bowel has become stuck and then after a perid of time, sometimes very quicly, the gut begins to cease action.
That too will require surgery if the impaction is bad enough. And, depending on the condition of the gut, the bowel may or may not need to be resectioned.
They do a resection if the gut has started to die.
They cut out the bad piece and put it back together again.
Both conditions can become life threatening very quickly.
I had the impaction.
I've had 3 surgeries in less than a year.
I had a Hysterectomy.
20 days later I got the impaction and had Emergency Surgery.
Then just back in January I had another surgery to remove the one remaining ovary my GYN surgeon had left inside of me to help out with my hormones.
At that time the Endocrine surgeon found my sigmoid colon attached once again to the musculature of the pelvic gridle by adhesions. so he cut the colon away from the pelvic muscles and put it back where it belongs and he removed my ovary and Pathology found more endometriosis in the adhesions and inside of the Ovary.
This time the surgeon used a barrier gel to help keep the adhesions from reforming and it seems to be working
pretty well. The pain is much better but I still need my colon meds for good bowel working order.
But at least I poop every day!!!! yea!
kat

P.S. Yes, I had a colonoscopy back in January of 2002 while the Gyn was trying to diagnose my pelvic pain issues.
It was the Gastroenterologist who told me that he felt my problems were not on the inside of my colon but due to adhesions probably stuck to the outside of the colon contributing to my mystery pain.
He did the colonoscopy and found my inside colon to be fine.
As he had predicted the problem was in my pelvis and the outside of the colon was stuck with adhesions.



[This message has been edited by kat721 (edited 02-25-2003).]

 
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