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A female asked:

Sharp shooting pains with cramping in lower pelvic region center. female 44 hysterectomy at age 28 seems low for gas and not passing any. reg bm tday?

1 doctor answer1 doctor weighed in
Dr. Laurence Badgley
General Practice 54 years experience
IBS ? : 40's female post-hysterectomy has "sharp shooting crampy pains in pelvis". Assuming chronic & intermittent, then Irritable Bowel Syndrome, IBS, possible. See a Gynecologist & if no specific findings consider IBS, wherein the pain generator is intestinal spasm. A second opinion might be provided by a Gastroenterologist. See comments below:
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Dr. Laurence Badgley
General Practice 54 years experience
Provided original answer
Adhesions are scar-like attachments between outside surfaces, the peritoneum, of intestinal bowel loops that cause intestinal tubes to hang less free & to be constricted & kinked; causing partially digested semisolid foods & gas to pass through the internal bores of these loops less easily; as the intestinal loops undertake abnormal painful dilations & spasms in an attempt to move their contents a
Sep 13, 2015
Dr. Laurence Badgley
General Practice 54 years experience
Provided original answer
The medical literature reports that most abdominal & pelvic invasive operative procedures result in intestinal-peritoneal adhesions. This includes laparoscopic/laser surgery for "endometriosis". No wonder that laparoscopic procedures fail to cure endo, & even promote adhesions & IBS-like symptoms.
Sep 13, 2015
Dr. Laurence Badgley
General Practice 54 years experience
Provided original answer
In several of my patients with IBS-d, & who use Cannabis to control their symptoms, there has been common report that Cannabis sativa is most therapeutic. This comports with my theory that Cannabis sativa has sympathetic & Cannabis indica has parasympathetic medicinal effects; via physiological stimulation of these autonomic systems. Cannabis indica reported, by my patients, to benefit IBS-c.
Sep 13, 2015
Last updated Sep 13, 2015

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