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Doctor insights on: Center For Endometriosis Care

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27 yr-old woman with 2 yrs of bad intermittent epigastric pain, persisting after cholecystectomy, without a clear diagnosis, after evaluation.....?

27 yr-old woman with 2 yrs of bad intermittent epigastric pain, persisting after cholecystectomy, without a clear diagnosis, after evaluation.....?

See answer: Symptoms sound typical of post-cholecystectomy syndrome but the fact that you had symptoms before cholecystectomy brings the possibility of IBS / functional bowel which is usually worse with bile acids irritating an already sensitive bowel. I would recommend getting a 48 hour fecal fat to ensure there is no fat malabsorption. Cholestyramine is usually helpful in such cases. Another possibility is small bowel bacterial overgrowth. Low-FODMAP diet is helpful but you may benefit from antibiotics such as rifaximin (Xifaxan) if symptoms persist despite following the diet. I hope this helps you get better soon! ...Read more

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Dr. Michael Traub
1,167 doctors shared insights

Endometriosis (Definition)

An abnormal condition where some endometrial tissue, which is lining tissue of the uterus, is located outside the uterus itself. Painful condition which is usually located within the pelvis ; most ...Read more


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What is the best way to take care of severe endometriosis pain?

What is the best way to take care of severe endometriosis pain?

Varies: It is really variable depends fist on confirming the diagnosis. Depends on fertility desires. Combination and medical and surgical treatment is usually most effective. Medicine many time is trial and error to find the most effective one for you. ...Read more

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Can you please tell me about endometriosis?

Can you please tell me about endometriosis?

Ectopic endometrium: The lining of the uterus is the endometrium. When a woman has her period that endometrial tissue turns loose and is expelled as the menstrual period. Some of the endometrial cells and blood can flow through the fallopian tubes into the pelvis. Because those cells are viable, they can implant and grow. When that happens, the endometrium that is growing outside the uterus is called endometriosis. ...Read more

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What are the pitfalls in the diagnosis and management of endometriosis?

What are the pitfalls in the diagnosis and management of endometriosis?

No biopsy: A great number of women are treated "empirically" based on symptoms of painful menses or dyspareunia. We would never treat breast or prostate cancer without a tissue sample. Laparoscopic examination with sampling and removal of suspicious lesions is a much better approach. ...Read more

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Why does endometriosis typically cause pain and health problems?

Why does endometriosis typically cause pain and health problems?

Endometriosis: There are certain proinflammatory substances that are secreted by the ectopic endometrial tissue that are very irritating to adjacent tissues and nerve endings causing pain. These substances, ie prostaglandin, will cause uterine contractions that are also painful. ...Read more

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What are some signs / symptoms of endometriosis?

Pelvic pains: Endometriosis is a condition where normal uterine lining is out side the uterus reacting to menstrual cycles, causing pelvic pains, painful menstruation, painful sex, abdominal pain and distensions due to adhesion, need to see gyn doctor., . ...Read more

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When does endometriosis clear up?

When does endometriosis clear up?

Yes !: Endometriosis close to the rectum may cause pain due to scarring like in this picture. This is especially try closer to your periods. Also nerve endings get hypersensitive around the disease. If advanced, the lesions may invade the rectal area ! for these reasons, it's important to make the diagnosis with laparoscopy and if possible, resection of as much disease as possible. ...Read more

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What is the best way to diagnose endometriosis?

What is the best way to diagnose endometriosis?

Surgery: A biopsy of endometriosis is the only way to confirm a diagnosis. Almost always that requires a surgery. Based on symptoms there may be a very high suspicion and ultrasound may suggest an endometrioma (endometriosis cyst) but only surgery is diagnostic. ...Read more

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Can endometriosis be cured?

Managed: Cured might be a stretch. It can be surgicaly treated and removed, and medically managed. With treatment, the symptoms can be minimized or eliminated. ...Read more

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