Doctor insights on:
Center For Endometriosis Care
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 moreSee 2 more doctor answers
Is and endometrial lining of 16mm bad? Should a D & C take care of it? are there any risks? 27 & want to conceive. I might also have endometriosis.
Need more info: Suggest an in box consult with any panel gyn ...Read more
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
- Talk to a doctor live online for free
- Nursing care plan for cellulitis of leg
- Nursing care plan for upper respiratory tract infection
- Nursing care plan for wound infection
- Ask a doctor a question free online
- How to care for a wound after stitches are removed?
- Nursing care plan for chronic pain
- Nursing care plan for dvt
- What is the nursing care for abdominal aortic aneurysm?
- Talk to a gynecologist online for free