Doctor insights on:
Bulge, back pain: An enterocele is a hernia of the small bowel into the vagina. Traditionally, it has been described as causing back pain but in reality many women in their middle ages who have enterocele have back pain for other reasons. Thus, the primary symptoms is pelvic pressure and / or a bulge from the vaginal opening. ...Read more
Repair: Enterocele is when the small bowel dips down into the pelvis and may prolapse out the vagina or other opening. Laparoscopic techniques involve minimally invasively (with small incisions and a camera) going in to fix the problem. It sometimes is associated with the repair of prolapse of other organs, and may involve the use of mesh. ...Read more
If the enterocele is removed, can it grow back? Worse case scenario if i don't opt to have the enterocele removed? Possible complication of surgery
Great Q for Urogyn : Thanks for bringing up three very good questions. Our obgyn colleagues and subspecialists in urogynecology can answer this best. They see the natural course or progression of enteroceles when patients perhaps wait too long for repair. In addition, they can list the risks of a repair. Pardon the graphic image, but it does show the proximity of the pelvic structures to the vagina. ...Read more
None that r good: Enteroceles may not cause symptoms (incidental finding); therefore, they may not require rx at all. No evidence that, say, yoga, pilates, tai chi, rolfing, herbs, homeopathy work for symptomatic enteroceles. Kegel exercises/biofeedback unlikely to help symptomatic enteroceles (but may be worth a try) surgical management may help. ...Read more
Highly variable: The symptoms from pelvic organ prolapse are highly variable. Some have lots of symptoms such as vaginal pressure and constipation. Others have none. The symptoms do not always correlate with the severity of prolapse. Have your doctor to a pelvic exam to confirm the diagnosis. Then treatment options can be discussed ...Read more
Hysterectomy w/ posterior repair: 2009.
Laproscopic bowel resection: 2011. Now same bowl symptoms as before. Probability of enterocele recurrence?
Can p.O.P, or enterocele cause rectal pain to be worse and more constant during menstrual cycle? If pertinent, in add. Uterus is also retroverted.
Maybe.: Usually, pop and enteroceles are painless, but if you have a rectocele and tend towards constipation or harder stools at that time of the month, then there may be more pressure in your pelvis/rectum causing pain. The retroverted uterus is also pushing on the rectum and is lower in your pelvis (pop) which may make stool transit more difficult. What does you doctor think? Have you tried a pessary? ...Read more
Need antibiotics: H Pylori is a bacterial infection which can often lead to development of gastric or duodenal ulcer. The way to eradicate infection, as with any bacteria is with antibiotics along with proton pump inhibitors (PPI). The goal of therapy is to reduce irritation of gastric mucosa. Most popular regimen involves amoxicillin, Clarithromycin and a PPI. ...Read more
Anxiety: There are a # of ways to address anxiety: cognitive behavioral therapy, behavior modification, individual psychotherapy, group psychotherapy, psychotropic medications, qi gong, tai chi, acupuncture, acupressure, homeopathy, meditation, yoga, exercise program or progressive muscle relaxation. Talk about feelings ; address problems. Don't avoid them. Aim for 7.5 - 8 hours of sleep/ night. Daily. ...Read more
Many: If you don't have diabetes already, the best thing you can do to prevent its onset is to control your weights, lose weights if you are currently overweight. Start and maintain an exercise program (walking at moderate pace is fine). If you already have diabetes, work closely with your doctor to control it with the appropriate diet/exercise routine and the proper medical/pharmacological regimen. ...Read moreSee 1 more doctor answer
It's difficult: Stretch marks are little tears in the epidermis or skin, caused by relatively rapid stretching of the skin. Causes of stretch marks are usually pregnancy, or significant weight gain. Stretch marks will fade from pink to a silver color with time. They can only be removed with chemical peels, dermabrasion or laser therapy. ...Read more
Limit Na & fluid: First you should find out why you are retaining water if you don't already know. Some of the common causes include venous insufficiency, heart failure, kidney disease or liver diseae. Try to limit salt and fluid intake. Diuretics may be beneficial in some cases. But you should discuss this with your physician. ...Read more
You might: "try" one of the many "anti-wrinkle" creams on the market! (They are however very expensive and most do nothing more than HYDRATE your skin thus increasng the fluid locally , expanding skin and VOILA! Hope this helps! BTW BOTOX injections are very effective bbut will most llikely cost a lot more than those expensive creams! Hope this is helpful Dr Z ...Read more