2 doctors weighed in:

Could this be adhesions and what can be done to stop the pain? Painful 2 year old incision after colectomy. Ct scan and upper and lower GI show no problems besides diverticulosis.

2 doctors weighed in
Dr. Allen Kamrava
Surgery - Colorectal

In brief: Anything possible

If it is adhesions, consider a upper GI with small bowel follow through.
They are sure you don't have a hernia? That is more likely, but should have been found on a physical exam.

In brief: Anything possible

If it is adhesions, consider a upper GI with small bowel follow through.
They are sure you don't have a hernia? That is more likely, but should have been found on a physical exam.
Dr. Allen Kamrava
Dr. Allen Kamrava
Thank

In brief: Open

Open abdominal surgery often results in adhesions.
That is the body's way of healing is by creating scar. The vast majority of patients do not have chronic abdominal pain despite having major abdominal surgery. It remains unclear why a small group of patients have pain while others don't when virtually all patients develop adhesions. Therefore, it is not commonly felt that adhesions themselves cause pain. Adhesions may result in diseases such as bowel obstructions that can cause intermittent pain, bloating, distension, nausea, vomiting, and decreased stool production. A large randomized trial has been performed looking at surgery to cut the adhesions and found that patients did not do any better than just watchful waiting. The operation itself can risk bowel injury and other problems as well. Also, once those adhesions are cut away, they can reform again, so it is unclear what the benefit is of doing so. Some patients have found remedy in alternative treatments such as masage therapy or accupuncture, although we have no good scientific evidence this works. The best thing is to consult your physicians and enlist their assistance to try to determine the etiology of your pain.

In brief: Open

Open abdominal surgery often results in adhesions.
That is the body's way of healing is by creating scar. The vast majority of patients do not have chronic abdominal pain despite having major abdominal surgery. It remains unclear why a small group of patients have pain while others don't when virtually all patients develop adhesions. Therefore, it is not commonly felt that adhesions themselves cause pain. Adhesions may result in diseases such as bowel obstructions that can cause intermittent pain, bloating, distension, nausea, vomiting, and decreased stool production. A large randomized trial has been performed looking at surgery to cut the adhesions and found that patients did not do any better than just watchful waiting. The operation itself can risk bowel injury and other problems as well. Also, once those adhesions are cut away, they can reform again, so it is unclear what the benefit is of doing so. Some patients have found remedy in alternative treatments such as masage therapy or accupuncture, although we have no good scientific evidence this works. The best thing is to consult your physicians and enlist their assistance to try to determine the etiology of your pain.
Dr. Daniel Tseng
Dr. Daniel Tseng
Thank
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