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Suggest Remedy For Pain Near Scar After Cesarean Delivery

Posted on Fri, 20 Feb 2015

Question: cesarean delivery 17 nov 2014..post operative all details in the attachement ..please help.urgent.

Answered by Dr. Soumya (16 minutes later)

Brief Answer:
More details required

Detailed Answer:
Hello,

I saw your attached reports previously and they appear fine.

I understand your urine culture, blood tests are normal and even scar tissue looks healthy on picture you have attached.

Please answer few specific queries asked below which will help me to answer you better:

1) Where exactly is the pain? Only on operative site line? Or around it?

2) Does pain extend to back? Is there any radiation of pain?

3) The swelling is not related to one place. Infact its just post natal obesity. When I see picture of abdomen i dont see its one sided.

4) Is there any pus or discharge from wound?

5) What is type of pain? Can you describe comparing to something? Like stabbing with knife, pricking with needle or burning like fire etc.. and area of pain.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Soumya (17 minutes later)

its stabbing like knife pain on right side of the scar shifting upwards now with heaviness on left side of abdomen below navel line and bloating on upper side of abdomen as everything is moving whenever I turn or get up or even walk

Answered by Dr. Soumya (13 minutes later)

Brief Answer:
MRI shows triangular area of focus below wound

Detailed Answer:
I saw your attached questions.

Following is my reply:

1) No. Nothing can open from inside. No suture would have opened from inside.

2) There could be bacterial growth in triangular area of focus as mentioned in MRI report. That is why you get relief as long as you are on antibiotics.

3) That is the reason it resurfaces after stopping antibiotics.

4) These symptoms of rapid heart beat, numbness, headache etc... are not related to this. These could be related to gastritis. Keep taking Tab. Pantoprazole 40 mg daily on empty stomach. You will feel better.

5) There is no other problem to cause stool and gas problem.

6) This wound needs to be opened and resutured if your symptoms dont decrease.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Soumya (42 minutes later)

is there any blood test or scan that can help in identifying that problem of bacterial growth?? should I go for any abdominal scan that involves minimum amount of radiation that presents the actual picture..like abdominal x ray or repeated pelvic or lower abdominal mri..scared of surgery again..dnt have enough immunity or strength inside me

Answered by Dr. Soumya (1 hour later)

Brief Answer:
Ultrasound guided aspiration

Detailed Answer:
Hello

It is possible to pass a needle under ultrasound guidance and aspirate triangular focus and see if it is pus. If pus is aspirated you can think of repeat surgery.

This aspiration can be done under local anesthesia.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Soumya (44 minutes later)

thanks doc..if there would have been pus doesnot that come in ultrasound or mri..will it show in abdominal x ray?? and even if a repeated surgery is required who will do that a general surgeon or a gynae.??

Answered by Dr. Soumya (7 hours later)

Brief Answer:
General Surgeon is better

Detailed Answer:
It ia difficult to make out pus in any of these tests. It can only be testes as I mentioned above.

General surgeon is better for this than a gynecologist.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Soumya (16 hours later)

am I having cellulitis pic attached what are t symtomps and tests to diagnose

Answered by Dr. Soumya (6 minutes later)

Brief Answer:
Not Cellulitis

Detailed Answer:
Hello

This is absolutely not cellulitis.

Cellulitis is not known to occur on operative site and is still bright red with inflammation.

This redness is more likely due to underlying pus as discussed.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Soumya (11 minutes later)

I consulted a general surgeon and he has given me a course of zanocin oz with nuroday ..I am also taking darolac for last 30s..but I have already taken a 5 days course of o2 tab before with 2 days course of amikacin and pipzo..am I getting overdose of antibiotis since I m having chest pain tachycardia tremors and tingling in ears with pain under my right rib cage.attaching the list of medicines tajen so far..pls help feeling like dying if I take and it resurfaces if I dont

Answered by Dr. Soumya (7 minutes later)

Brief Answer:
side effect of medicines

Detailed Answer:
Hi

I saw medicine list you attached.

These are side effects of medicines you are taking. Please stop these if so much uncomfortable.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Soumya (4 minutes later)

stopping this resurfaces my infection..should I go for a repeated pelvic mri..

Answered by Dr. Soumya (2 minutes later)

Brief Answer:
Aspirration is better

Detailed Answer:
Hello
It is better to aspirated under ultrasound scan guidance as discussed earlier.

Repeat MRI won't help

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj