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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Inflamed Bowel And Ascites?

Dear Dr. Rynne My name is Carley Morris, I am 31 years of age and I live in SA. 4 weeks ago I was rushed to Flinders hospital via ambulance as I had undergone emergency keyhole surgery in which they had found a large build up of ascitis. Was also stated that 20% of my small bowel is inflamed. I was feeling okay once I had been discharged up until two weeks later I was admitted to hospital again for sever abdominal pains. I also could not stop vomiting which happened the first time. I had mild fluid build up. An X-ray was taken however fluid does not show up on an X-ray. I was only in there for the day and feeling better from pain relief and anti-nausea medication. Even though 90% of the time the medication would make me vomit more. Excruciating pain at the time and it will come and go. Last week I was at work and it started to happen again with a sudden onset of severe stomach pains and violent vomiting. I was admitted to Flinders emergency again. As results were coming back it did show in my blood test that I had a bacteria which is an ulcer like bacteria above my navel. It was great to get an answer however I was told that this is not what is causing the ascitis as I had 4 L of fluid come up on the ultrasound. I am going back in over the following weeks to have a MRI scan and a endoscopy. I am really scared, I feel so drained and I work as a community support worker and have just completed my diploma in enrolled nursing. Do you know what might be causing the inflamed small bowel and the ascitis.? What can I do too treat it? Thank you Carley Morris
posted on Wed, 7 Oct 2015
Twitter Thu, 9 Apr 2020 Answered on
Twitter Wed, 15 Apr 2020 Last reviewed on
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General Surgeon 's  Response
Hi,

* The ascites following inflammed bowel can be part of spotaneous bacterial peritonitis most likely from gram negative infection as E.coli, Proteus or others.

In my clinic, I do recommend, a gram stain and culture report of the aspirate of the ascites fluid for best possible diagnosis and guidance acoriccordingly.

If any of the lab reports are available with you, please share with me at an earliest point of time for further discussion. Awaiting for your response.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel
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How To Treat Inflamed Bowel And Ascites?

Hi, * The ascites following inflammed bowel can be part of spotaneous bacterial peritonitis most likely from gram negative infection as E.coli, Proteus or others. In my clinic, I do recommend, a gram stain and culture report of the aspirate of the ascites fluid for best possible diagnosis and guidance acoriccordingly. If any of the lab reports are available with you, please share with me at an earliest point of time for further discussion. Awaiting for your response. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel