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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Reason For Abdominal Pain After Hysterectomy?

I have had pain starting in my lower left abdomen that goes up to under my rib cage and radiates to my back for approx. 7 months. The pain seemed to have started after doing situps, which I have been doing for approx. 20 years. I have had an mri, colonoscopy, ct scan, ultrasound and all were negative. I am 3 weeks post op for a hysterectomy due to a somewhat large uterine fibroid thinking that might be what's causing the pain. My chiro seems to think it might be due to a cracked left rib 30 years ago, and the upper and lower left pains are unrelated. I had a complete heart workup done 1-1/2 ago and was normal. I'm not sure what my next step should be. Thank you
Tue, 25 Mar 2014
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General Surgeon,  's  Response
HI.
IF all the investigation you mentioned are normal , my thinking would be towards the neurological problem and your history is also suggestive of this ::: it says pain starts in left lower abdomen that GOES under rib cage and RADIATES to the Back.
I would suggest to repeat the MRI of the whole spine ( if not done) and an opinion of Neurologist.
Nerves can be entrapped anywhere during its course and can not always be found.
A course of Gabapentin under the direction of your Doctor on an empirical base may help you a lot.

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Reason For Abdominal Pain After Hysterectomy?

HI. IF all the investigation you mentioned are normal , my thinking would be towards the neurological problem and your history is also suggestive of this ::: it says pain starts in left lower abdomen that GOES under rib cage and RADIATES to the Back. I would suggest to repeat the MRI of the whole spine ( if not done) and an opinion of Neurologist. Nerves can be entrapped anywhere during its course and can not always be found. A course of Gabapentin under the direction of your Doctor on an empirical base may help you a lot.