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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain Post A Colostomy?

i have recently (Nov 2010) had a colostomy done and i have been having quite a lot of pain in my abdomen since when i exercise (and when i say exercise this can just mean walk to the shops so not much at all). im having a ct scan for this in few wks. How accurate are they and will it find the problem do u think? im a bit worried it wont be able to show much as im overweight.
Wed, 27 Aug 2014
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General Surgeon,  's  Response
HI.Thanks for your history:
Colostomy on 2010- pain- just walk- CT planned - doubt about accuracy - overweight.
The commonest cause of pain in abdomen after colostomy can be following:
Intestinal obstruction due to adhesion , this is common after such surgeries on colon; sticture of intestine;
CT scan is reasonably accurate and a very good modality as it can detect many things which we can not find on ultrasonography. IT can find mass, stricture , intestinal obstruction , appendicitis , almost all the inflammatory processes..
Many times a simple standing X-ray of the abdomen is sufficient to see for intestinal obstruction.

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What Causes Abdominal Pain Post A Colostomy?

HI.Thanks for your history: Colostomy on 2010- pain- just walk- CT planned - doubt about accuracy - overweight. The commonest cause of pain in abdomen after colostomy can be following: Intestinal obstruction due to adhesion , this is common after such surgeries on colon; sticture of intestine; CT scan is reasonably accurate and a very good modality as it can detect many things which we can not find on ultrasonography. IT can find mass, stricture , intestinal obstruction , appendicitis , almost all the inflammatory processes.. Many times a simple standing X-ray of the abdomen is sufficient to see for intestinal obstruction.