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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Pelvic And Abdominal Pain Post Surgery For Rectal Adenocarcinoma?

Hello dear doctor ,, My mom had recently undergone total rectal sectioning and coloanal anastomosis with temporary illustomy , as treatment of t3n0 rectal adenocarcinoma (3 weeks ago the surgery was done) , but till now she is experiencing abdominal and pelvic pain , am wondering if this is normal or no ,, we did ct scan and the results came ( postoperative changes in rectum with adjacent mesentric fat stranding, no abnormal collection ) so plz can u tell me what does that mean exactly , and what could b the cause of pain
Wed, 2 Jan 2019
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General & Family Physician,  's  Response
Hi,

We will try to help you in the best way possible. First of all it's sad to know what your mother had been going through lately.

Based on the history you have shared, it can be due to the normal healing process as this was a major procedure and involve a lot of cutting and anastomosis.

Also, the development of adhesions in messentary after surgery is a possibility but such complications can cause bowel obstruction or absolute constipation which isn't present.

CT also rules out any blocking adhesive layer through some fat strands and mesentery are normal healing phenomenon. Using antispasmodic like drotavarine and OTC analgesic like acetaminophen can be helpful.

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

Take care

Regards,
Dr Saddiq Ulabidin, General & Family Physician
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What Causes Persistent Pelvic And Abdominal Pain Post Surgery For Rectal Adenocarcinoma?

Hi, We will try to help you in the best way possible. First of all it s sad to know what your mother had been going through lately. Based on the history you have shared, it can be due to the normal healing process as this was a major procedure and involve a lot of cutting and anastomosis. Also, the development of adhesions in messentary after surgery is a possibility but such complications can cause bowel obstruction or absolute constipation which isn t present. CT also rules out any blocking adhesive layer through some fat strands and mesentery are normal healing phenomenon. Using antispasmodic like drotavarine and OTC analgesic like acetaminophen can be helpful. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Saddiq Ulabidin, General & Family Physician