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Pain like spasm in abdomen after BARIATRIC SURGERY.

Resolved Question:

Dear Doctor,
I have been getting pain in the lower abdomen. At times its difficult to pin-point the exact location of the pain which at times is like a spasm and also radiates
towards the back. I have had bariatric surgery about two years old patientago but haven't been able to loose much weight (just 23 kgs in two years) My current weight is
126 Kgs. Current blood and sonography report attached. Do let me know what my next step of action should be... I am actually more concerned about the pain
radiating to the back and occasional nausea and headaches..
Regards Sheamak

PS: I dont consume any alcohol. I used to smoke over 14 years old patientago but don't smoke anymore.
       I have had radiation in the past (10 years old patientago) for a non hodgkin's lymphoma in the nasopharynx 


Category: Gastroenterologist, Medical

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Category: Hepatologist
Dr. Ratnakar Kini is online now

Expert:  Dr. Ratnakar Kini replied 4 Days.

Thanks for posting your query at DoctorSpring.com

I am Dr.R.K and I am pleased to assist you.
I went through your post about pain in the lower abdomen.
I would like to have some more information before I can give my opinion.
1. How long do you have this pain?
2. How long does each episode of pain last?
3. Anything that worsens or relieves pain?
4. Any burning urination?
5. How are your bowel movements?
6. Does this pain wake you up from sleep?
Get back to me with these information and I would give my opinion.

Patient replied :

Dear Dr. RK.
1) the Pain has been there for about a month, 2) pain episodes last from about 15 minutes to couple of hours. however most of the episodes last about half an hour to 45 min.
3) Immediately after I eat I think the pain worsens and also at night the pain is worse. 4) I did have burning in the urine some months ago and urine also had traces of blood the presant report was however fine. 5) I am constipated many times, 6) As I mentioned discomfort is more at night but I don't wake up in pain.

Expert:  Dr. Ratnakar Kini replied 3 Days.

Thanks for getting back. I apologize for delay in response
I have gone through your history and reports. All of them point towards the diagnosis of cholecystitis i.e inflammation of gall bladder due to the presence of the gall stones.
I would like to suggest to do abdominal CT scan to confirm the diagnosis. Your liver reports which is a good sign.
After confirmation of diagnosis the surgeon may advice you cholecystectomy (removal of gall bladder) which can be done laparoscopically. Feel free to discuss further.

Patient replied :

Dear Dr Kini,
Thank you for your advise.
Best regards

Dr. Ratnakar Kini
Category: Hepatologist
Fellowship - DM - TN Dr.MGR Medical UniversityResidency - TN Dr.MGR Medical University Medical School - Stanely Medical College, TN Dr.MGR Medical University
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