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Lower abdominal pain radiating to legs
I had chronic fissure & bleeding for 6 years . So I underwent kshara sutra thinking it's less painful. But the thread changing sessions went on for 2 months & even after that there was lot of pain & didn't seem like it was healing. So I underwent another fissure tissue removal surgery 4 months ago. I had followed everything doc had told. I was getting better. But I have had pain & can't manage a day without 2 sitz bath. Moreover even after following all that, I've been having a strange lower abdominal pain & further the whole lower body starts paining. More like pulling & burning .I even have the anal pain. There's no bleeding or pus. But pain.I really have no energy to undergo another surgery.This is my 5th surgery & I have other health probs too. Already lost 20kgs coz of previous surgeries.Feeling more weak now. Also want to mention that in college, i had eaten lot of slate pencils for 3 years.Is that the reason?Now i don't eat. I can't quit my job too.Please help & guide 😭 painful
Answers (14)
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Going through five procedures by the age of 21 is exhausting, and I want to reassure you that your present problems need investigation, not necessarily a sixth operation. The continuing anal pain 4 months after fissure surgery, needing two sitz baths a day, usually comes from anal sphincter spasm with a non-healed or recurrent fissure, or from scarring/narrowing after repeated kshara sutra and surgery - most of this is managed medically with sphincter-relaxing ointment, stool softeners and pelvic floor physiotherapy. The newer pulling, burning lower abdominal pain going down both legs with the whole lower body aching is a separate issue and is not explained by the fissure: in a young woman it points to pelvic floor myofascial pain, a gynaecological cause such as an ovarian cyst or endometriosis, a urinary cause, or nutritional deficiency and anaemia from your 20 kg weight loss and poor eating. Importantly, eating slate pencils for 3 years is pica, a classic marker of iron deficiency - that alone can cause aching legs, breathlessness, weakness and much poorer pain tolerance. So yes, your college habit may well be a clue, but to the deficiency, not to the pain directly.
Next Steps
1) Blood and imaging first: complete blood count with peripheral smear, serum ferritin and iron studies, vitamin B12, vitamin D, thyroid profile, blood sugar, ESR/CRP, urine routine, and ultrasound of abdomen and pelvis. Ferritin and the pelvic scan are the key two for you. 2) One thorough examination by a colorectal surgeon - if the area is too tender, an examination under anaesthesia - to record whether there is a residual fissure, a stricture or only spasm. Ask specifically about non-surgical options before consenting to any further procedure. 3) A gynaecology opinion for the lower abdominal pain radiating to both legs. 4) Keep up the sitz baths, high fibre, about 3 litres of water and a stool softener at night so that passing stool is never hard. 5) Start eating in small frequent meals with protein and iron-rich foods - the weakness will not lift while your intake is this low. Supplements should be chosen after the reports rather than guessed. 6) Please carry all your earlier operation notes and reports. Do share your reports with me on a Practo online consult, or consult me at Synergy Multispeciality Hospital, Miraj, and we can plan this step by step.
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Huge query. Already 22views
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Consult me through Practo.
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Needs proctologist opinion for detailed evaluation
Kindly consult for further advice
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Require proper assesment .so kindly connect and provide proper history
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I have read your case it seems that i want to know your history in more details and please don’t ignore symptoms you have i can be serious issue further in future if you feel then free to connect me on WhatsApp or practo
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Continue take precaution and connect as early as if not me and any but connect and take treatment
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Hiii
Looks like , you have a complex medical problem
I had read your history, I can only help you, only after complete history and further examination
I am qualified surgeon, so this disease needs detailed history and further examination, so only can help you after more information
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please consult me for further management
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don't avoid the symptoms and take proper treatment wherever possible
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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Dr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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