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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 (7)
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This is a high-risk, complex recurrent anal-pain case,
needs re-evaluation of the diagnosis and the source of pain.
Your symptoms need a fresh assessment rather than immediately undergoing another surgery.
Persistent pelvic pain can also have non-anal causes.
please see a colorectal surgeon/proctologist at a tertiary centre and take all previous operative notes, pathology reports and investigations with you.
Next Steps
Cap SOMPRAZ-L/OD BBF
TAB MACROID 1000 mg Thrice a day for 4 days f/b twice a day for 5 days
TAB GABANT NT 100 mg/HS
P/W Livoluke RF FIBRE 2 tsf with lukewarm water/ HS
Cream SITCOM FORTE LA/BD
SITZ BATH WITH BITADINE THRICE A DAY
ADEQUATE HYDRATION AND HIGH FIBRE DIET
REVIEW AFTER 7 days
Health Tips
Your case sounds complex, and I’d be happy to guide you regarding the appropriate evaluation and treatment approach.
If you want to discuss your symptoms in detail, you can connect with me on WA business- 77 260 46 121,
I’ll take your complete history and guide you about the appropriate next step.
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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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The intestines are inflammed because of the past medical history. Surgery is just a cure for the present condition. You need to stop future such developments. Kindly consult with me on 94 two six eight six 78 nine six.
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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. 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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Dr. Muthukumarasamy T
General Physician
1 yrs exp
Thoothukudi
What you describe is called Pica. Check your iron levels. You may be iron deficient Which may impair fissure healing
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Ms. Ayesha
General Physician
1 yrs exp
Bijnor
I understand that you have been through a lot of pain and multiple procedures. Persistent anal pain 4 months after surgery, along with lower abdominal pain, significant weight loss and increasing weakness, needs a proper medical reassessment.
These symptoms should not automatically be attributed to the fissure alone. Recurrent/non-healing fissure, anal sphincter or pelvic-floor spasm and other gastrointestinal conditions may need to be considered.
Your previous history of eating slate pencils may be associated with pica suggested iron deficiency, which can contribute to weakness and anaemia, although it cannot by itself explain all your current symptoms.
Please consult your treating colorectal surgeon/proctologist, and a gastroenterology evaluation may also be appropriate. Further examination and investigations can be decided by the doctor based on your clinical findings.
Next Steps
- Arrange an in-person review with a colorectal surgeon/proctologist.
- Discuss your persistent pain, abdominal symptoms, 20 kg weight loss and weakness with the doctor.
- Your doctor may consider blood tests such as CBC and iron studies to assess for anaemia/iron deficiency.
- Depending on the examination, further gastrointestinal or pelvic investigations may be advised.
- Avoid proceeding with another surgery until the cause of the persistent symptoms has been reassessed.
Health Tips
Continue adequate hydration, maintain a fibre-rich diet and avoid straining during bowel movements. Warm sitz baths may provide symptomatic relief if they are comfortable for you.
Given the significant weight loss, increasing weakness and abdominal pain, please do not delay an in-person medical assessment.
Seek urgent medical attention if you develop fever, increasing swelling or pus around the anus, severe worsening abdominal pain, heavy bleeding, vomiting, fainting or severe weakness.
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