DEAR DR. GOTT: I recently had two colon surgeries. One was for diverticulitis and one was for removal of a large polyp. In the past I have had four other surgeries; two C-sections, a hysterectomy and removal of my gallbladder.
Ever since the two most recent, I have had pain in my lower abdomen (adhesions). My surgeon gave me a prescription for Mobic. This does not help me at all and I am having a terrible time because the pain is severe. My doctor says there is nothing that can be done. I am having a hard time working and am becoming depressed. I just can’t believe that there is nothing that can be done to help me. Please tell me what you think I should do or what type of doctor I should go to.
DEAR READER: Adhesions are areas of scar tissue that form, typically as the result of surgery. They can also be caused by other forms of trauma, inflammation, cancer, and certain other conditions) that cause two areas to incorrectly “stick” together. Adhesions can affect the joints, eyes, abdomen, and pelvis. For example, in your case, you may be experiencing pain as a result of two portions of your intestine being adhered together or for a section being attached to your abdominal wall. Those who have had surgery on the bowel or female reproductive organs are at the highest risk of developing adhesions and in your case, you have had both types, multiple times.
Your current physician is incorrect that nothing can be done, although the one option that is available is less than ideal — surgery. Further surgical correction to separate the adhesions will provide relief for a time, but each additional procedure increases the risk of developing new adhesions. Mesh can be inserted in an effort to prevent new adhesions but this doesn’t always work. However, given that you are struggling with daily pain that is impeding your quality of life and work, it may be an appropriate option. I suggest you speak to your physician about a referral to a surgeon familiar with adhesions for a consultation and his or her opinion on whether you are a good candidate for the procedure.
Readers who are interested in learning more about chronic pain can order my Health Report “Managing Chronic Pain” by sending a self-addressed, stamped number 10 envelope and a $2 US check or money order to Newsletter, PO Box 433, Lakeville, CT 06039. Be sure to mention the title or print an order form from my website, www.AskDrGottMD.com.