Dizziness and Weakness from Medications After C-Section

Dizziness and weakness in the legs caused by medication?

Hello Dr.
Lin,
Last year, I underwent a cesarean section because my child could not be delivered vaginally.
However, after completing my postpartum confinement, I have been experiencing persistent abdominal pain, and the hospital examinations could not identify the cause.
Recently, I switched to a different gynecology clinic for a check-up, and during the internal examination, I felt pain when pressure was applied to the area around the cesarean scar, as well as on the upper side and both sides.
I also experience discomfort during intercourse.
The doctor informed me that this discomfort is due to uterine inflammation.
I would like to ask you, Dr.
Lin, whether the medication I am taking could be causing dizziness and weakness in my legs, to the point where it feels "dangerous to walk." The medication is an orange-purple capsule labeled "Kojar 100," along with four yellow and white pills (the names are not specified).
I would like to understand why I am experiencing these symptoms.
The doctor only mentioned that these are side effects of the medication, but I am not the only one experiencing this; I happened to encounter another patient who called to inquire about it.
Am I really just dealing with uterine inflammation? Additionally, could you please advise me on how to perform Kegel exercises? What is the proper technique? Thank you! Wishing you safety and health!

jessica, 30~39 year old female. Ask Date: 2002/09/28

Dr. Lin Zhaopei reply Obstetrics and Gynecology

Uterine inflammation may sometimes be treated with muscle relaxants, which can help alleviate uterine spasms.
However, some individuals may experience dizziness as a side effect.
The four medications prescribed typically include a pain reliever, an antacid, an anti-inflammatory, and a muscle relaxant (Kojar 100 is likely the brand name).
If the condition is uterine inflammation, treatment over a period of two weeks should lead to improvement.
Of course, adhesions, endometriosis, and postoperative infections must also be considered as potential causes.
Kegel exercises should be performed 200 times a day for more than three consecutive months.
This exercise involves contracting the vaginal muscles to restore the function of the pelvic floor muscles (imagine the contraction of the vagina during intercourse with your partner).

Reply Date: 2002/09/28

More Info

After undergoing a cesarean section, it is not uncommon for women to experience various symptoms, including dizziness and weakness, especially when medications are involved. In your case, the medication you mentioned, "Kojar 100," is likely a combination of drugs that may include a diuretic and an antihypertensive agent. These types of medications can lead to side effects such as dizziness and weakness due to their effects on blood pressure and fluid balance in the body.

Dizziness can occur for several reasons, particularly after surgery. Post-operative patients may experience changes in blood volume, blood pressure, and electrolyte balance, all of which can contribute to feelings of lightheadedness or dizziness. Additionally, if you are taking medications that lower blood pressure, it could lead to orthostatic hypotension, where standing up quickly causes a drop in blood pressure, resulting in dizziness.

Weakness in the legs can also be a side effect of certain medications, particularly if they affect muscle function or if they lead to dehydration. If you are experiencing significant weakness to the point where walking becomes dangerous, it is crucial to discuss this with your healthcare provider. They may need to evaluate your medication regimen and consider alternatives or adjustments.

Regarding your abdominal pain and the diagnosis of uterine inflammation, it is essential to follow up with your healthcare provider. Chronic pain after a cesarean section can be due to various factors, including scar tissue formation (adhesions), infection, or other complications. The discomfort during intercourse could also be related to the inflammation or other underlying issues that need to be addressed.

As for Kegel exercises, they are beneficial for strengthening the pelvic floor muscles, which can help with recovery after childbirth and improve overall pelvic health. To perform Kegel exercises:
1. Identify the Right Muscles: The first step is to locate your pelvic floor muscles. You can do this by trying to stop urination midstream. The muscles you use to do this are your pelvic floor muscles.

2. Practice Contracting: Once you identify the muscles, you can practice contracting them. Squeeze and hold the muscles for about 5 seconds, then relax for 5 seconds.
3. Increase Duration: As you get stronger, try to hold the contraction for longer periods, up to 10 seconds, followed by a 10-second rest.

4. Repetitions: Aim for 10 to 15 repetitions at a time, three times a day.

5. Consistency: Incorporate these exercises into your daily routine, such as while sitting at your desk or watching TV.

It is essential to perform Kegel exercises correctly. Avoid tightening your abdomen, thighs, or buttocks during the contraction. Breathing normally is also important; do not hold your breath.

In conclusion, your symptoms of dizziness and weakness could be related to the medications you are taking, and it is essential to discuss these concerns with your healthcare provider. They can help determine if your medications need adjustment or if further evaluation is necessary for your abdominal pain and uterine inflammation. Additionally, incorporating Kegel exercises into your routine can aid in your recovery and improve pelvic floor strength. Always consult with your doctor before making any changes to your medication or exercise regimen.

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