Abdominal Tumors: Post-Surgery Symptoms and Next Steps

Abdominal tumor

Hello Doctor, my mother experienced loss of appetite, nausea, abdominal pain, and fatigue two months ago, leading to an abdominal ultrasound that revealed a 4.6 cm tumor near the pancreas.
She has since undergone endoscopic surgery for its removal.
The doctor stated that it is not a pancreatic tumor, but rather a neurofibroma, which should not affect organ function.
However, after the surgery, her symptoms have not improved; she still experiences headaches in the morning and nausea.
The doctor attributed this to psychological stress and prescribed only gastric medication, but my mother disagrees with this assessment.
Could you please advise on how to further investigate the cause of her symptoms? Thank you.
She has no diabetes, normal blood pressure, a normal gastroscopy with no blood in the stool, and both kidney and liver functions are normal, though her blood lipid levels are slightly elevated.
The examination report can be found at http://imgur.com/gallery/pVnFxGH, and the post-surgery report is available at http://imgur.com/gallery/GQNKvZk.

Wang, 30~39 year old female. Ask Date: 2019/05/14

Dr. Chen Sirong reply Oncology

Wang / 35 years old / Female
1.
The tumor has been successfully removed, and the report indicates it is benign.

2.
Are there any other issues? Further examinations can be conducted, such as a comprehensive health check-up and a whole-body PET scan.

Thank you for your correspondence.

Taoyuan Hospital
Chen Sih-Rong

Reply Date: 2019/05/14

More Info

After undergoing surgery for a tumor near the pancreas, it is understandable to have concerns about ongoing symptoms and the recovery process. Your mother's case, involving a 4.6 cm neurofibroma, raises several important points regarding post-operative care and symptom management.

Firstly, it is essential to recognize that even after a successful surgical procedure, patients may continue to experience symptoms such as nausea, abdominal pain, and fatigue. These symptoms can stem from various factors, including the body's healing process, psychological stress, or even the effects of anesthesia and pain medications used during and after surgery. In your mother's case, the persistent symptoms of headache and nausea could be attributed to several potential causes.

1. Postoperative Recovery: After any abdominal surgery, the body goes through a significant healing process. This can involve inflammation, changes in gut motility, and adjustments in how the body processes food and fluids. It is not uncommon for patients to experience digestive issues or discomfort for weeks or even months post-surgery.
2. Psychological Factors: The psychological impact of surgery can also play a significant role in recovery. Anxiety and stress related to the surgery and the diagnosis can manifest as physical symptoms, including nausea and headaches. If the doctor has suggested that anxiety may be contributing to her symptoms, it might be beneficial to explore stress management techniques, such as counseling, relaxation exercises, or mindfulness practices.

3. Gastrointestinal Function: Since your mother has been prescribed medication for her stomach issues, it is crucial to monitor how she responds to these treatments. If her symptoms persist despite medication, further evaluation may be necessary. This could include additional imaging studies or consultations with a gastroenterologist to rule out any complications such as post-surgical adhesions or other gastrointestinal disorders.

4. Follow-Up Care: It is vital to maintain regular follow-up appointments with her healthcare provider. If her symptoms do not improve or worsen, it is essential to communicate this to her doctor. They may consider further diagnostic tests, such as a CT scan or MRI, to ensure that there are no complications or new developments related to the surgery.

5. Dietary Considerations: Sometimes, dietary changes can help alleviate postoperative symptoms. A diet low in fat and high in fiber may be beneficial for digestive health. Keeping a food diary to track what she eats and any corresponding symptoms can provide valuable information for her healthcare team.

6. Pain Management: If your mother is experiencing significant discomfort, it is important to address this with her healthcare provider. They may recommend pain management strategies, including medications or alternative therapies, to improve her quality of life.

In summary, while it is concerning that your mother continues to experience symptoms after her surgery, it is essential to approach this situation with a comprehensive plan. Regular follow-ups, open communication with her healthcare team, and a focus on both physical and psychological well-being will be crucial in navigating her recovery. If necessary, seeking a second opinion or additional consultations with specialists may provide further insights and reassurance.

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