Abdominal Pain and Digestive Issues After C-Section - Gastroenterology and Hepatology

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Lower back pain and indigestion?


All three of my children were delivered via cesarean section, with the last one in July of last year.
Recently, my health has been poor; I often experience palpitations, pain below the navel, and persistent indigestion for the past two weeks.
Last week, I felt a sharp pain between my two lower ribs.
When I visited the doctor, I was only prescribed medication, but my condition has not improved.
Additionally, I frequently experience soreness on both sides of my lumbar region, and applying pressure makes my stomach feel even worse.
Should I undergo more thorough examinations?

Chen, 30~39 year old female. Ask Date: 2006/10/24

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello: You are experiencing stomach pain, along with pain in the lumbar region and lower back.
It is recommended to pay attention to your dietary habits, chew your food thoroughly, and avoid spicy, irritating, and fried foods.
If you frequently experience abdominal pain, it is advisable to consult a clinic to check for any gastrointestinal, liver, gallbladder, or pancreatic diseases.
Sincerely, Dr.
Lin Ming-Hui, Internal Medicine.

Reply Date: 2006/10/24

More Info


Understanding abdominal pain and digestive issues after a C-section can be quite complex, especially considering your history of multiple surgeries and the unique physiological changes that occur during and after pregnancy. It’s important to recognize that various factors could contribute to your symptoms, including surgical complications, digestive issues, and even psychological factors such as anxiety.

Firstly, after a C-section, it is common to experience some degree of abdominal pain and discomfort as your body heals. The incision made during the surgery can lead to scar tissue formation, which may cause pain or discomfort in the surrounding areas. This is often referred to as "adhesive pain," where scar tissue can bind to other organs and tissues, leading to discomfort or pain during movement or pressure. The pain you describe below your belly button could be related to this scar tissue or could be a sign of other issues such as hernias or internal adhesions.

Your symptoms of heart palpitations and digestive issues, such as indigestion, could also be interconnected. Stress and anxiety can exacerbate gastrointestinal symptoms, leading to a cycle of discomfort. The autonomic nervous system, which controls involuntary bodily functions, can be influenced by emotional states, leading to symptoms like increased heart rate and digestive disturbances. It’s essential to consider your mental health as part of your overall well-being, especially if you are experiencing anxiety or stress related to your health.

The sharp pain between your ribs could indicate several possibilities, including musculoskeletal issues, referred pain from abdominal organs, or even gastrointestinal problems such as gastritis or peptic ulcers. Given that you have been experiencing these symptoms for two weeks without improvement, it is advisable to seek further evaluation. A thorough examination by a healthcare professional, possibly including imaging studies like an ultrasound or CT scan, may be warranted to rule out any serious underlying conditions.

Additionally, the frequent pain in your lower back could be related to postural changes or muscle strain, especially if you have been compensating for abdominal discomfort. It’s also worth considering that conditions such as kidney stones or urinary tract infections can present with back pain and abdominal discomfort, so these should be ruled out as well.

In summary, your symptoms warrant a comprehensive evaluation. It would be beneficial to discuss your ongoing symptoms with your healthcare provider, emphasizing the duration and severity of your pain, as well as any associated symptoms like heart palpitations and digestive issues. They may recommend further diagnostic tests to identify any underlying conditions and tailor a treatment plan that addresses both your physical and emotional health. Remember, it’s crucial to advocate for your health and seek the necessary care to ensure a thorough understanding of your symptoms and appropriate management.

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