Severe Nighttime Abdominal Pain: Causes and Concerns After Surgery - Surgery

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Severe nighttime abdominal pain, especially when it occurs consistently and is accompanied by other symptoms such as fever, can be a cause for concern and warrants thorough investigation. Given your history of hernia surgery, it is essential to consider various potential causes for your symptoms.

1. Possible Causes of Abdominal Pain: The pain you are experiencing could be attributed to several factors. Since you mentioned that the pain is located on the right side of your abdomen, it may be related to issues with the liver, gallbladder, or intestines. Common conditions that could cause such pain include:
- Gallstones or Cholecystitis: If you have a history of gallbladder issues, gallstones can lead to severe pain, especially after eating fatty meals. Inflammation of the gallbladder (cholecystitis) can also cause significant discomfort.

- Appendicitis: Although typically presenting with pain in the lower right abdomen, appendicitis can sometimes cause pain in the upper abdomen, especially in atypical presentations.

- Irritable Bowel Syndrome (IBS): This functional gastrointestinal disorder can cause recurrent abdominal pain, often associated with changes in bowel habits.

- Hernia Recurrence: Given your surgical history, there is a possibility of a recurrence of the hernia, which can lead to pain and discomfort, especially if there is any obstruction or strangulation.

- Infection: Conditions such as diverticulitis or even a urinary tract infection can present with abdominal pain and fever.

2. Need for Further Investigation: Since you have undergone hernia surgery, it is crucial to consult with your healthcare provider about the need for further diagnostic tests. A colonoscopy may be necessary to rule out any underlying gastrointestinal issues, such as polyps or inflammatory bowel disease. The presence of fever alongside abdominal pain is particularly concerning and may indicate an infectious process that requires immediate attention.

3. Safety Concerns: The combination of severe pain and fever can indicate a serious condition that may require urgent medical intervention. It is essential to monitor your symptoms closely. If the pain worsens, or if you experience additional symptoms such as vomiting, changes in bowel habits, or significant abdominal swelling, seek medical attention promptly.

4. Impact of Previous Surgery: Previous abdominal surgeries can lead to adhesions, which may cause pain and discomfort. These adhesions can sometimes lead to bowel obstructions, which can present with severe pain and require surgical intervention. It is essential to discuss your surgical history with your doctor, as it may influence the diagnostic approach and treatment options.

5. Consultation with Specialists: Given the complexity of your symptoms and surgical history, it may be beneficial to consult a gastroenterologist or a surgeon who specializes in abdominal issues. They can provide a comprehensive evaluation and determine the most appropriate course of action.

In summary, severe nighttime abdominal pain, especially when associated with fever, should not be taken lightly. It is crucial to seek medical advice to identify the underlying cause and receive appropriate treatment. Early intervention can prevent complications and improve your quality of life.