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Dr. David
Dr. David, Board Certified MD
Category: Medical
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Experience:  Board Certified Physician
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explaine post operative neuropathic pain in abdomin which causes

Customer Question

explaine post operative neuropathic pain in abdomin which causes vommiting and bladder retention how could these periphial nerves get dammaged
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.

Dr. David :

This is Dr. David

Dr. David :

can you tell me more about the surgery?

Dr. David :

how old was the patient?

Dr. David :

hello?

JACUSTOMER-s5irpwf2- :

my daughter is 17 and still ln hospital after 9 weeks she whent in for a day to have an ovarian [dermoid] cyst removed by key hole another op 3weeks later found what the surgeon said was a follicle blead on the same ovary due to ovalation she had pain and bladder retention from the day after the first op. could he have coatarized a nerve as he said the bowel and tube was stuck together through adesions which he coaterized after cutting away from eachother

Dr. David :

I see.

Dr. David :

yes, most likely a nerve to the bladder was damaged and this has caused urinary retention.

Dr. David :

basically the bladder has been paralyzed and that is why it can't contract and push out urine.

Dr. David :

the adhesions of the bowel if bad enough can cause partial or complete small bowel obstruction and this can cause vomitting

Dr. David :

requiring putting a tube down into the stomach to empty the stomach.

Dr. David :

damage to the nerves in the abdomen can also cause neuropathic pain as well

Dr. David :

sounds like this surgeon damaged quite a bit to do this keyhole surgery.

Dr. David :

I am so sorry for your daughter.

Dr. David :

sounds like they have tried quite a bit of medications already to help with neuropathic pain.

Dr. David :

morphine could worsen constipation and could worsen bowel obstruction.

Dr. David :

pregabalin is lyrica

Dr. David :

I hope she gets better.

Dr. David :

what a horrible complication to suffer for just a dermoid cyst.

Dr. David :

let me know if you have other questions.

Dr. David :

hello?

JACUSTOMER-s5irpwf2- :

she had a feeding tube put down her stomach during the second op i guess thats what he has already done after that she was able to hold down fluids after that a bit better but she only opens her bowel when taking senna she passes some water but not enough this is verry dark almost brown in color how can her bowel be blocked if she is going but not regularly she has also lost feeling to pass water will that return could she be like this for life

Dr. David :

if the nerves are permanently damaged to the bladder, she could have a paralyzed bladder for life I am sorry to say.

Dr. David :

she might have to straight catheterize herself to get the urine out routinely.

Dr. David :

she might have paralysis of the bowels as well if the nerves to the bowels were also damaged.

Dr. David :

it sounds like the bowels are not moving or peristalsing properly either.

Dr. David :

boy what didn't this surgeon damage with surgery?

JACUSTOMER-s5irpwf2- :

hello

Dr. David :

yes, I am here.

Dr. David :

does it look like I am going in and out.

Dr. David :

I'm sorry about the bad connection.

Dr. David :

I'm not sure why.

Dr. David :

I am at home on my computer.

Dr. David :

with wifi here

Dr. David :

do you have other questions?

JACUSTOMER-s5irpwf2- :

what are these nerves called i am meeting with the surgeon tomorrow

JACUSTOMER-s5irpwf2- :

where are you based

Dr. David :

I am in USA, New Jersey.

Dr. David :

I believe he damaged the pelvic nerve plexus

Dr. David :

or the inferior hypogastric nerve plexus in the lower pelvis

Dr. David :

which contain nerves which lead to the bladderl l

Dr. David :

and to bowels.

Dr. David :

best of luck to you and her

Dr. David :

let me know if you have other questions.

Dr. David :

if done, please leave +++ positive feedback below the chat box.

Dr. David :

you can always reach me as Dr. David if you have other questions.

Dr. David :

thanks for using JustAnswers.com

Dr. David :

you might have to scroll down to see the feedback area below

Dr. David :

do you see the feedback area below?

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