This is Dr David
you need to be checked for abdominal ventral and umbilical hernias
after C sections, you can have weakness of your abdominal lining in the area of surgery which can cause hernias where bowel can press through areas of weakness and get caught and cause severe pain
and abdominal examination and abdominal ultrasound can check for hernias of bowels pushing out through your area of prior surgery.
yes, a 1cm granuloma could also be causing severe pain.
granuloma is scar tissue the body forms to foreign bodies.
you might have to have another surgery procedure to have that granuloma and suture removed if it is pressing on a nerve close by causing pain.
let me know if you have other questions.
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yes, any surgery can cause scar tissue and adhesions around small bowel which can cause severe pain and nausea and sometimes vomiting.
I'm glad they didn't find any hernias.
I would check with your doctors about another surgery to remove that granuloma
and they may have to go in and cut out scar tissue like a procedure called lysis of adhesions to get rid of scar tissue on the lower anterior abdomen from your prior C section
a general surgeon would tend to do this type of surgery.
do you have any other questions?
I'm glad you have an appointment with the surgeon.
sounds like that heavy lifting episode caused that sharp tearing pain
it does sound like that granuloma is close to where that pain is for you.
it can take months sometimes for granulomas to form around a foreign body.
that is probably why it took more than a year before the pain got bad there.
no, I think the granuloma is pressing on nerves close by and when you lift or strain this causes the granuloma to press on nerves causing pain.
adhesions and scar tissue could also cause pulling and pinching pains when straining the abdominal muscles
yes, granulation tissue any any possible adhesions can be removed through laproscopic keyhole surgery.
yes, the spot could be trapping a cutaneous nerve and causing pain.
did the general surgeon say he could cut it out?
yes, it could be trapping a nerve.
surgery could cut out that spot, but it could possibly injure the nerve as well.
so there would be risk for having the surgery.
I general surgeon could potentially do this surgery.
it is unknown what could have caused this spot to form.
you can see a nerve surgeon or neurosurgeon or a general surgeon to have this nerve cut out
but this can be difficult to do for small nerves
some small nerves are so small, we can't see them with human eyes.