Why is there chronic abdominal pain in a 47-year-old female who underwent a hysterectomy?

Hello,

Welcome to iciniq.com.

I thoroughly read your query and understand your concern.

It would be better if you describe your previous or present medical, surgical, gynecological, obstetrical, and drug history so that it could be answered in more detail. Your description tells us that the long-term consequences of your operation might be mixed with some digestive system problems. Hysterectomy is an extensive procedure. Its long-term side effect is chronic pelvic pain due to nerve insult or damage or intrapelvic tissue adhesions post-surgery that can give pain in the long term due to newly built anatomy post-procedure.

My suggestion would be it is better to have normal bowel habits by consuming a soft diet, which helps avoid constipation and gas. Have plenty of water, fruits, and vegetables. Practice regular walking, yoga, and exercise to maintain a normal BMI (body mass index). You can consult a physiotherapy specialist for pain management and treat it through specific exercises. I would suggest you have a transvaginal scan to have an idea of pelvic pathology if the pain still persists. If the pain does not subside, then you might need a diagnostic laparoscopy. I would also suggest you consult with the general physician and have a vaginal swab to exclude pelvic infection. After the swab collection, I would suggest you take the following medications with your physician's consent:

• Tablet Doxycycline 100 mg on a 12-hourly basis.
• Tablet Metronidazole 400 mg on an eight-hourly basis for seven days.
• Tablet Ponstan (Mefenamic acid) 500 mg for pain if needed. Do not make it a habit.

After undergoing all the scans and investigations and the suggested healthy habits applications, if the symptoms still remain, consult with the gynecologist again with reports and all details.

I hope you understand my point.

Regards.