Pain after hysterectomy

When assigning an operation such as removal of the uterus - a woman, of course, you should weigh the pros and cons and make the necessary procedures. Understand why you should decide on such a difficult procedure to help several medical specialists, who will explain all the possible failure of the risks of the operation. It should be recognized and that the rehabilitation period is sufficiently long, and the possible complications can completely change her life.

Before you dare to hysterectomy (removal of the uterus) should be familiar with all the necessary information and consult with several experts about possible alternative treatments and effects removal, which include:

• the inability to become pregnant;
• abdominal pain;
• physical and psychological discomfort;
• pelvic pain;
• prohibition of sexual activity during rehabilitation;
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• scars on the surface of the stomach;
• the likelihood of developing osteoporosis and heart disease;
• early onset of menopause.

Even if deletion only affects the uterus and ovaries are left in place, the production of hormones in the body is significantly reduced, which leads to a change in hormonal level and Related problems.

The greatest psychological discomfort after removal of the uterus experienced by women of childbearing age. After natural menopause, the patient is much easier to deal with on a hysterectomy and easier to tolerate hormonal recovery.

Despite this, there are several advantages of a hysterectomy, which will greatly facilitate the patient's life. So if you avoid the surgery fails, the recovery period after a woman will be able to find some of the benefits of the procedure, these include:

• complete cessation of menstruation;
• eliminating the need for prevention;
• It decreases the probability of a plurality of gynecological disorders;
• the impossibility of occurrence of uterine cancer diseases.

testimony

Surely there is no such woman who did not hesitate to agree to carry out a hysterectomy. But if in some cases the experts provide the right patient selection, sometimes the operation - is inevitable. By the indications for hysterectomy are mandatory:

• malignant tumor growths in the cervical region, or at the very womb;
• the ineffectiveness of pharmacological treatment of endometriosis or adenomyosis;
• in cases of prolonged uterine bleeding;
• upon detection of benign tumors in the menopause or perimenopause;
• if there is a strong ptosis or complete loss of the uterus and other organs;
• chronic pain caused by pathological changes in the uterus.

In addition to problems with varying degrees of severity observed in all patients in the postoperative period, complications can appear in the later stages after removal. It has been observed that 7 out of 10 women after hysterectomy, after a while experiencing feelings of distraction and inferiority feeling different appearance fears and emotional depression. In addition to hormonal and psychological complications, many women are concerned about chronic pain in the chest, pelvis and lower abdomen.

complications

Various pain - as the most common symptom in the early post-operative stage and in the later period. In this case, lower abdomen pain, and often delivers the most discomfort to patients. The reasons for this complication may be a number of violations.

Extremely important get the right mental attitude in the period before the operation. It is proved that the better informed the woman about the procedure itself and possible complications, the easier it subsequently transfers them.

Complications in the early postoperative period

Conditions that are found in the first few days after surgery - are early complications. It hurts mainly the lower abdomen, hips, pelvic area and chest. Characterized by pain following reasons.

Inflammation of the scar. In the event of the inflammatory process at the site of the cut - the pain is localized in the area of ​​the scar. If the operation was carried out through the vagina - a sore lower abdomen and perineal area. With careful inspection, the specialist can detect signs of inflammation:

• redness and swelling at the incision site;
• pain on palpation;
• Local temperature increase;
• Possible signs of intoxication: nausea, pus, fever.

urination disorder. Most often caused by damage to the urethra during the operation. At the same time the most abdomen pain when urinating, and pain is the nature of acute colic.

Pyelonephritis. It appears in the case of infection of damaged tissue during or after surgery. Pain is thus applied to the lower abdomen and lower back. To confirm or refute the diagnosis, it is necessary to conduct a urine test.

Peritonitis. Very dangerous complication that threatens not only the patient's health, but also her life. Peritonitis appears next to the specific characteristics:

• fever and fever;
• headaches, muscle, joint pain;
• localized or wandering pain in the abdomen;
• bloating and gastrointestinal problems;
• irritation of the abdominal cavity;
• changes in clinical blood tests.

After surgery to remove the uterus, the first sign of peritonitis, it becomes a pain in the abdomen. Over time, it extends to the hips, lower back, sacrum and the entire pelvic region.

Since the abdominal cavity is in close proximity to the bowel, infection, and automatically switches to it. As a result, the propagation of peritonitis observed and problems of the gastrointestinal tract: bloating, constipation, pain. Detect peritonitis experts allows special surveys and a series of tests.

PE or pulmonary embolism - is also a serious complication after surgery to remove the uterus. Characterized by the separation and transfer of blood clot in the pulmonary arteries, which occurs due to blockage. The disease is very dangerous and poses a real threat to the life of the patient.

Symptoms of this disease are expressed as shortness of breath, chest pain, cough with expectoration of blood, blue skin. When these features requires immediate hospitalization of the patient.

Bleeding. In the period after surgery to remove the uterus, bleeding, both internal and external, are an indication of a lack of blood clotting. Aches and pain while it underbelly jointly with the following symptoms can be observed:

• weakness and lassitude (associated with high blood loss);
• dizziness;
• a sense of "flies" in front of his eyes.

In severe, advanced cases observed fevers, tremors, whole body cold sweat excretion, lower blood pressure and increased heart rate.

Complications in the late postoperative period

Typically, within 8-10 days after the surgery, the patient is removed and sutures are discharged from the hospital. A further period of rehabilitation has been held in the home, and the complications that appeared at this time, are considered late.

For a speedy recovery at home, the patient, in addition to the mandatory recommendations of the doctor and receive necessary medicines are also advised to follow a special diet and perform gymnastics.

The most common complications late period may include several diseases, each of which hurts abdomen.

The appearance of adhesions. Adhesive disease can occur after any surgery in the abdominal cavity. Very often adhesions occur after the open method of surgery to remove the uterus.

Already two days after surgery, noted the appearance of fibrous deposits. Most of them are self-absorbed, especially with good bowel function. In the case of gastrointestinal motility or stagnation at sufficiently extensive damage - abdominal adhesions formed collagen is not absorbable independently.

Pain, at occurrence of the disease, or affect the underbelly side, depending on the localization of adhesions. Often also noted poor gastrointestinal operation (acute intestinal obstruction, bloating, chronic constipation) that delivers even more discomfort.

Omission or vaginal prolapse. Due to remove most ligamentous apparatus in the pelvis, vaginal tissue fixation, can significantly diminish after surgery. This often leads to both an omission and to the complete loss of the vagina.

Start pathology, often, takes place entirely asymptomatic, and only with time, with a significant progression of the disease marked pain in the perineum also hurts underbelly region and sacrum. Diagnose prolapse doctor can when viewed on a gynecological chair.

Breast. Despite the fact that breast tenderness is not a typical complications after surgery, many women find that at this particular symptom.

Basis of breast disease - Breast enlargement of connective tissue on the background of hormonal imbalance in women. The first sign of the disease is painful, swollen breasts. In addition, it can be marked and general deterioration of health.

Symptoms of mastitis are found in situations where only the uterus is removed, and the ovaries continue to produce the female sex hormones. In this case, the sensitivity and breast tenderness associated with the cyclical changes, and is not related to the operation to remove the uterus.

Soreness, swelling and drawing pains, it is linked with the work of the ovaries, which continue to produce hormones and to send them into the mammary gland. Chest, in this case, the ache was in those days that must pass menstruation.

In addition, what hurts the breast are recorded in this period and the remaining signs of the cycle: drowsiness, irritability, aches in the joints. A few days later, all the symptoms disappear on their own, which is indicative of the cycle is complete and the suspension of the release of hormones.

In order to reduce mastitis symptoms after hysterectomy, the doctor prescribes a course of special drugs that help relieve pain in the chest. This is necessary because such minor symptoms as painful breasts, after hysterectomy, can trigger malignant breast tumor.

preventive measures

When hormonal changes often occur quite dramatic weight gain. This is not the best way affects not only the woman's psychological state, but also in healing scars. Due to the set of extra kilos, too, may experience lower abdominal pain and other complications.

Patients with overweight much worse than going through climax changes have hampered the work of the gastrointestinal tract, long zarubtsovyvayutsya seams.

Proper nutrition and a healthy lifestyle after the removal of the uterus are very important during the rehabilitation period. Therefore, at this time should be used mainly light products, give preference to low-calorie meals, drink plenty of fluids. Refuse to be from fat, heavy, smoked, salted and fried foods.

Is required at this time and moderate exercise. Recommended to start training with the coach, not earlier than 2 months after the operation, gradually increasing the load. What exactly it will be fitness, swimming, jogging or walking trails - it does not matter.

conclusion

Do not think that the pain in the abdomen for a long time after surgery - this is normal. Ignore these symptoms and hope that it will pass on their own - can not, because a number of diseases further condition of the woman can only get worse.

Why hurt the lower abdomen, and that this can be done by a specialist will help you understand. We must not forget that regular preventive check-ups are obligatory for women after hysterectomy. Therefore, at least once a year should visit the gynecologist, which is the necessary examinations and chest for possible mastitis prevention.