Laparoscopy Update: Well it's been almost... - IBS Network

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Laparoscopy Update

RedTeddy profile image
RedTeddy
β€’16 Replies

Well it's been almost 3 weeks now since my laparoscopy and cystoscopy. I thought I'd wait a bit so I could give more information on my recovery in case it helps others who may be having the procedures. Apologies for the essay!

Just for back ground, I had been suffering with more constipation than usual since about the start of this year, followed in March by new pain in my pelvis. I had a transvaginal ultrasound (NHS) - all clear. I saw a gasto consultant (private) and was referred for a Sigmoidosopy on NHS - all clear. My symptoms were consistant with Endo or IC (painful bladder syndrome) so I saw a Urologist, again private and he thought a cystoscopy was in order (I had two of these 6years ago) he also suggested I have a laparoscopy to check for Endo which is why I then paid to see the Gyno consultant as he was an Endo specialist.

I was due in on a day case but ended up staying the night as I didn't come out of theatre until 4.45pm. I paid to go private for the procedures as it would have been over a year on the NHS. I haven't had a bill for the over night stay so perhaps I got away with it!? I had the procedures at Spire and all the staff were excellent. I was in theatre about 2 hours, the Urologist did the cystoscopy first including a bladder stretch. In his notes my bladder held 650ml which he said was below average, the bladder stretch should in theory let me hold more although it doesn't work for everyone and some people end up worse off.

The Gyno consultant made two incisions one at my lower left side and one inside my belly button. I felt alot of gas pain in my upper stomach, I was aware this would most likely rise to my shoulders but luckily it never did. The gas pain went slowly over I would say the following 48 hours. They gave me painkillers and antibiotics before I woke up. When I was back in my room the nurses checked on me regularly, they offered me paracetamol and other much stronger pain killers but I persevered with the good old para's as I was aware the others could add to the constipation I was advised I might suffer. The only moan I have is that they never put a pad on me or even under me and I remember feeling something running out of me and I felt wet, I told the nurse I needed to pee for the first time since leaving theatre and as she helped me up I noticed the bed was covered in blood, which was of course all over me. This could have been avoided, they then brought me a pad, changed the sheets and put a pad in the bed. I only lost blood due to the surgery over the next 24 hours, nothing after that. Moving in and out of the bed was hard work, you have to roll out and swing your legs to the floor. Walking was also difficult, the nurse had to help me to the toilet the first few times. I say first few times as I lost count of how many times I needed to pee that night, it was horrendous. The nurses changed my dressings before I left the following morning. I would advise loose clothing, shoes you can slip on without help, big comfy 'Bridget Jones' knickers!

I continued with para's every 4 hours when I got home and drunk plenty peppermint tea to help with the gas pain. My biggest problem was constipation, I can honestly say I've never had it so bad. They did give me a box of Movicol to take and OMG the pain, I hadn't had a BM 2 days before surgery. I tried everything to go in empy but just couldn't go. The movicol caused my bowels to contract but I couldn't pass anything, it was like child birth, not that I know as I don't have kids but I'm sure it was the same! I didn't sleep the first 3 nights due to constipation and peeing (11 times a night - so much for the bladder stretch). Another 5 days passed and still no BM, I phoned Spire twice, first time they told me to strain and not to worry about bursting my stitches (not easy when you've just had a laparoscopy!) I phoned again later in the day and was told not to strain! Just to wait for it to happen naturally. I then phoned NHS 111 (was holding for 40 minutes) to be asked stupid questions like what did my stool look like, I don't know how many times I repeated I'm constipated and in agony. I honestly thought it was going to be an A&E job. Eventually at 8.30pm (it's engraved in my head) 7 days after my last BM it finally happened, and yes I had to strain alot which then caused a lot of blood (I have internal piles). I've been taking Dulcoease regular to try and keep things soft it doesn't always work though.

Anyway your probably wondering at this point what the outcome was, well, the laparoscopy was all clear, no Endo or anything else of concern. The cystoscopy was also all clear, no IC or any other bladder condition.

So I'm a few thousand pounds worse off and still no diganosis. I have to be pleased they didn't find anything but I kind of feel numb. Everyone I have told just makes me feel like I'm crazy and the pain has all been in my head. Since the pain from the laparoscopy has worn away the old pain in my pelvis is back. It's not just my pelvis though it moves to my hips and outer thighs, both sides. I had this before my op.

I feel like screaming, I know it's not in my head but due to every test etc. I've had being all clear I feel I can't talk to anyone now. I had an agrument with my husband the other day in which he said I needed to stop looking for something that isn't there and that I needed to 'buck up' and pull myself together as he can't live like this anymore and if it continues he would 'probably' eventually leave me.

To be honest it's my body, I know it's not in my head. I want more than anything to be pain free or at least get a diagnosis. I owe it to myself to keep going and try and get to the bottom of it, even at the expense of my marriage, I know it's frustrating and he's had to put up with a lot from me for the past year, I'm doing my best and I didn't put myself through the operation on a whim. I won't give up on me, even if he has given up on us.

Love and peace to you all, thanks for reading to the end! xx

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RedTeddy
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Liz1234ty profile image
Liz1234ty

Hi RedTeddy - sorry to hear that you are going through this. It sounds really tough. Do you have any ongoing appointments where you can discuss this with your medical professional? Are there any other tests that you can have? I have found that there does come a point where it is better to accept a situation and find ways to manage it rather than searching for a cure (which takes a lot of financial and emotional stress) but it is still good to feel that you have explored all the obvious avenues with your consultants - sounds like you might have done. In terms of management have you been prescribed any muscle relaxants, anti-inflammatory pills or things to help settle down overactive nerves in case this will help with symptom control (such as low level antidepressants that are used for IBS)? Visceral hypersensitivity is a real thing with IBS.

RedTeddy profile image
RedTeddyβ€’ in reply toLiz1234ty

Hi Liz1234ty, thanks for your reply, it is tough and I know I'm not the only one on here suffering with no answers. When I saw my Gastro consultant a few months ago he suggested I try Amitriptyline. I was really worried at first but when I asked on here if anyone had experience I felt a bit better about taking it. Maybe it's time for me to give it a go, I don't know, my head's all over the place. I've just spoken to the Gyny consultant and he said there were no issues as far as he is concerned. He said it could be my bowels causing the pain (he knows I've already had a sigmoidoscopy) or athritis? I was diagnosed with osteoarthritis in my SC joint in my neck earlier this year. It was suggested I may have had an early on set of this due to a car accident I suffered in my 20's, I'm in my 40's now. He also said the pain has nothing to do with menopause. My appointment with the Urologist is not till later this month so I think I'll just take some time to think. I'm still recovering from the laparoscopy anyway so don't feel up to trying anything else just now. One thing I do know is it's not all in my head, like you say where do you draw the line and just accept it? I hope you have anwers to your problems x

Liz1234ty profile image
Liz1234tyβ€’ in reply toRedTeddy

Hi RedTeddy - I suppose in some ways IBS itself is not really a diagnosis. It is basically a way of saying that there is something wrong with your GI tract that is not cancer, celiac or various other illnesses that get ruled out. My own issues are clinically unknown cause/diagnosis but my consultant felt it related to a brain/gut disorder (which is not to say that it is all in the head as the brain dictates all sorts like hormones and regulation in the gut. I was prescribed Amitriptyline. Do persevere with it as it can take awhile to see any improvement. In my case it did not work for symptom relief but made me sleepy so I took it at night and it really helped to give a goods nights sleep. While nothing is no risk, the Amitriptyline is low risk. The worst thing was weaning myself off it, a slow and steady process but since it is a clinically proven treatment you may find it worth the experiment.

The other thing I later thought of is back pain (so interesting to hear of your issue there) as I have a herniated disk in my lower back and while I feel it mainly in my lower back the pain does spread around my hips and to the right side of my pelvis (at the front). I saw a chiropractor who was very helpful and helped the symptoms. He also talked about referred pain as there is a muscle (sorry can't remember name) that travels from back to front and my back problems were causing this muscle to tighten which was causing me pain in pelvis. It's a long shot but it might be worth making an appointment to see a chiropractor when you are feeling more recovered from your op and you have had to reflect on next steps.

RedTeddy profile image
RedTeddyβ€’ in reply toLiz1234ty

How long did you take Amitriptyline for? I am considering giving it a go when I'm fully recovered from the laparoscopy. I'm a very poor sleeper, even more so these days and if it helps with that it will be something. I'm worried it might make my constipation worse, did you find it made you constipated? I think I might take the Gyny consultants advice and have a scan to check for any musculoskeletal issues like osteoarthritis. He did mention referred pain too. Seeing a chiropractor could be a good option too down the line.

Liz1234ty profile image
Liz1234tyβ€’ in reply toRedTeddy

These all sound like good ideas. I have a tendency towards IBS D and did not find that Amitriptyline caused any constipation BUT I know that there can be a gut slowing side effect for some. There are other antidepressants that might be better for IBS C - collectively known as SSRIs there are a few different types and they apparently don't slow down the gut but I did not discuss these with my gastro as gut slowing would be beneficial in my case.

I took the Amitriptyline pills for about 9 months (which I think is giving it a good go) and then spent a further 3 months slowly tapering off them. I did not find it easy to stop as I got really vivid nightmares/dreams (apparently a side effect of withdrawal for some!). But in the end i did come off them and i did not regret giving the pills a try as my symptoms are worse than the minor side effects i had.

RedTeddy profile image
RedTeddyβ€’ in reply toLiz1234ty

At least you gave it a good go, it's all you can do really. I probably will do the same shortly but I need to find the best one that won't make my constipation worse as I honestly can't stand regular bouts of that. So many decisions to make!

edwangy profile image
edwangy

I've had a simialar experience this year. I had been getting abominal pains and constipation on an d off foy years which gradually got worse as time went on. I had a ct scan a fwe years back which showed a9cm fibroid in uterus. the docs said that this was the cause of the pain as the fibroid was pressing on my bowel, and offered hystectomy. at that time I decided not to go ahead with op, but would try to manage the symptoms as best I could. Fast forward, a few years pain and constipation got worse, had another scan privately which showed same thing plus divericulosis, was referred to anoth gynae who again recommended hysterecomy. Thingswere gettingso bad that this time I agreed and op was scheduled for Feb 2020 but because of covid it was cancelled. I couldn't put up with the pain any onger so I opted to pay for op at Spire hospital in June this year. Op went well, but won't go into detail about hospital care and non existent aftercare! It is bearly 5 months now after op and I'm in more pain than ever! I have been to A&E 3 times, seen GP on numerous occasions for pain relief, non of which do any good. I was referred to consultant in september who arranged for colonoscopy and was told that I had divericular disease(which I aleady knew about) and he's said that I may have to have a colon resection! I have lost all faith in doctors and feel that they just look for the easy solution (for them) Still no further on with pain relief etc, but thousands of punds out of pocket!

RedTeddy profile image
RedTeddyβ€’ in reply toedwangy

Hi Edwangy, I feel your pain. Sounds like me, you're doing everything you can to try and improve your situation but to no avail. All we want is to be pain free! I do worry about suggested procedures and when I was told I should have a laparoscopy I didn't take it lightly. In fact I nearly cancelled it numerous times. In hindsight, nothing was found so I needed have had it. But on the otherhand if I didn't I'd just be sat here wondering if I should have done, catch 22. I agree theres not much after care going private, that is something I was worried about. I would have prefered NHS but what can you do when the waiting lists are over a year. I can't find much pain relief either, I'm sat here just now with my heated jacket on. I think some doctors do sometimes look for the easiest solution for them and not necessarily in the best interest of the patient. I hope you can at least find some form of pain relief as it makes a huge difference x

Maureen1958 profile image
Maureen1958

Hi, You have certainly been through the mill. I feel for you trying to find out what is wrong with you! It's a nightmare and I admire your determination!

But I guess at sometime you have to say enough, perhaps that is not the case for you yet! But you may find in the future there are no more options left! Maybe it might be worth having a little break for a while and taking stock for a few months before you go back into this again. That might help the situation with your husband. Then if you start fighting this again you can do it together! I feel for you as my husband is very understanding but then I haven't spent a lot of money on it as we didn't have a lot of money! That having been said I don't think it is in your head no more than I think mine is in my head! So if you really want to give it your all, he should stick by you and if he doesn't, well he is not worth it!

RedTeddy profile image
RedTeddyβ€’ in reply toMaureen1958

Thanks Maureen1958, I am determined and don't quite feel ready to say enough. I am going to take a few weeks to mull things over before my follow up with the Urologist.

I try not to moan too much to my husband and sometimes I keep the pain to myself but it's hard to hide it all the time. I try to go on as normal as I can for his sake but the pain just gets you down and some days I just want to let it all out! I am hoping this situation won't go on forever and I just need him to hang on in there, but when he starts to doubt that I am actually in pain it causes real tension. I have to put my health first and if he can't support me through this then I agree he's not worth it! It's my money I'm spending too so he can't moan about that, I think he just wants a quiet straightforward life, but then don't most men!

Maureen1958 profile image
Maureen1958β€’ in reply toRedTeddy

I understand, how long have you been married, perhaps remind him he joined up to "in sickness and in health" not just health πŸ™‚. I already had IBS when I met my current (second) husband, so I guess he knew what he was signing up to although it was nowhere near as bad back then. But I must say, he is really good about it all. We fight it together!

RedTeddy profile image
RedTeddy

Thanks Cece321, good luck with your appointment this week x

RedTeddy profile image
RedTeddy

Yes those vows had be relaying in my mind too! I've been married 8 1/2 years, my second marriage too. Sounds like you got a good one. I started with a few small health niggles when I turned 40 (age related - so I was told) but nothing like in the last year. I'm 47 now so we married before I had any health issues. I wouldn't wish feeling like this on anyone but sometimes I wish he could step into my shoes and feel what I'm feeling. It doesn't help that I'm of perimenopause age and I'm starting with symtoms like brain fog and anxiety. No hot flushes yet or anything else but I'm sure it will come. Oh the joy's!

Maureen1958 profile image
Maureen1958β€’ in reply toRedTeddy

Yes, the flushes are not nice and I found I was worse during the menopause than I was before. But I think now is the worst I have ever been, it's so unpredictable now! I don't feel I have a life at all, Not that I had much of a life before. Mine seemed to change again during all this COVID business. I think I might have had it midly but it's done something funny to the IBS!

RedTeddy profile image
RedTeddyβ€’ in reply toMaureen1958

I don't suppose we'll know the long term effects of Covid for some time, I had it in March 2020 before there were any vaccines. I'm sure it does effect other health issues.

My bladder is playing up tonight I'm sick of going up & down the stairs to pee, so much for the bladder stretch I had! They did say it might get worse before it gets better. I'm supposed to be going out tomorrow so I hope it settles down over night otherwise it will be a fun day planning where the nearest toilet is. Every day seems to present a different challenge πŸ€ͺ

Maureen1958 profile image
Maureen1958β€’ in reply toRedTeddy

It certainly does! Good Luck with tomorrow and I hope you have a nice time whatever you are doing.

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