anyone else with abdominal pain?

Discuss different Pain Management Options; Medication options including side effects and Worldwide variances in names etc.
deBBieW
Posts: 162
Joined: Tue Oct 25, 2011 2:59 am
Location: Milwaukee, Wis

anyone else with abdominal pain?

Post by deBBieW »

Hi - I don't mean IBS pain, or pain with going to the bathroom, just burning, and a gnawing feeling below my belly button. I am not constipated - very rare for me.
I'm sure it's all part of the burning symptoms, I've had a CT, and pelvic ultrasound, all normal, and many of pelvic exams....

Just wondering if this is common? I see pain med doc monday, I need something for this burning everywhere else, something I can take through out the day.
I hope I will not be to fuzzy to drive etc.
I want to shut this nerve off!!!

Debbie
Vag pain, leg burning 3/11, SIJ inj 7/11, Pelvic PT, Chiro/acupuncture,
2-CT pudendal blks 11/2012, did help, less deep vag pain
Potter MRI 04/2012 - Scar tissue/thickening at SS/ST, scar in Alcock canal -bilateral,
Hibner 6/12 suggests Botox (didnt do), 8/12 more pelvic PT w/ dry needling
Gabapentin 1800 mg, Lyrica 200 mg, 5mg valium, vicodin as needed
Trying to get rid of central sensitization burning pain in my legs, Valium seems to be helping
Looking into more mindfulness options. . . . .
Lernica
Posts: 960
Joined: Fri Jan 14, 2011 10:31 pm

Re: anyone else with abdominal pain?

Post by Lernica »

Yes, left lower quadrant, almost on top of the pubic bone. It burns when my PN flares.
Athlete until pain started in 2001. Diagnosed with PN in Nov. 2010. Probable cause: 3 difficult labors, 5 pelvic surgeries for endometriosis, and undiagnosed hip injuries. 60% better after 3 rounds of shockwave therapy in Cornwall, Ontario (Dec - Feb/12). 99% better after bilateral hip scopes for FAI and labral tears (April and July/12). Pelvic pain life coach Lorraine Faendrich helped me overcome the mind/body connection to chronic pain: http://www.radiantlifedesign.com
pn_person
Posts: 94
Joined: Fri May 13, 2011 10:11 pm

Re: anyone else with abdominal pain?

Post by pn_person »

deBBieW wrote:Hi - I don't mean IBS pain, or pain with going to the bathroom, just burning, and a gnawing feeling below my belly button. I am not constipated - very rare for me.
I'm sure it's all part of the burning symptoms, I've had a CT, and pelvic ultrasound, all normal, and many of pelvic exams....

Just wondering if this is common? I see pain med doc monday, I need something for this burning everywhere else, something I can take through out the day.
I hope I will not be to fuzzy to drive etc.
I want to shut this nerve off!!!

Debbie
I am quite sure it is part of the same PN issues causing your other burning

I have numbness, not burning, but the numbing INCLUDES the lower abdomen..from the belly button and below, so I am sure the PN has sensory responsibility for that area also
calluna
Posts: 1058
Joined: Mon Sep 27, 2010 11:57 pm

Re: anyone else with abdominal pain?

Post by calluna »

The pudendal nerve does not innervate the lower abdomen, I am pretty sure it is the iliohypogastric nerve if there is suprapubic pain.
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Karyn
Posts: 1655
Joined: Fri Sep 17, 2010 12:59 pm
Location: Lowell, MA

Re: anyone else with abdominal pain?

Post by Karyn »

I agree with Calluna. Not the PN. I also have this burning/pulling/pinching type of pain just under my bellybutton, travelling distally to the top of the pubic bone. I also supspect an iliohypogastric nerve, but don't know for sure.
Ultra Sound in 03/08 showed severely retroverted, detaching uterus with mulitple fibroids and ovarian cysts.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
pn_person
Posts: 94
Joined: Fri May 13, 2011 10:11 pm

Re: anyone else with abdominal pain?

Post by pn_person »

yes, you are both correct...the iliohypogastric nerve innervates the lower abdomen and pubic areas

great, guess I have 2 nerves that have problems, fff..

does anyone know if it is common to have pathology in both the PN nerve and the iliohypogastric nerve at the same time

starting to think I might have MS..no confidence I have a complete diagnosis..

did have both sacral and lumbar mri's which were negative so issue distal from spine

perhaps the treatment wth neurontin is the same anyway..scared, and feeling horrible..
Lernica
Posts: 960
Joined: Fri Jan 14, 2011 10:31 pm

Re: anyone else with abdominal pain?

Post by Lernica »

Could this be the infamous "cross-nerve talking"? So would resolution of the PN pain also resolve the "cross-talk" pain of the iliogastric nerve?
Athlete until pain started in 2001. Diagnosed with PN in Nov. 2010. Probable cause: 3 difficult labors, 5 pelvic surgeries for endometriosis, and undiagnosed hip injuries. 60% better after 3 rounds of shockwave therapy in Cornwall, Ontario (Dec - Feb/12). 99% better after bilateral hip scopes for FAI and labral tears (April and July/12). Pelvic pain life coach Lorraine Faendrich helped me overcome the mind/body connection to chronic pain: http://www.radiantlifedesign.com
User avatar
Karyn
Posts: 1655
Joined: Fri Sep 17, 2010 12:59 pm
Location: Lowell, MA

Re: anyone else with abdominal pain?

Post by Karyn »

Well, I hate to be the bearer of bad news, but it appears to be less common if you JUST have PN. I've noticed many of us have other issues (neurological, musculosketal) which aren't relieved by PN decompression. I'm embarrassed to admit how foolishly naive I was to actually think that PN surgery would correct EVERYTHING. :oops:
I thought that PN(E) was the root of all evil and by having the surgery, all of my other problems would magically disappear. I really believed in nerve cross talk (still a bit on the fence with this) and the removal of exasperating factors (i.e. the PN). I blamed PNE for everything! I feel like such an ass.
I've achieved significant relief with my PN symptoms but having that adquately addressed did not cure my ilioinguinals, iliohypogastrics, PS, SIJD, possible obturator entrapment,
adductor tendinosis, chronically tight leg muscles, etc..., etc ...
And who knew there could be SO MANY reasons for sitting pain?!?!?! :?
Ultra Sound in 03/08 showed severely retroverted, detaching uterus with mulitple fibroids and ovarian cysts.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
deBBieW
Posts: 162
Joined: Tue Oct 25, 2011 2:59 am
Location: Milwaukee, Wis

Re: anyone else with abdominal pain?

Post by deBBieW »

Wow, I'm learning now.... so help me out here, if it's PN pain, and a ilio whichever nerve, who diagnoses that and how do you know which is which?
For patients that have seen Dr. Conway, isn't he a specialist in that area? How does he know which nerve is causing what?

I'm sure there are nerve blocks for this and that nerve. I've never had abdominal surgery of any type, so there is no scar tissue from surgery to get in the way.
But my vaginal pain started first, and then a few months later I had left foot (top of foot) pain, and this summer abdominal pain, spasms, gnawing and burning.

The latest doc I went to (uro/gyno) says yes the P nerve can cause abdominal pain, but she has had so few patients with this, I wonder if she really knows.
And she said I am the most severe of any she has had - my mind is spinning from this.

And I can't still figure out what causes flares for me - I can be so/so all day, and go to bed, and wham have abdominal pain during the night? Anyone else have that?
I would think that's when the nerve should calm down a bit. Last night I had to take a vicodin around 1am, couldn't stand it anymore.
I don't even know how to explain all of this to doctors anymore, the list of pains is so long - and yet it's all connected.

Debbie
Vag pain, leg burning 3/11, SIJ inj 7/11, Pelvic PT, Chiro/acupuncture,
2-CT pudendal blks 11/2012, did help, less deep vag pain
Potter MRI 04/2012 - Scar tissue/thickening at SS/ST, scar in Alcock canal -bilateral,
Hibner 6/12 suggests Botox (didnt do), 8/12 more pelvic PT w/ dry needling
Gabapentin 1800 mg, Lyrica 200 mg, 5mg valium, vicodin as needed
Trying to get rid of central sensitization burning pain in my legs, Valium seems to be helping
Looking into more mindfulness options. . . . .
User avatar
Karyn
Posts: 1655
Joined: Fri Sep 17, 2010 12:59 pm
Location: Lowell, MA

Re: anyone else with abdominal pain?

Post by Karyn »

Dr. Conways associate, Dr. Winefield does EMG testing on the PN, ilioinguinal and obturator nerves. Not sure if they do it for other nerves.
You're UroGyn is incorrect - abdominal pain is not a result of the PN.
calluna wrote:The pudendal nerve does not innervate the lower abdomen, I am pretty sure it is the iliohypogastric nerve if there is suprapubic pain.
This is kinda the point here: separate nerves. So, if someone can have PN(E) ... why not other pelvic nerves? ;)
deBBieW wrote:I'm sure there are nerve blocks for this and that nerve.
Yes, you're absolutely correct!
deBBieW wrote:And I can't still figure out what causes flares for me - I can be so/so all day, and go to bed, and wham have abdominal pain during the night? Anyone else have that?I would think that's when the nerve should calm down a bit.
Feeling worse late afternoon/evenings isn't uncommon at all. Everything for me always feels worse as the day goes on. I can speculate as to why, but don't really know the reason. Could you please explain a little more about the pain under your bellybutton? Does it feel localized to one spot? Does it feel like nerve pain or something else?
I'm so sorry you're having such a hard time, Debbie! I hope you find some answers soon!
Ultra Sound in 03/08 showed severely retroverted, detaching uterus with mulitple fibroids and ovarian cysts.
Pressure and pain in lower abdomen and groin area was unspeakable and devastating.
Total lap hysterectomy in 06/08, but damage was already done.
EMG testing in NH in 04/10 - bilateral PN and Ilioinguals
3T MRI at HSS, NY in 09/10
Bilateral TG surgery with Dr. Conway on 03/29/11. Bilat ilioinguinal & iliohypogastric neurectomy 03/12. TCD surgery 04/14.
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