Abdominal adhesions – Causes, symptoms, and management options

Abdominal adhesions – Causes, symptoms, and management options

Duke Guevara

Abdominal adhesions are bands of scars that appear between abdominal organs, such as the bowel, ovaries, and bladder, and mainly impact the small intestine. The medical term used to describe this condition is ‘intra-abdominal adhesion. However, there are other less common names for abdominal adhesions, such as abdominal ligament or pelvic band syndrome, intra-abdominal collagenosis, and intra-peritoneal fibrosis (IPF). This article will look at the causes of abdominal adhesions and their symptoms.

Causes
Abdominal adhesions form after abdominal or pelvic surgery. They can also develop after surgery, including hysterectomy, C-section (uterus), abdominal wall repair (abdominopelvic repair), and colorectal resection. However, they can also develop spontaneously. This is rare, but it does happen. It is thought to be related to the healing process after trauma or surgery and may occur if there is insufficient time for adhesions to form before birth.
Abdominal adhesions occur when scar tissue grows abnormally, causing organs to stick together and restrict movement. In some cases, this can cause pain and distress in the abdominal area.
Abdominal adhesions are more common among women who have had a cesarean section (C-section) or other surgeries on their abdomen. The surgery may also affect your ability to have children later on in life if you have an undiagnosed medical condition that causes scarring on the uterus wall after birth by cutting through it with a sharp instrument like scissors or forceps during labor or delivery.
The cause of abdominal adhesions is not always clear and may be related to the healing process following injury or surgery.

Symptoms of Abdominal Adhesions
The symptoms associated with this condition include constipation, vomiting more often than usual, blood in your stool, headaches caused by pressure on nerves within your lower back, abdominal pain, swelling, distension, nausea, vomiting, and diarrhea (with or without constipation).

Diagnosis
A doctor diagnoses abdominal adhesions through physical examination and imaging tests. If the symptoms are severe, you may undergo an endoscopy. This involves inserting a camera down your throat into your stomach cavity to view the adhesion area.

Treatment options
If you have abdominal adhesions, there are several ways of treating them, but surgery is the most popular among them. Your doctor may recommend surgery if your adhesion prevents you from having a baby or causes problems during delivery (such as excessive bleeding). In some cases, adhesions may develop spontaneously in people who have had an injury such as childbirth or an operation on their abdomen (e.g., a hernia repair).
Endoscopic therapy is another option for treating abdominal adhesions; it uses medicine injected into the abdomen to dissolve them. Laparoscopy is used when surgery isn’t possible because of health issues such as high blood pressure or diabetes (or both). In this, a small incision is made and with the help of a camera, the adhesions are cut and released. Besides, for adhesions that may cause obstructions, surgical removal of the scar tissue may be the last resort.

Conclusion
Your doctor can help you to understand the causes of abdominal adhesions and how they develop. For example, they may be able to prescribe medicines that will prevent adhesion formation or treat them once they have formed. Even so, it is essential to discuss any concerns with your doctor before making any changes to your lifestyle or diet, as this could affect your treatment plan.

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