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General Surgery/Perforated Bowel

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Question
Hello. I'm a 22 year old woman. In February of this year I had a peptic ulcer that turned into a perforated bowel. Before the surgery and since I've had episodes of severe back pain all over my back. Over the counter medicines don't help at all when the pain is going on (pain lasts for hours on end but eventually stops). I can't tolerate Motrin or Aleve since surgery as I throw them up so I've been sticking to Tylenol and Bengay. What do you think might be the cause of the pain.

Answer
Dear Carly,

You need to go back to your surgeon for a re-evaluation and a CT scan of the abdomen and pelvis to assess for other reasons for your pain. This may not be related to the prior bowel perforation or repair. Also, after a peptic ulcer, you should not be taking anything but Tylenol aka acetominophen. Aleve or Motrin aka ibuprofen can cause further complications. Tylenol is the only over the counter drug that does not cause stomach upset or GI bleeds.

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Dr. Pamela M. Cipriano, DNP, ACNP-BC

Expertise

GENERAL SURGERY Intestinal obstructions; Perforations; Ostomy; End ileostomy; Hemicolectomy; Take down ileostomy; Ostomy reversals; Diverticulitis; Chrohns Disease; Appendectomy; Cholecystectomy (gallbladder); Ventral hernia repair; Inguinal hernia repair; Umbilical hernia repair; Chest tubes; Pleurex catheters; Lobe-ectomy; Pneumonectomy; Thoracotomy; Pleuradesis; Thyroid surgery; Mastectomy; Lumpectomy LAPAROSCOPIC - LAPAROTOMY - LAPAROSCOPIC ASSISTED

Experience

My name is Dr. Cipriano. I am a Hospitalist on the Medical Staff. I round, admit, discharge, consult and assist with surgeries in the OR. I manage patients in the ICU and Med/Surg floors. I also work in the emergency department. I am certified critical care nurse (CCRN). And ACLS certified. I

Organizations
Society of Hospital Medicine American College of Nurse Practitioners Connecticut Advance Practice Registered Nurse Society

Education/Credentials
Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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