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About Mohamed Kandeel
Expertise
I can answer questions about antenatal care, medical problems associated with pregnancy, labor and delivery and postpartum care.

Experience
Currently I am working as a Professor of Obstetrics gynecology, Menofyia University, Egypt. Since 1987, I worked in many university and private hospitals with a high load of pregnant population averaging 7-9,000 deliveries/year. This exposed me to all problems associated with pregnancy, labor and delivery. I had my doctorate degree in Obstetrics and Gynecology in 1996 in the use of Doppler ultrasound in high risk pregnancies.

Organizations
Menofyia University, Egypt

Publications
-British Journal of Obstetrics and Gynecology (Kandil M) -Egyptian Journal of Obstetrics and Gynecology (Kandil M) -Ain Shams Journal of Medicine (Kandil M)

Education/Credentials
-Master's degree in obstetrics and Gynecology 1989 -Doctorate degree in Obstetrics and Gynecology 1996

Awards and Honors
Editorial advisor: Fetal monitoring section of the international website www.obgyn.net

 
   

You are here:  Experts > Health/Fitness > Obstetrics/Gynecology > ObGyn/Pregnancy issues > Nerve damage after C section?

ObGyn/Pregnancy issues - Nerve damage after C section?


Expert: Mohamed Kandeel - 10/17/2009

Question
I had a c section 8 years ago, and since then have been having pain in my abdomen from the incision to about 1 inch below my belly button.  I feel that the pain is increasing.  I have since seen my doctor who had suggested heating pads etc, he said that the pain should go away on its own. It hasn't, and he has since retired, leaving me without a doctor.  I would describe the pain as electric shocks/stabbing and a severe burning sensation at its worst, and a numbness and a mild burning/tingling/sunburn type sensation at its best.  I have noticed that the pain is irritated during, but seems worse as my menstruation slows each month, and is at its worst for about the two weeks following menstruation.  Your advice is much appreciated.   Thank You.

Answer
Dear Regina

This pain might be related to your Cesarean section. In some abdominal surgeries, it happens that a nerve or a branch of a nerve be entrapped in the fibrous tissue of the healing scar. Your doctor should be able to diagnose such case with you describing the exact site of the pain. What you described, in fact, do not tell if you are suffering of this case as pain in these cases is usually referred to the iliac regions and/or thighs.

The other possibility is that this pain occured incidentally after your cesarean and you and/or your doctor misdiagnosed it as a result of the surgery. In fact the pain you described especially because it is related to menstruation can be due to a variety of reasons depending on your age. Examination is a must in this case for proer diagnosis.

if you have some troubles with your doctor in diagnosing what you are suffering from. then this is the time when you should seek a second opinion for detailed examination and advice.

Best of Luck

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