Has anyone been diagnosed with Abdominal Wall Pain?

Posted by rufus444 @smiles444, Dec 15, 2017

Starting on May 1, 2017, I began having abdominal pain that wraps around to my left back. The first time it happened, I went to the emergency room because I thought I might have an apendicitis. The hospital did a CT scan of my abdomen, everything looked okay. I went to the emergency room several times over the summer with excruciating abdominal and back pain. I had a hida scan done, a colonoscopy and an endoscopy and CT and ultrasound scans of my abdomen. Everything looked normal. In September of this year, a doctor at Mayo felt the area on my abdomen and did a Carnett's test. He suggested it could be abdominal wall pain. I have had two steroid injections and I am still having pain in the same area. Has anyone out there had this type of diagnosis and still having pain?

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Hello,
I responded to a post somewhere here..don't see it... I have been suffering from suspected ACNES due laparoscopy in 2016. Clev Clinic Dr only person in South Florida who seems knowledgeable of it but can't help further.
I had a Spinal Cord Stimulator inplant 6 months ago after developing severe back pain , within 4 weeks my Nerve pain was excruciatingly to point I became bedridden mostly. I switched it off.
Drs still refuse to accept it exacerbated my pain but I'm just post a Nerve Conduction Study ( shot up with strong electrical current) most horrendous pain of my life. Took numerous days to recover. Preparing my records for Dr Gillespie. This condition is truly destroying my body. Am almost 6 months on a soft/ liquid diet/ can't tolerate normal diet due severity of digestive pain.
It would be nice if "posters " report back if they get help and what worked. I for one would be very interested to know if and how people get resolution.
This is a devastating condition.

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Profile picture for grammajackie @grammajackie

Look into Mast Cell Activation Syndrome. It was a life saver for my grandson after 2.5 years of abdominal pain.

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Yes! My daughter was diagnosed about 6 years ago after testing for Crohn's and other digestive disorders. She is doing really well on the daily meds. I have mentioned mast cell activation several times on this thread but don't get much response. There simply are not enough doctors who know what it is. They diagnose Sibo and IBS (which I think is just a symptom of an underlying diagnosis). There is a good deal of info online with a google search. What was the specialty of the doctor who diagnosed your grandson?

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Profile picture for ggr @ggr

Yes! My daughter was diagnosed about 6 years ago after testing for Crohn's and other digestive disorders. She is doing really well on the daily meds. I have mentioned mast cell activation several times on this thread but don't get much response. There simply are not enough doctors who know what it is. They diagnose Sibo and IBS (which I think is just a symptom of an underlying diagnosis). There is a good deal of info online with a google search. What was the specialty of the doctor who diagnosed your grandson?

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Hi, @ggr - here are a couple of Mayo Clinic Connect discussions on mast cell activation:

- Mast Cell Activation https://connect.mayoclinic.org/discussion/mast-cell-activation/

- Mast Cell Activation Syndrome or Histamine Intolerance https://connect.mayoclinic.org/discussion/mast-cell-activation-syndrome-or-histamine-intolerance/

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Profile picture for ggr @ggr

Yes! My daughter was diagnosed about 6 years ago after testing for Crohn's and other digestive disorders. She is doing really well on the daily meds. I have mentioned mast cell activation several times on this thread but don't get much response. There simply are not enough doctors who know what it is. They diagnose Sibo and IBS (which I think is just a symptom of an underlying diagnosis). There is a good deal of info online with a google search. What was the specialty of the doctor who diagnosed your grandson?

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How dod they diagnose it? I have been dealing with abdominal pain for the last 10 months and all the tests other than a stool test that showed exocrine pancreatic insufficiency and have been taking enzymes but still having excruciating pain and nausea.

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Profile picture for bluedog35 @bluedog35

How dod they diagnose it? I have been dealing with abdominal pain for the last 10 months and all the tests other than a stool test that showed exocrine pancreatic insufficiency and have been taking enzymes but still having excruciating pain and nausea.

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In my case it was diagnosed by Carnett's test and treated with trigger point injections. Works pretty well, but where my gall bladder was still just never seems to get completely better. It is usually from abdominal surgery. I had 2 c-sections, multiple endoscopes, EUS, and so many ERCP's, and then splanic nerve ablation, gallbladder removed, and cervical branch ablations.

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Profile picture for bluedog35 @bluedog35

How dod they diagnose it? I have been dealing with abdominal pain for the last 10 months and all the tests other than a stool test that showed exocrine pancreatic insufficiency and have been taking enzymes but still having excruciating pain and nausea.

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I honestly don't know. There is not a blood test. She was diagnosed at Mayo Scottsdale, and there were lots of tests. She was also diagnosed with POTS and Ehlers Danlos. Those three disorders tend to go together. I think it is ruling out other things, looking at history, and making the connections to the other disorders.

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Profile picture for jgroudan @jgroudan

Hello spirit22,
It sounds very much like you are suffering from Abdominal cutaneous nerve entrapment syndrome or ACNES. There are 2 ways to identify. One is by trigger point shots to the inflamed area and second the Carnett test. You can get much information by googling ACNES and Carnet test (best on YouTube). I was fortunate to find a surgeon in Phoenix who performed Robotic Laparoscopic Surgery severing the effected nerves. Was an outpatient and went home that afternoon cured. I’d be happy to discuss further if you are interested. Jeff

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Hi Jeff. I am diagnosed with CAWP - Chronic Abdominal Wall Pain, however, my GI who did the Carnets Test says he does not handle that. I do TPI but they don't work. I have had several abdominal surgeries and have 3 "hot spot" trigger points in abdomen and 1 in my upper flank back. Is a general surgeon my best option to get help and more testing to nail down the correct issue and maybe better pain treatment?

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Profile picture for anniesezu812 @anniesezu812

Hello,
I responded to a post somewhere here..don't see it... I have been suffering from suspected ACNES due laparoscopy in 2016. Clev Clinic Dr only person in South Florida who seems knowledgeable of it but can't help further.
I had a Spinal Cord Stimulator inplant 6 months ago after developing severe back pain , within 4 weeks my Nerve pain was excruciatingly to point I became bedridden mostly. I switched it off.
Drs still refuse to accept it exacerbated my pain but I'm just post a Nerve Conduction Study ( shot up with strong electrical current) most horrendous pain of my life. Took numerous days to recover. Preparing my records for Dr Gillespie. This condition is truly destroying my body. Am almost 6 months on a soft/ liquid diet/ can't tolerate normal diet due severity of digestive pain.
It would be nice if "posters " report back if they get help and what worked. I for one would be very interested to know if and how people get resolution.
This is a devastating condition.

Jump to this post

@anniesezu812
I've been reading through posts on ACNE's and Adhesions, and noticed your post. I think I have Adhesions and maybe ACNE's from a gall bladder laparoscopic surgery in June of 2023. The possibility of adhesions post surgery wasn't discussed at all. I started having pain about four or five months post surgery. I've had imaging done: endoscopy, colonoscopy, CT and ultrasound; all of them don't show anything internal in the GI tract that would be causing the pain/discomfort. I've seen two gastroenterologists and neither can explain what is going on, other than if I have adhesions they won't show on imaging and only found with exploratory surgery. They wouldn't do that unless there is an obstruction happening, and right now there isn't. they both suggested either amythryptaline or northriptaline (not sure if I spelled them correctly), but the possible side effects don't sound good. Are you taking anything for pain? If anyone else that reads this has any experience with dealing with the abdominal wall pain, please respond.

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Yes, I have had bad ilioinguinal nerve pain and anterior cutaneous nerve pain. It took forever to diagnose. The anterior cutaneous I had cut. The ilioinguinal I have no choice but to try spinal cord stimator.
My nerves are covered in scar tissue. Either from my hysterectomy and or severe endometriosis. Even though it was 30 yrs ago.
I would suggest you go to a pain specialist they can inject the nerves with the steroid and a numbing agent and that's how you diagnose that that's the problem.

Good luck

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Profile picture for aesmayo01 @aesmayo01

I am currently at Mayo Clinic Rochester MN. I have had severe (worse than childbirth pain) for 23 yr after I had gallbladder out. I was diagnosed based on symptoms not testing and by this was reconfirmed by dozens of ER visits over the years. Pain began in center or upper abdomen and always radiated to the back. I had to take Morphine or Dilaudid it was the only thing reducing my pain below 7. Last 2 years huge increase in stress plus more fat than usual resulted in episodes up to twice a wk for nearly a yr.

Moved 7 mo ago and the original doc who dx me with chronic pancreatitis 17 yr ago decided it wastnt because I have not lost tons of weight or been hospitalized. Meanwhile I got a prescription for percocet that reduces pain enough I usually dont end up at ER.

I came to Mayo to find out if I had chronic pancreatitis or not. I was told my wonderful GI doc here that it is abdominal wall pain and I am getting a shot for it Monday. I dont know if ultrasound will be used. She also said she can prescribe pain meds if the shots dont work. I do not have chronic pancreatitis or an ulcer.

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@aesmayo01 I've been fighting with it for 4 years it's taken forever to get it diagnosed unfortunately it's not the first thing doctors think of but it's far more common than we realize that these nerves for some reason either get in trapped or full of scar tissue and unfortunately pain medication does not work great on nerve pain. It can become so debilitating it's difficult to get anything done sleep or eat I'm scheduled for a spinal cord stimulator as my last hope for some relief.

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