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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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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@bluedog35 a pain specialist will inject the nerve with a steroid and lidocaine and if you get relief then that's the diagnosis

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Profile picture for lgumerman @lgumerman

Jeff: can you provide the Phoenix doctor that did trigger point injections for Chronic abdominal wall pain? Thank you liz

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@lgumerman Any pain specialist can do the injections into your nerve which would be your diagnosis

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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.

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@anniesezu812 I'm going through the same thing have been for 4 years I'm now at the point that I'm trying a spinal cord stimulator because if that doesn't work there is no other plan. Pain is so debilitating it just really destroys your life

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I sent you a private message.❤️

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Profile picture for kremer1 @kremer1

@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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@kremer1
I'll respond better shortly, yes I do HAVE to take meds for pain.
I have suffered Neurology pain for 17 yrs, so have been thru the ringer.
Give me few hrs, Doc appt. now.

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Profile picture for pen55 @pen55

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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@pen55 could you Please tell me who cut your anterior cutaneous nerve entrapment, according to my googling very few surgeon's will do it .

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Profile picture for anniesezu812 @anniesezu812

@pen55 could you Please tell me who cut your anterior cutaneous nerve entrapment, according to my googling very few surgeon's will do it .

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@anniesezu812 Pls research the Stimulator thoroughly. I removed mine, switched it off after 10 weeks. It had me bedridden for 6 months, I got a spinal canal bleed, a haemota a lot of scar tissue and nerve damage. I was lucky the bleed didnt do more damage. The nerve damage has caused my lower right leg to be weaker, often numb and my right foot is numb.
I was so incredibly relieved to get it out. The battery pack caused severe pain, which is a common complaint.
A lot of people do well with them, an acquaintance of mine did, which is why I went ahead. My case highlights we are all individuals and what suits one might not suit another.
Pls just know the pros and cons....my Dr was not at all honest with me. Gd luck!

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Profile picture for kremer1 @kremer1

@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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@kremer1 Yes I am on pain meds. I was originally diagnosed ACNES about 7 years after my small abominal wall injury which was left unrepaired for 6 yrs because it didnt show on scans, you may have read what I previously wrote on this blog.
I had about 4 nerve blocks, none of them helped. The pain was always much deeper than the nerve blocks went. My Dr couldn't understand why it was so deep. Ultimately a hernia surgeon suggested to me I might have Celiac (solar) Plexus pain, which i now believe is correct and ACNES is not correct. The nerve bundle affected in my case sits on the Aorta. Im in No hurry to do that block, it comes with risks, but its debilitating pain, life altering.
More to your point if you have nerve pain, stabbing, burning, gnawing, sharp it is probably nerve pain.
Im on 3x oxycodone which does help but I get best relief from xanex , which I find helps nerve pain greatly. Also I finally gave in and started pregabalin, I can't take Gabapentin. After a few days I started getting very good relief with the pregabalin at 75 mg. I was loathe to add another medicine, but jt has helped my excruciating pain to the point im out of bed and slowly regaining a life. I believe the Spinal Cord Stimulator did a tremendous amount of damage to my central nervous system. Im beyond relieved its out.
One day at a time....

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Profile picture for kremer1 @kremer1

@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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@kremer1 I developed pain abdominal wall
Pain after laprosxopic gall
Bladder removal. My doctor recommended amytriptiline. It took a few weeks to help but it did. I would use it for 6 months and then go off of it until the next Flare up. It seemed to flare up with stress or overactivity. I have been dealing with it on and off since 2006. Good luck to you.

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Profile picture for anniesezu812 @anniesezu812

@kremer1 Yes I am on pain meds. I was originally diagnosed ACNES about 7 years after my small abominal wall injury which was left unrepaired for 6 yrs because it didnt show on scans, you may have read what I previously wrote on this blog.
I had about 4 nerve blocks, none of them helped. The pain was always much deeper than the nerve blocks went. My Dr couldn't understand why it was so deep. Ultimately a hernia surgeon suggested to me I might have Celiac (solar) Plexus pain, which i now believe is correct and ACNES is not correct. The nerve bundle affected in my case sits on the Aorta. Im in No hurry to do that block, it comes with risks, but its debilitating pain, life altering.
More to your point if you have nerve pain, stabbing, burning, gnawing, sharp it is probably nerve pain.
Im on 3x oxycodone which does help but I get best relief from xanex , which I find helps nerve pain greatly. Also I finally gave in and started pregabalin, I can't take Gabapentin. After a few days I started getting very good relief with the pregabalin at 75 mg. I was loathe to add another medicine, but jt has helped my excruciating pain to the point im out of bed and slowly regaining a life. I believe the Spinal Cord Stimulator did a tremendous amount of damage to my central nervous system. Im beyond relieved its out.
One day at a time....

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@anniesezu812

Annie, look into Mesenteric Artery Ligament Syndrome. It took 17 years for my diagnosis and I found answers on Facebook in the Mals Awareness site. Your symptoms sound like mine. It could be a vascular compression.

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