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Ask a doctor on the topic of Surgery

What are typical symptoms that indicate a necessary operation?

Dear Doctor,

My name is Erwin Melzer and I am reaching out to you because I have been experiencing some health issues that I would like to learn more about. Over the past few weeks, I have been experiencing severe abdominal pain that occurs at regular intervals. These pains are so intense that they greatly limit my daily activities and require me to take pain medication regularly.

In addition to the pain, I have also been having problems with my bowel movements, which are irregular and often accompanied by severe abdominal cramps. I have also noticed that my abdomen is bloated and I frequently suffer from nausea. All of these symptoms are causing me great concern and significantly affecting my quality of life.

Because of these complaints, I am wondering if it could be possible that surgery is necessary to alleviate or eliminate my symptoms. I would like to know from you what typical symptoms could indicate the need for surgery and whether my current complaints fall into this category.

Furthermore, I am interested in learning about possible solutions to treat my symptoms and whether surgery would be a suitable option in my case. I would greatly appreciate your expert assessment of my situation and thank you in advance for your help.

Sincerely,
Erwin Melzer

Jürgen Dietrich

Dear Mr. Melzer,

Thank you for your message and your trust in my expertise as a surgeon. The symptoms you described in the abdominal area do indeed sound concerning, and it is important to take them seriously. Severe abdominal pain, irregular bowel movements, abdominal cramps, bloating, and nausea can indicate various health issues, including conditions that may require surgical treatment.

Surgery is usually considered when conservative measures to relieve the symptoms are not sufficient, or when there is a structural cause for the symptoms that can be treated surgically. Typical symptoms that could indicate the need for surgery include severe and persistent pain, changes in bowel movements (such as blood in the stool or persistent diarrhea or constipation), unexplained weight loss, signs of bowel obstruction, or tumors in the abdomen.

In your case, it is important that you promptly consult a specialist in gastroenterology or a surgeon to determine the exact cause of your symptoms. A thorough medical history, physical examination, and, if necessary, further diagnostic tests such as ultrasound, CT, or MRI can help in making a diagnosis and planning the next steps.

Depending on the cause of your symptoms, there are various treatment options ranging from conservative measures like medications and dietary changes to surgical procedures. Surgery may be necessary, for example, in cases of acute inflammation, diverticulitis, bowel obstruction, tumors, or other abdominal conditions to relieve your symptoms and improve your health.

It is important not to hesitate to seek professional help and not to take your symptoms lightly. An early diagnosis and treatment can help avoid possible complications and improve your quality of life. I strongly recommend that you see a doctor and undergo a comprehensive examination to receive the best possible treatment for your symptoms.

I hope this information is helpful to you and I am here to answer any further questions or support you in your next steps. I wish you all the best and a speedy recovery from your symptoms.

Best regards,

Jürgen Dietrich

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Jürgen Dietrich