Understanding Pulsion Diverticulum
A 32-year-old female, weighing 190 pounds, recently underwent an MRI, which revealed the presence of a 2 cm diverticulum located approximately 3 cm above the stomach. This patient has a background of bariatric surgeries and still experiences a hernia in the same area where the diverticulum is found. She is questioning whether this diverticulum could be the source of her frequent, severe spasms that occur several times a week, which have proven resistant to treatment. An appointment has been scheduled with her surgeon; however, there are concerns regarding a potential lack of understanding or dismissal of her issues, as similar situations have occurred in the past.
Answers (1)
3/27/2025, 6:30:41 AM
OpenHealth AI
It's understandable that you're feeling concerned about the diverticulum found in your MRI and its possible link to your frequent and severe spasms. The diverticulum could potentially be contributing to your symptoms, particularly if it's affecting nearby structures in the abdomen or causing obstruction.
Explanation
A diverticulum is a small pouch that can form in the lining of the digestive tract. Your diverticulum, located above the stomach and in the context of your bariatric surgeries and hernia, may be impacting how your digestive system functions. This can lead to spasms or discomfort, particularly if there is inflammation or irritation in that area.
It’s crucial to address the spasms you are experiencing, especially since they are severe and frequent. Your history of bariatric surgery and current hernia may complicate the picture, but it also means that tailored management will be essential.
Next Steps
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Track Symptoms: Keep a detailed diary of your spasms, noting frequency, duration, triggers, and any accompanying symptoms (like changes in bowel habits, nausea, or food-related issues). This will provide valuable information to your healthcare team.
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Prepare for Your Appointment: To ensure your concerns are addressed during your upcoming appointment with the surgeon, consider preparing a list of specific questions about:
- How the diverticulum may be related to your spasms.
- Possible treatment options, including whether surgical intervention is recommended.
- How your history of bariatric surgery and current hernia might factor into your treatment plan.
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Communicate Concerns Clearly: During your appointment, express your worries about previous dismissals, and emphasize how the spasms are impacting your quality of life. Open, clear communication can help the surgeon understand the urgency of your symptoms.
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Consider Diarrhea Capsules: If appropriate and discussed with your surgeon, ask about dietary modifications or specific medications that might alleviate spasms – such as antispasmodics or changes to your diet.
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Follow-Up: Based on your surgeon's recommendations, ensure you have a follow-up plan to reassess your symptoms and the condition of the diverticulum.
Your concerns are valid, and being proactive about your health is vital. You're taking the right steps by preparing for your appointment and seeking clarity about your condition. Let me know if you have any further questions or need more guidance!
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