After a textbook pregnancy and vaginal delivery 11 weeks ago, my wife has had a lot of pain in various places. Since, most of the pain has gone away except three areas of her abdomen which have instead increased in pain. One area is on her right side in sort of a "C" shape and is constant and sharp. The opposite side has a similar pain that comes and goes. Lastly, she has soreness all across the top of her bladder. A crude diagram is shown here: http://dl.dropbox.com/u/6830281/WhereItHurts.jpg
Three weeks ago her OB prescribed her Hydrocodone 5/500mg and told her the pain would subside as the others did. Last Friday she was scheduled for a rectal CT scan since the pain still only increased and the Hydrocodone was having no apparent effect. Tuesday when she called for the results, her doctor informed her that nothing abnormal was found but to check in to the hospital so they can better address her pain.
The doctor initially said her blood test showed increased levels of sediment which could indicate infection so he put her on an IV antibiotic of Doxycycline and a Dilaudid PCA for the pain. That day she was fairly pain free and was able to sleep. The plan was to wait out the antibiotics and see if the pain subsided. Wednesday she was taken off the PCA and given Hydrocodone again. Her pain returned with full force and after many hours of frustration and begging for pain relief her doctor decided to put her back on the PCA, but with Morphine, and scheduled an exploratory laparoscopic surgery for Thursday but first wanted a second opinion from a colleague. That doctor examined her results and gently pushed on her abdomen before deciding that she didn’t want to subject my wife to any surgery just yet.
Since the regular doctor will be unavailable until Monday he had the OB doctor on call assess her. She said that both she and our regular doctor had discussed the case extensively and that clinically my wife is stable. They believe that the pain is being caused by a muscular problem in her still recovering abdomen. So, she was taken back off the PCA and instead given Hydrocodone 7.5/750mg and an abdominal binder pending consultation with a general surgeon, which we were told, would not be available until Monday.
The oral pain medicine still had no apparent effect and since she was told she would not be provided any stronger medication she decided she would rather suffer at home and schedule a general surgeon consultation ourselves. She was released last night with the Hydrocodone 7.5/750mg, Methocarbamol 500mg, and Metronidazole 500mg.
We live in a small town in Texas without many other options at this point in time. I will be scheduling the consultation first thing Monday morning and have told her we will travel to a larger city if he is unable to remedy the situation. Her doctor has 45+ years of experience and will be retiring in two weeks so this adds to the desperation.
If she does in fact have a muscular problem that will go away in time I fear the meantime. She has trouble sleeping and when she isn’t all she can do is cry, moan, and writhe on the bed. She’s afraid if the pain gets worse and we have to go to the ER they will still be unable to handle her pain. I am looking for any route to pursue in an effort to relieve my wife’s pain. Any advice will be much appreciated.