Patient's question:
If it continues, there will be a light touch pain in the area below the navel and around the incision. At 40 days, two color ultrasounds showed poor scar formation with a 1722 low echo area in the incision, and 19mm of pelvic effusion. Later, three more ultrasounds showed good scar formation in the incision, but there was still 12mm of effusion. The last color ultrasound showed that the pelvic effusion had disappeared, but I still dare not touch it. Even a slight touch on the skin around the incision and below the navel causes pain.History of Treatment and Effects:
Herbal enemas, physical therapy, and light therapy did not work. What could be the reason? How can it be diagnosed? What tests should be done? We have already done (eight or nine color ultrasounds) and still can't see anything. What should we do now? I can't even hold the baby because a kick in the stomach causes pain. It's not touchable, and we need to do more tests to confirm the lesion?
Doctor's answer:
From your description, it is indeed possible that the previous pain was caused by poor scar formation from the surgical incision. However, your recent ultrasound suggests that the incision scar is now healing well, and the pelvic effusion has also disappeared, so it is unlikely that there are significant issues with the wound at the moment. Currently, the pain upon touching the wound may be due to the incision during the cesarean section accidentally damaging an underlying nerve, which could have formed a small neuroma during nerve repair, leading to persistent pain. It may also be related to your personal sensitivity to pain. At this time, further examinations are not necessary. It is recommended to enhance nutrition to promote further and more thorough wound healing.