- male
- 40 Years
- 14/08/2025
I had a Nissan fundoplication 360 wrap done but the day after surgery the nurse gave me a large combiflam tablet which I swallowed whole without crushing it. Ever since then I'm experiencing reflux just like before the surgery - could that big pill have loosened my GE junction sphincter again?
Answered by 1 Apollo Doctors
Take all prescribed medicines as directed: Until you can swallow easily, take liquid medicines. If you are given pills, crush them and swallow them with liquids. But some pills can't or shouldn't be crushed.
Dr. Kamran Suggests...
Consult a Gastroenterology/gi Medicine Specialist
Answered 14/08/2025
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Episiotomy Complication and Painful Growth _Possible Diagnosis_ 1. _Episiotomy scar tissue formation_: The painful growth might be a result of abnormal scar tissue formation. 2. _Bartholin's gland cyst or abscess_: The growth could be related to the Bartholin's gland, which is located near the vaginal opening. 3. _Vulvar vestibulitis or vulvodynia_: Chronic pain and discomfort in the vulvar region could be contributing to the painful growth. _Recommended Actions_ 1. _Consult a gynecologist or a vulvar specialist_: Schedule an appointment with a gynecologist or a vulvar specialist to evaluate the growth and determine the best course of treatment. 2. _Biopsy or imaging tests_: Your doctor may recommend a biopsy or imaging tests (e.g., ultrasound or MRI) to determine the nature of the growth. 3. _Pain management_: Your doctor can help manage your pain with medication or other interventions. _Possible Treatment Options_ 1. _Surgical removal of the growth_: Depending on the diagnosis, surgical removal of the growth might be necessary. 2. _Medications for pain and infection_: Your doctor may prescribe medications to manage pain, infection, or inflammation. 3. _Physical therapy or pelvic floor rehabilitation_: Physical therapy or pelvic floor rehabilitation might be recommended to address any underlying pelvic floor dysfunction. _Expert Consultation_ Consider consulting a gynecologist or a vulvar specialist with expertise in managing complex vulvar conditions. Some possible resources to find a specialist include:
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.