What causes severe upper abdominal pain after total knee replacement surgery?
Patient: Hi, I had total knee replacement a month ago and that is doing well. But since surgery I have had pain and discomfort in my upper abdomen particularly on the left side to just above the navel. It only hurts when I cough or sneeze or bend,etc. my doctor thought it could be from therapy, but I don t understand why it hurts when I cough, etc. my skin in that area is also sensitive. Doctor: Hi welcome to HCmI have gone thru your query regarding severe upper abdominal pain  after total knee replacement surgery . It is a matter of great concern .Dear , I am sure , your pain has no connection with your knee surgery . Upper left abdominal pain is most often due to a condition afflicting one or more organs or structure in the LUQ (left upper quadrant) of the abdomen. It may also be due to conditions in the thoracic cavity or lower left abdominal area that either refers or radiates to the LUQ. Constipation ,Pancreatitis  , enlarged SPLEEN , stone in  kidney or ureter , conditions that may cause left side abdominal pain . Any of the above conditions may be cause  of your present agony  The  severe pain Ultimately a diagnosis by a medical professional is necessary so that the appropriate treatment can be commenced as soon as possible. Your doctor  may suggest  abdominal ultrasound, x-ray, CT scan or MRI are often necessary for a definitive diagnosis .Meanwhile , Rest until you are feeling better.Drink plenty of fluids to prevent dehydration. You may find that taking small, frequent sips of a beverage is easier on your stomach than trying to drink a whole glass at once. Drink lemon juice  in a glass of water with a pinch of salt and black pepper , thrice  a day  , is  very  energetic , good  appitiser and  alley pain  very fast .Try eating several small meals instead of 2 or 3 large ones. Eat mild foods,   such as rice - moong dal khichi , oats  , porriage , crushed  an inch of ginger with salt and black pepper .Do not use aspirin or  medicines,  may irritate your stomach and increase your pain.`avoidingAvoid fried fast foods too much of sugar, tea, coffee ,alcohol , smoking ,stress ,constipation .  Pranayam - deep breathing  , Vajjarasan , mandookasan  , Bhujjangasan ,  lying  on right side  can help . If problem persists or worson ,rush to your ASAP .Hope this helps solves your query .Take care , All the best .Don't hesitate to get back if have any further query