Suggest treatment for epigastric hernia
Patient: I am a 39 year old female, I had epigastic hernia op, with local anaesthetic some 8 years ago. immediateldy following op I found it difficult to breathe in my right side, and I seemed to, at that time have to push something in, to breathe, although this was some way to the right and lower of where the small op took place. the plastic surgeon who did the op, mentioned that I did not have a particular kind of scan from my gp, to show him, so he was unsure of to what extent there would be a hernia ,when he opened me up. I am wondering if only part of the hernia was seen and fixed,as the little pea sized bump which was the hernia is seemed to have become fine. I get electric shocks in my mid section, often, it seems my whole right side has become affected, with sensations in my skull on the right side of a kind of seizure. also my right side becomes stiff and sort of stuck, and my lower body seems to have contorted/twisted , with my toe rotated,the big toe,so my previous centre of balance is altered, when I manage to meditate and relax back to an equilibrium , right/left side, I can feel something in the centre of my body,which to me feels like the sixe of a broad bean, that really does not feel right. note, all of these and other symptoms have been discussed with different doctors, who mostly have put it to stress. also it really feels like there is a real physical thing wrong, which is debilitating on a daily basis, which I think, it somehow affecting me neurologically, rather than psychologically, as some have said. please help Doctor: Hi,Dear,Thanks for the query to HCM .I studied your elucidate-query in depth.I feel concerned about the worry and fear expressed by YOu for the wrong surgery done.In my opinion you require re-exploration of the repaired hernia to relieve post-operative local- electric shock like pains ...and others.I would diagnose this -"as-post-operative-obsessive neurosis",which needs to be investigated-with-Surgeon as follows-i-Please get the USG /CAT scan study,which would fix the reason creating electric shocks-which mostly is-due to the strangled nerve while repairing your epigastric hernia.ii-I would have done re-exploration -of the repaired  part and would have exiced the fibroneurotic area -after clinical and operative localisation of the problem area as expressed by.iii-All your post-operative psychological problems are organic defect related and not merely due to psychologic behavioural prolbem-as felt by most of doctors. I do agree with you on this issue that there is a physical post-operative defect which is causing all the trouble you have.iv-So please act on the lines suggested by me herein above- and request your surgeon-for -a re-exploration of the repaired hernia-to remove the neuro-fibrotic area- involving the nerve in the repaired tissue.v-Hope you would recover with these health tips. I would love to attend your queries soon.Have a good time.