Adhesions

11 min read

Adhesions are bands of scar tissue that form between tissues and organs. They are a common complication of surgery, infection, and inflammation. Adhesions can cause organs to stick together, which can cause pain and other problems. Adhesions can also cause blockages in the intestines, which can lead to serious health problems.

Causes of Adhesions

Adhesions can form after surgery, infection, or inflammation. During surgery, the body's natural healing process can cause tissues to stick together. Infections and inflammation can also cause adhesions to form. Adhesions can also form in response to trauma, such as a car accident.

Diagnosis of Adhesions

Adhesions can be diagnosed with imaging tests, such as X-rays, CT scans, and MRIs. These tests can show the location and size of the adhesions. A doctor may also use a laparoscope to look inside the abdomen and diagnose adhesions.

Complications of Adhesions

Adhesions can cause organs to stick together, which can cause pain and other problems. Adhesions can also cause blockages in the intestines, which can lead to serious health problems. Adhesions can also cause infertility in women.

Prevention of Adhesions

Adhesions can be prevented by avoiding surgery, infection, and inflammation. If surgery is necessary, the surgeon can use techniques to reduce the risk of adhesions. These techniques include using special instruments and materials to separate tissues during surgery, and using medications to reduce inflammation.

Take the Adhesions Assessment

Symptoms

Symptoms

The symptoms of adhesions depend on their location and severity. Common symptoms include:

  • Pain in the abdomen or pelvis
  • Bowel obstruction
  • Infertility
  • Pain during intercourse
  • Abnormal menstrual bleeding
  • Frequent urinary tract infections

In some cases, adhesions may cause no symptoms at all. However, they can cause serious complications, such as infertility, if left untreated.

Diagnosis

Adhesions can be difficult to diagnose, as they often cause no symptoms. If a doctor suspects adhesions, they may order imaging tests, such as an ultrasound or CT scan, to confirm the diagnosis. They may also order a laparoscopy, which is a surgical procedure that allows them to view the abdomen and pelvis.

Treatment

Treatment for adhesions depends on the severity of the condition. In some cases, no treatment is necessary. However, if the adhesions are causing symptoms or complications, surgery may be necessary to remove them. Surgery is usually done using laparoscopy, which is a minimally invasive procedure.

In some cases, medications may be used to reduce inflammation and pain. Physical therapy may also be recommended to help reduce pain and improve mobility.

Outlook

Adhesions can cause a range of symptoms, depending on their location and severity. If left untreated, they can cause serious complications, such as infertility. However, with proper diagnosis and treatment, most people can manage their symptoms and lead a normal life.

Causes

Surgery

One of the most common causes of adhesions is surgery. Any type of surgery can cause adhesions to form, but abdominal and pelvic surgeries are the most likely to cause them. This is because the abdominal and pelvic areas contain a lot of organs and tissues that can easily become stuck together.

Infection

Infections can also cause adhesions to form. Bacterial infections, such as appendicitis, can cause inflammation and scarring that can lead to adhesions. Viral infections, such as the flu, can also cause inflammation and scarring that can lead to adhesions.

Trauma

Trauma to the body can also cause adhesions to form. This can include physical trauma, such as a car accident, or emotional trauma, such as a traumatic event. Trauma can cause inflammation and scarring that can lead to adhesions.

Inflammatory Diseases

Inflammatory diseases, such as Crohn’s disease and ulcerative colitis, can also cause adhesions to form. These diseases cause inflammation and scarring that can lead to adhesions.

Endometriosis

Endometriosis is a condition in which the tissue that lines the uterus grows outside of the uterus. This can cause inflammation and scarring that can lead to adhesions.

Fibroids

Fibroids are non-cancerous growths that can form in the uterus. They can cause inflammation and scarring that can lead to adhesions.

Radiation Therapy

Radiation therapy is a type of cancer treatment that uses high-energy radiation to kill cancer cells. It can also cause inflammation and scarring that can lead to adhesions.

Getting a Diagnosis

Physical Exam

The first step in diagnosing adhesions is a physical exam. During the exam, your doctor will feel your abdomen for any areas of tenderness or swelling. They may also use a stethoscope to listen for any abnormal sounds in your abdomen. This can help them determine if adhesions are present.

Imaging Tests

Imaging tests such as X-rays, CT scans, and ultrasounds can be used to diagnose adhesions. These tests can help your doctor see the adhesions and determine their size and location. They can also help rule out other conditions that may be causing your symptoms.

Laparoscopy

Laparoscopy is a surgical procedure that can be used to diagnose and treat adhesions. During the procedure, your doctor will make a small incision in your abdomen and insert a thin tube with a camera on the end. This allows them to see inside your abdomen and look for adhesions. They can also use special instruments to remove the adhesions if necessary.

Conclusion

Adhesions can be difficult to diagnose, but there are a few methods that can be used. A physical exam, imaging tests, and laparoscopy are all methods that can be used to diagnose adhesions. If you think you may have adhesions, talk to your doctor about the best way to diagnose and treat them.

Questions for Your Doctor

Symptoms

Describe any symptoms you are experiencing, such as pain, swelling, or difficulty moving. Be sure to mention any changes in your symptoms over time.

Medical History

Discuss your medical history, including any surgeries or injuries you have had. This will help your doctor determine the cause of your adhesions.

Treatment Options

Ask your doctor about the treatment options available to you. Depending on the severity of your adhesions, your doctor may recommend physical therapy, medications, or surgery.

Risks and Benefits

Discuss the risks and benefits of each treatment option with your doctor. Be sure to ask about any potential side effects or complications.

Follow-up Care

Ask your doctor about follow-up care. This may include regular check-ups, physical therapy, or lifestyle changes. Be sure to ask about any lifestyle changes you can make to reduce your risk of developing adhesions in the future.

Treatment

Medication

Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen can help reduce inflammation and pain associated with adhesions. Corticosteroids, such as prednisone, can also be used to reduce inflammation and pain. In some cases, doctors may prescribe antibiotics to help reduce the risk of infection.

Physical Therapy

Physical therapy can help reduce pain and improve mobility. A physical therapist can teach you exercises to help stretch and strengthen the muscles and tissues around the adhesions. They can also provide manual therapy, such as massage, to help reduce pain and improve range of motion.

Surgery

In some cases, surgery may be necessary to remove the adhesions. This is usually done through laparoscopy, a minimally invasive procedure that uses small incisions and a camera to view and remove the adhesions. Surgery is usually only recommended if other treatments have not been successful.

Alternative Treatments

There are also some alternative treatments that may help reduce the symptoms of adhesions. Acupuncture, yoga, and massage therapy can all help reduce pain and improve mobility. Herbal remedies, such as turmeric and ginger, may also help reduce inflammation and pain.

Adhesions can be painful and cause complications, but there are treatments available to help reduce the symptoms and improve quality of life. Talk to your doctor about the best treatment options for you.

Drugs & Medications

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs are the most commonly prescribed drugs for adhesions. They work by reducing inflammation and pain. Commonly prescribed NSAIDs include ibuprofen, naproxen, and aspirin. Side effects of NSAIDs can include stomach upset, nausea, and headaches.

Corticosteroids

Corticosteroids are powerful anti-inflammatory drugs that can be used to treat adhesions. They are usually injected directly into the affected area. Commonly prescribed corticosteroids include prednisone and methylprednisolone. Side effects of corticosteroids can include weight gain, increased appetite, and mood swings.

Antibiotics

Antibiotics can be used to treat adhesions if they are caused by an infection. Commonly prescribed antibiotics include amoxicillin, ciprofloxacin, and metronidazole. Side effects of antibiotics can include nausea, vomiting, and diarrhea.

Surgery

In some cases, surgery may be necessary to remove adhesions. Surgery is usually only recommended if the adhesions are causing severe pain or other complications. The type of surgery used will depend on the location and severity of the adhesions.

Conclusion

Adhesions can cause a variety of complications, but there are a variety of drugs available to help treat them. NSAIDs, corticosteroids, and antibiotics are the most commonly prescribed drugs for adhesions. In some cases, surgery may be necessary to remove the adhesions. If you think you may have adhesions, it's important to talk to your doctor to determine the best treatment plan for you.

Diet

What to Eat

A healthy diet for adhesions should include plenty of fruits and vegetables, whole grains, lean proteins, and healthy fats. Eating a variety of foods from each food group can help ensure that you get all the nutrients you need. Here are some specific foods to include in your diet:

  • Fruits and vegetables: apples, oranges, spinach, kale, broccoli, carrots, sweet potatoes, tomatoes, bell peppers, and berries
  • Whole grains: oats, quinoa, brown rice, barley, and whole wheat bread
  • Lean proteins: fish, chicken, turkey, eggs, beans, and tofu
  • Healthy fats: avocados, nuts, seeds, and olive oil

What to Avoid

In addition to eating a healthy diet, it’s important to avoid certain foods that can increase inflammation and worsen adhesion symptoms. These include:

  • Processed foods: chips, crackers, cookies, and other packaged snacks
  • Refined carbohydrates: white bread, white rice, and sugary cereals
  • Sugary drinks: soda, energy drinks, and sweetened teas
  • Red and processed meats: bacon, sausage, and hot dogs
  • Trans fats: margarine, shortening, and other hydrogenated oils

Conclusion

Adhesions can be painful and uncomfortable, but eating a healthy diet can help reduce the risk of developing them and reduce the severity of symptoms if you already have them. Eating plenty of fruits and vegetables, whole grains, lean proteins, and healthy fats, and avoiding processed foods, refined carbohydrates, sugary drinks, red and processed meats, and trans fats can help keep your body healthy and reduce inflammation.

Lifestyle

Exercise Regularly

Regular exercise can help reduce the risk of developing adhesions. Exercise helps to keep your muscles and joints flexible, which can help reduce the risk of adhesions forming. Aim for at least 30 minutes of moderate exercise, such as walking, jogging, or swimming, five days a week.

Eat a Healthy Diet

Eating a healthy diet can help reduce the risk of developing adhesions. Eating a diet rich in fruits, vegetables, and whole grains can help keep your body healthy and reduce inflammation. Avoid processed foods, sugar, and saturated fats, as these can increase inflammation and the risk of developing adhesions.

Manage Stress

Stress can increase inflammation in the body, which can increase the risk of developing adhesions. Try to manage your stress levels by taking time for yourself, practicing relaxation techniques, and getting enough sleep. Exercise and yoga can also help to reduce stress levels.

See Your Doctor Regularly

Seeing your doctor regularly can help to identify any potential problems early on. Your doctor can also provide advice on how to manage your adhesions and reduce your risk of developing them.

Conclusion

Adhesions can cause pain and other complications, but there are lifestyle changes you can make to help manage them. Exercise regularly, eat a healthy diet, manage stress, and see your doctor regularly to reduce your risk of developing adhesions.