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·Hi Everyone,I'm new here, actually I just found this site right now. I have a question for everyone. How can you tell the difference in symptoms of IBS vs. something like uterine pain.I have been constipated my entire life. My mother told me she had to use suppositories on me as an infant because I would go a week without a BM. Consitpation is just a way of life for me and I have never really thought much of it unless it gets really severe from time to time.I have also been in chronic pelvic pain for years. At first it was just during my period and sex and then it would be gone. I have two children and since having the second one two years ago, my pelvic pain has worsened to the point where it is constant.I have tried BC. I was on it from age 17 until my first child 5 years ago. I went back on it in between children to control my periods and cramps. It worked pretty well until after my last child so I gave up on it.I had a laparoscopy in May 2003 which didn't show the endometriosis that we thought it would. All it showed was that my uterus was enlarged and had extra blood vessels going into it which were weighing it down and pulling on all of the structures around it.At the same time they also did an ablation to burn out the lining of the uterus because I bled for 3 months straight. The ablation has helped the bleeding. I now have a period every two weeks for about two or three days.My GYN has me scheduled for a hysterectomy on 8-19-2003 because he has nothing left to offer me. He told me there is no guarantee this will work, although he has had some patients in the past with perfectly normal uteruses that just hurt and when removed their pelvic pain is gone. He also knows that I have IBS and never said anything about it being the cause of the pain.I can't help not listening to the little voice in my head that wonders if this is the right thing to do. I went to my internist on Monday for surgical clearance and asked him if anything else could cause the pain. He told me that the IBS could. I have chronic low back pain that seems to increase when I have cramps. I also have cramps all of the time but they are much worse when I have to stand for a while and are somewhat relieved when I can sit for a little bit. Sex hurts a lot except for a couple of positions and then I have bad cramps for two or three days. My poor husband has all but been cut off from sex for the last 8 months. The cramps don't seem to be relieved by a BM although I think the constant pain has caused the IBS to flare and some of the cramps are from that. I am also contantly exhausted. My kids are very young and keep me busy. I also work at the hospital for 12-14 hours on midnights three days a week.I just can't take being in pain anymore because it is greatly interfering with my life. I am having second thoughts about the surgery though after talking with my doctor the other day. I don't want to have surgery unnecessarily if it is the IBS causing my symptoms. At the same time though my doc is doing nothing for the IBS. I asked him about Zelnorm and he told me he had to read about it and get back to me. It is Wednesday and so far I haven't heard from him. I think I will give him a call.I would greatly appreciate any advice anyone has for me before I go through this possibly unneeded surgery on Tuesday. Thank you! I will be looking forward to hearing from you!Kristin
