<s>[INST] I have a lot of trouble with abdominal adhesion, had surgery in may and had to have 4 of small bowel removed because it was kinked so bad. Then in July extreme pain again where it had attached to abdominal wall.. needless to say recovery after surgeries these close back to back. Any suggestions to prevent these?? Didn t know I had to pay for answer. No money sorry   I did have adhesion surgery open again in July for this so surgery in may and in July, so surgeon is doing everything to prevent anymore surgery anytime soon due to the surgeries being difficult due to them being so close.   And the degree of adhesion , he doesnt want me stuck in a always surgery situation. [/INST] Hi, Thanks for writing in to us. I would like you to know that adhesions in intestines are a difficult problem to treat fully. As mentioned, multiple surgeries may be needed for the same reason. In your situation, adhesions appearing again is the first suspicion. It might be causing a subacute or acute intestinal obstruction. You have not mentioned which part of your bowel was removed. Not all adhesions can be seen on ultrasound and CT scan. Right now you must first get an abdominal erect X-ray done to see for any significant sub acute or acute obstruction. Following this the surgeon may put you on observation and pain medications or may decide to operate again if there is indication of the intestines getting blocked. The pains should be reported to your doctor and investigations completed at the earliest. Hope this helps </s>