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[] Question: "If adhesions are only formed until the 7th day after surgery, what makes ARD so progressive? The pain cycle itself ? Or the adhesions becoming more fibrous and tight?"
[] Bev: When some adhesions first form, they are soft and pliable tissue. Over time adhesions become tougher; and that is when adhesions start to create the pulling on the organs to which they're attached.
If adhesions attach to and tether organs (that are meant to move freely) so that these organs are unable to move; then the adhesions will pull on the affected organs -- thus causing agitation at the attachment sites -- thus causing inflammation -- thus causing pain.
As time goes by the adhesions will continue to toughen; which will cause tightening and the tethering and constricting of the bowels and other organs (such as the urinary bladder, ovaries, uterus, tubes, etc.); and, as a result, this will increase the pain and as well as other symptoms.
When some adhesions form, they are very thick and vascular. These adhesions create pain and tethering immediately. These adhesions can be detected within 2 days of re-formation.
The inner bowel adhesions (between the intestines) might not cause pain; because there is no pulling involved. The attached intestines move in unison. They are attached; but in a "ball-like" form. These adhesions can create bowel constriction, narrowing and thus pain.