Suppurative issues
I would like to ask about my condition.
I had congenital megacolon and underwent multiple surgeries a long time ago.
The last surgery, around the age of 12, seemed to resolve the issue.
However, the scar area has become infected.
I returned to the hospital where I had my surgery, and they told me it was a common bacterial infection, suggesting I take medication and drain the pus.
This is now the second time this has happened.
Is this normal? Could it be due to my weakened immune system from working night shifts in recent years? Can I use a needle to puncture a hole and drain the pus myself, or should I ask someone at a nearby clinic to help me, since this time there is no visible opening like last time? I'm unsure what to do.
Hsu Nianhong, 20~29 year old female. Ask Date: 2019/06/02
Dr. Li Qinglong reply Surgery
Hello Mr.
Hsu: If there are issues with the original wound, it would be better to return to the hospital where the surgery was performed.
If time and distance do not permit, it is advisable to visit a surgical outpatient clinic.
Thank you.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.
Reply Date: 2019/06/02
More Info
Managing pus and infection after surgery is a critical aspect of post-operative care that requires careful attention and appropriate action. Based on your description, it seems that you are experiencing a recurrence of pus formation at the site of a previous surgical scar related to congenital megacolon. This situation can be concerning, especially if it is happening for the second time.
Firstly, it is important to understand that the presence of pus typically indicates an infection, which can occur for various reasons, including bacterial invasion, poor wound healing, or even underlying conditions that may compromise your immune system. Given that you have a history of multiple surgeries and are currently working night shifts, it is possible that your immune system may be somewhat weakened, making you more susceptible to infections.
The recommendation from your original surgical team to manage the infection with antibiotics and drainage is standard practice. Antibiotics help to eliminate the bacteria causing the infection, while drainage is necessary to remove the pus that can accumulate and lead to further complications if left untreated. It is crucial to follow the advice of healthcare professionals regarding the management of your infection.
Regarding your question about self-draining the pus, it is generally not advisable to attempt to drain an abscess or infected area on your own. Doing so can introduce more bacteria into the wound, potentially worsening the infection or leading to complications such as cellulitis or systemic infection. Instead, it is best to seek care from a healthcare professional who can properly assess the situation and perform the drainage in a sterile environment. They can also ensure that the appropriate antibiotics are prescribed based on the culture and sensitivity of the bacteria involved.
In terms of your concern about whether this recurrence is normal, it is not uncommon for surgical sites to develop infections, especially if there are underlying factors such as poor circulation, diabetes, or immune system issues. However, recurrent infections at the same site should be evaluated further to rule out any chronic issues, such as a foreign body or an underlying condition that may predispose you to infections.
To address your concerns about your work schedule and its impact on your health, it is essential to prioritize your well-being. Night shifts can disrupt your circadian rhythm and affect your immune function. If possible, consider discussing your work schedule with your employer or healthcare provider to explore options that may help improve your overall health and resilience against infections.
In summary, managing pus and infection after surgery requires professional medical intervention. Avoid self-treatment and seek care from a qualified healthcare provider. They can provide the necessary drainage and antibiotic therapy while also evaluating any underlying issues that may contribute to recurrent infections. Additionally, consider lifestyle changes that may enhance your immune function, such as improving your diet, getting adequate rest, and managing stress. Your health is paramount, and taking proactive steps can help prevent further complications.
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