Post-Laparoscopic Appendectomy: Pain After 5 Weeks - Surgery

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Persistent pain five weeks after laparoscopic surgery?


Hello, doctor.
I would like to ask about my condition.
I had laparoscopic surgery for appendicitis five weeks ago.
In the fourth week, I occasionally experienced sharp pain in my abdomen.
Three days ago, I started feeling pain below my navel and on the right side, similar to the pain of a bruise, which becomes sharp after eating.
What could be the cause of this? Does diet have an impact? Thank you!

Ruì shā, 40~49 year old female. Ask Date: 2020/01/21

Dr. Chen Jiaming reply Surgery


Scar tissue from postoperative wounds can disrupt local nerves and alter sensory responses due to the incision.
As a result, it is common to experience sharp pain during changes in weather.
Generally, diet does not have an impact on this type of pain.
Typically, touching the area does not exacerbate the pain.
However, if pressure on the area increases the pain, further evaluation is recommended.

Reply Date: 2020/01/21

More Info


After a laparoscopic appendectomy, experiencing pain five weeks post-surgery can be concerning, but it is not uncommon. The pain you describe, particularly the sharp, bruised-like sensation in the lower abdomen and right side, can be attributed to several factors related to the healing process and the nature of laparoscopic surgery.

Firstly, it is important to understand that laparoscopic surgery, while minimally invasive, still involves the creation of small incisions in the abdominal wall. These incisions can lead to the formation of scar tissue, known as adhesions, which may cause discomfort as they heal. The nerves in the area may also be affected during the surgery, leading to altered sensations, such as sharp pains or a feeling of tightness. This is particularly true if the pain worsens after eating, as the digestive process can put additional strain on the abdominal muscles and surrounding tissues.

The fact that you are experiencing pain specifically after meals suggests that your digestive system may be contributing to your discomfort. After surgery, the body may still be adjusting to normal digestive functions, and the presence of gas or bloating can exacerbate pain in the abdominal area. Eating large meals can increase intra-abdominal pressure, which may lead to discomfort, especially if the surgical site is still sensitive.

Regarding your question about diet, while general eating habits may not directly influence the surgical site’s healing, certain foods can affect digestion and gas production. Foods that are high in fiber, for example, can lead to increased gas and bloating, which may aggravate your symptoms. It may be beneficial to monitor your diet and consider smaller, more frequent meals that are easier to digest. Staying hydrated and avoiding carbonated beverages can also help reduce bloating.

In terms of the timeline for recovery, it is not unusual for patients to experience varying degrees of pain for several weeks or even months after laparoscopic surgery. However, if the pain persists, worsens, or is accompanied by other symptoms such as fever, significant swelling, or changes in bowel habits, it is crucial to consult your healthcare provider. They may want to perform a physical examination or imaging studies to rule out any complications, such as infections or internal issues related to the surgery.

In summary, while some discomfort five weeks after a laparoscopic appendectomy can be normal due to healing processes and potential dietary influences, it is essential to remain vigilant about your symptoms. If you have concerns about the nature or intensity of your pain, or if it significantly impacts your daily life, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your recovery is important, and addressing any lingering issues early can help ensure a smoother healing process.

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