Post-Surgery Belly Button Pain: Causes and When to Seek Help - Surgery

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It has been 7 years since the abdominal surgery, and the navel incision occasionally experiences pain?


Hello Doctor, seven years ago I had a ruptured ectopic pregnancy and underwent laparoscopic surgery.
However, over the past seven years, I have occasionally experienced pain at the umbilical incision site, but recently the pain has become unbearable.
There is a lump at the umbilical incision site that resembles a keloid, although I have no history of keloids.
I would like to ask if there is a possibility of the wound being infected.
Do I need to go to the hospital for further examination? After all, it has been seven years since the surgery.
I would appreciate your help in clarifying my concerns when you have time.
Thank you.

Yang Xiaowei, 30~39 year old female. Ask Date: 2020/05/08

Dr. Li Qinglong reply Surgery


Ms.
Yang Xiaowei: Hello, I am unable to provide an answer as I have not seen your condition in person.
I recommend that you take the time to visit the outpatient clinic for a consultation.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2020/05/08

More Info


Post-surgery pain, especially around the belly button area, can be concerning, particularly when it persists for several years after a surgical procedure like a laparoscopic surgery for an ectopic pregnancy. In your case, the pain you are experiencing at the site of the incision, along with the presence of a lump resembling a keloid, raises several important considerations.

Firstly, it is essential to understand that pain at the surgical site can have various causes. One possibility is that the pain is related to scar tissue formation. After any surgical procedure, the body forms scar tissue as part of the healing process. In some individuals, this scar tissue can become thickened or raised, leading to conditions such as keloids or hypertrophic scars. While you mentioned that you do not have a history of keloids, it is still possible for scar tissue to develop in a way that causes discomfort or pain.

Another potential cause of your symptoms could be related to nerve entrapment or irritation. During surgery, nerves can be cut, stretched, or compressed, leading to chronic pain in the area. This type of pain may not manifest immediately after surgery but can develop over time as the body heals and scar tissue forms.

Infections, although less likely given the time elapsed since your surgery, should also be considered. If the lump at the incision site is painful, red, warm, or draining, it could indicate an infection or abscess formation. Chronic infections can sometimes occur in surgical sites, leading to persistent pain and discomfort.

Given that your pain has intensified recently, it is crucial to seek medical attention. A healthcare provider can perform a physical examination and may recommend imaging studies, such as an ultrasound or CT scan, to assess the area around the belly button. These tests can help determine if there is any underlying issue, such as an abscess, hernia, or other complications related to the previous surgery.

In summary, while some post-surgical pain can be normal, especially in the context of scar tissue formation, the persistence and recent worsening of your symptoms warrant further evaluation. It is advisable to consult with a healthcare professional who can provide a thorough assessment and guide you on the appropriate next steps. Early intervention can help address any potential complications and improve your quality of life.

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