Post-Appendectomy: Managing Pain and Redness Around the Belly Button

Redness and pain around the navel after appendectomy?

Hello, Doctor.
I underwent laparoscopic appendectomy in early April this year.
During this time, I followed the doctor's advice and avoided lifting heavy objects.
However, one month later, in May, I started to carry my 15-kilogram son (he missed my hugs too much).
On the third day, I began to experience noticeable pain around my navel, and the surrounding skin became red and warm (with a red ring, but no swelling).
Should I return for a check-up, or should I observe it for a few more days? (I noticed the redness and swelling on the second day.) Additionally, during my follow-up appointment one week post-surgery, I happened to be close to my menstrual period, and I experienced more pronounced abdominal discomfort than before.
After discussing this with the doctor, it was suggested that it might be due to the recent surgery, which could explain the increased discomfort.
This month, in the week leading up to my menstrual period, I still felt quite uncomfortable (the dull pain lasted for a long time).
Should I return for a follow-up appointment for this as well?

Duo Ma, 40~49 year old female. Ask Date: 2021/05/10

Dr. Chen Jiaming reply Surgery

It has been one month post-surgery, and theoretically, it is unlikely to be an issue of wound infection.
Since the discomfort clearly arises after activities that involve straining your abdomen, it is necessary to consider the possibility of a tear in the internal muscle fascia layer, which could result in a minor bruise or hematoma.
In more severe cases, it could lead to the internal wound opening up, causing abdominal tissue to herniate under the skin, resulting in an umbilical (ventral) hernia.
It would be advisable to monitor for any changes in bruising and to avoid straining the abdomen during this period, or to use a binder to reduce tension and protect the wound.
As for the potential development of an umbilical (ventral) hernia, that will depend on future changes.
Regarding whether the pain before menstruation is exacerbated by the abdominal surgery, there seems to be no significant correlation; a visit to the clinic may result in a prescription for pain relief to alleviate symptoms.

Reply Date: 2021/05/10

More Info

After undergoing laparoscopic appendectomy, it is not uncommon to experience some discomfort and changes in the area around the incision, particularly around the belly button. Your symptoms of pain, redness, and warmth in the skin surrounding the belly button are concerning and warrant careful consideration.

Firstly, the redness and warmth you are experiencing could indicate a possible infection or inflammation at the surgical site. Post-operative infections can occur even after minimally invasive procedures like laparoscopic surgery. Signs of infection may include increased pain, swelling, redness, warmth, and sometimes discharge from the incision site. Given that you have noticed these symptoms after lifting your child, it is essential to monitor them closely. If the redness spreads, the pain intensifies, or you develop a fever, you should seek medical attention promptly.

In terms of managing your symptoms, here are some recommendations:
1. Rest and Avoid Strain: It is crucial to avoid heavy lifting and strenuous activities, especially in the early stages of recovery. Lifting your child, while emotionally fulfilling, may have contributed to your current symptoms. Try to find alternative ways to engage with your child that do not involve lifting.

2. Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage discomfort. However, ensure that you follow the recommended dosages and consult your physician if you have any underlying health conditions or are taking other medications.

3. Monitor Symptoms: Keep an eye on the symptoms around your belly button. If the redness does not improve within a few days, or if you notice any new symptoms, such as increased swelling or discharge, it is advisable to return to your healthcare provider for a thorough evaluation.

4. Follow-Up Appointments: Since you mentioned experiencing discomfort related to your menstrual cycle, it is essential to communicate this with your healthcare provider. Hormonal changes can sometimes exacerbate abdominal discomfort, particularly after surgery. If your symptoms persist or worsen, a follow-up appointment may be necessary to rule out any complications related to the surgery or other underlying conditions.

5. Wound Care: Ensure that you keep the incision site clean and dry. Follow any specific instructions provided by your surgeon regarding wound care. If you notice any unusual discharge or if the incision appears to be opening, seek medical advice immediately.

In summary, while some discomfort is expected after surgery, the symptoms you describe—particularly the redness and warmth—should not be ignored. It is advisable to consult with your healthcare provider to assess whether an infection or other complication is present. Early intervention can prevent more severe issues and facilitate a smoother recovery process. Always prioritize your health and well-being, and do not hesitate to seek medical advice when in doubt.

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