Post-Surgery Abdominal Pain: Is It Normal After Appendectomy? - Surgery

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There is still pain in the lower abdomen after surgery?


Hello, I would like to inquire about my condition.
I had an appendectomy on June 12, and I had my stitches removed.
Today, June 23, I experienced some pain in my lower abdomen while urinating.
Is this normal? I lifted some heavy objects in the past few days; could that be the reason?

Ms. Chen, 30~39 year old female. Ask Date: 2021/06/23

Dr. Chen Jiaming reply Surgery


The removal of your stitches indicates that the superficial skin wound has healed and you can now expose it to water.
However, the repair of the deeper muscles and fascia will take a longer time.
If you exert yourself too much, there is a chance of causing further damage to the already healing muscle and fascia, which may result in pain, especially when you strain your lower abdomen during urination.
If this is the case, it is advisable to avoid excessive straining to allow for gradual healing without pain.
Of course, there are other possibilities as well, such as your lower abdominal pain being caused by bladder inflammation (urinary tract infection) or residual abscesses in the abdominal cavity.
However, these conditions typically become more pronounced or present with additional symptoms if left untreated, so seeking medical attention promptly is the best course of action.

Reply Date: 2021/06/23

More Info


After undergoing an appendectomy, it is not uncommon to experience some degree of abdominal pain, especially in the weeks following the surgery. The pain you are experiencing in your lower abdomen, particularly when urinating, can be attributed to several factors related to the surgical procedure and your recovery process.

Firstly, it is important to understand that after any surgical intervention, including an appendectomy, the body goes through a healing process. This healing can involve inflammation and irritation of the surrounding tissues, which may lead to discomfort or pain. The surgical site itself may still be sensitive, and activities such as lifting heavy objects can exacerbate this discomfort. It is advisable to avoid heavy lifting or strenuous activities during the initial recovery period, as this can strain the abdominal muscles and potentially lead to complications such as hernias or increased pain.

Moreover, the pain you are experiencing during urination could be related to a few different factors. One possibility is that the surgical procedure may have caused some temporary irritation to the bladder or urinary tract. This is not uncommon, especially if there was any manipulation of the surrounding structures during the surgery. Additionally, if you have been holding your bladder for extended periods or if you are dehydrated, this can also lead to discomfort while urinating.

It is also worth considering the possibility of urinary tract infections (UTIs), which can occur post-surgery and may present with symptoms such as pain during urination, increased frequency of urination, or even lower abdominal pain. If you notice any additional symptoms such as fever, chills, or changes in the color or odor of your urine, it would be prudent to consult your healthcare provider for further evaluation.

In terms of recovery, it is essential to listen to your body. If the pain persists or worsens, or if you experience any new symptoms, it is crucial to seek medical attention. Your healthcare provider may recommend imaging studies or laboratory tests to rule out any complications, such as abscess formation or infection.

To aid in your recovery and alleviate some of the discomfort, consider the following recommendations:
1. Rest: Ensure you are getting adequate rest and avoid activities that may strain your abdomen.

2. Hydration: Drink plenty of fluids to help flush out your urinary system and reduce the risk of infection.

3. Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage discomfort. However, consult your doctor before taking any medication.

4. Gentle Movement: While rest is important, gentle movement can also promote healing. Short walks can help improve circulation and reduce stiffness.

5. Follow-Up Care: Attend any scheduled follow-up appointments with your surgeon to monitor your recovery progress and address any concerns you may have.

In summary, while some abdominal pain after an appendectomy can be normal, especially after engaging in activities like lifting heavy objects, it is essential to monitor your symptoms closely. If you experience persistent or worsening pain, or if you have concerns about your urinary symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your health and recovery are paramount, and timely intervention can help ensure a smooth healing process.

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