Post-Appendectomy: Belly Button Pain After Surgery

Post-operative pain at the umbilical incision after appendectomy?

Hello Doctor, I underwent laparoscopic surgery for appendicitis on November 2nd.
I have been feeling much better in the past few days, and the incision site is not very painful.
However, after exercising on November 17th, I started to feel pain and swelling inside my navel when I touched it.
Could this be due to the vigorous exercise causing the internal wound to reopen? If it has reopened, will it heal on its own? I apologize for the disturbance!

Wang Tongxue, 10~19 year old female. Ask Date: 2021/11/17

Dr. Zhang Shuhao reply Surgery

The end of an appendectomy is located at the cecum, and the chances of non-healing or rupture are low; however, if it occurs, symptoms may include fever and peritonitis.
Your situation is more likely related to an infection of the laparoscopic incision at the umbilicus, and if you experience pain and redness, you should promptly return to the outpatient clinic for wound debridement and drainage.
Wishing you a speedy recovery.

Reply Date: 2021/11/17

More Info

After undergoing laparoscopic appendectomy on November 2nd, it's understandable that you have concerns about experiencing pain and swelling around your belly button, especially after engaging in physical activity. Let's break down the potential causes of your symptoms and discuss what you should consider moving forward.

Firstly, it's important to recognize that post-operative pain and discomfort can be common, especially in the days and weeks following surgery. The belly button area, or umbilicus, is often a site of incision during laparoscopic procedures, and it can take time for the tissues to heal completely. The pain you are feeling could be attributed to several factors:
1. Healing Process: After surgery, the body goes through a natural healing process. This can involve inflammation, which may cause swelling and discomfort. Even if your external incision appears to be healing well, the internal tissues may still be recovering.

2. Physical Activity: Engaging in vigorous exercise too soon after surgery can strain the abdominal muscles and the surgical site. This strain can lead to discomfort or pain, particularly if the activity involves movements that put pressure on the abdomen. It’s crucial to follow your surgeon's advice regarding the timeline for resuming physical activities.

3. Possible Complications: While it’s less common, there is a possibility of complications such as a hernia or infection at the surgical site. If the pain is severe, persistent, or accompanied by other symptoms like fever, increased swelling, or discharge from the incision, it’s essential to seek medical attention promptly.

Regarding your concern about the possibility of the internal wound reopening, it’s important to note that while surgical incisions are designed to heal over time, excessive strain can potentially lead to complications. If an incision were to reopen, it would typically require medical intervention. The body does have remarkable healing capabilities, but it’s not advisable to rely on it to fix a significant issue without professional oversight.

Recommendations:
1. Rest and Recovery: Allow your body adequate time to heal. Avoid strenuous activities, especially those that involve heavy lifting or intense abdominal movements, until you receive clearance from your healthcare provider.

2. Monitor Symptoms: Keep an eye on your symptoms. If the pain worsens, or if you notice any signs of infection (such as redness, warmth, or discharge), or if you experience fever, seek medical attention immediately.

3. Follow-Up Appointment: If you have not already scheduled a follow-up appointment with your surgeon, it would be wise to do so. They can assess your healing progress and address any concerns you may have about your symptoms.

4. Pain Management: If you are experiencing discomfort, over-the-counter pain relievers may help, but consult your doctor before taking any medication to ensure it’s appropriate for your situation.

In conclusion, while some discomfort after laparoscopic appendectomy is normal, especially after physical activity, it’s crucial to listen to your body and take the necessary precautions. If you have any doubts about your recovery or if your symptoms change, don’t hesitate to reach out to your healthcare provider for guidance. Your health and safety should always come first.

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