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

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Right abdominal pain two weeks after appendectomy?


Hello Doctor, I underwent an appendectomy on May 2nd and was discharged on May 5th.
I took antibiotics and painkillers until May 9th and rested at home until May 17th.
I returned to work on May 18th, where I need to stand for 8 hours.
Currently, I still experience slight pain in my lower right abdomen, especially when getting up or standing.
It also hurts a bit when I apply light pressure.
Is this normal? Thank you, Doctor.

En, 20~29 year old female. Ask Date: 2022/05/20

Dr. Xu Kaixi reply Surgery


Appendectomy on May 2; mild pain at the incision site during work on May 18 is normal.
If the pain persists or does not improve, it is recommended to return for follow-up.

Reply Date: 2022/05/20

More Info


After an appendectomy, experiencing some degree of pain in the right lower abdomen two weeks post-surgery can be considered normal, especially given the nature of the procedure and the healing process involved. It is important to understand that surgical recovery varies significantly among individuals, and several factors can influence the healing timeline, including the type of surgery performed, the individual's overall health, and adherence to post-operative care instructions.

In your case, since you underwent an appendectomy on May 2nd and were discharged on May 5th, it is expected that you would still experience some discomfort as your body heals. The pain you describe, particularly when rising from a seated position or standing, is not uncommon. After surgery, the body goes through a healing process that includes the formation of scar tissue, which can lead to sensations of tightness or discomfort in the affected area. This is particularly true in the first few weeks following surgery.

Typically, the healing of the skin and superficial tissues occurs within the first couple of weeks, but deeper tissues, including muscles and fascia, may take longer to heal—often several weeks to months. The presence of scar tissue can also contribute to sensations of pain or discomfort when pressure is applied or when the area is moved. It is essential to allow your body adequate time to heal and to avoid activities that may strain the surgical site.

Moreover, factors such as returning to work that requires prolonged standing can exacerbate discomfort. Standing for extended periods can put additional strain on the abdominal muscles and the surgical site, potentially leading to increased pain. It is advisable to take breaks, adjust your posture, and consider using supportive measures, such as a brace or abdominal support, if recommended by your healthcare provider.

However, while mild pain can be expected, you should be vigilant for any signs that may indicate complications. If you experience severe pain, swelling, redness, or discharge from the surgical site, or if you develop fever or other systemic symptoms, it is crucial to seek medical attention promptly. These could be signs of infection or other complications that may require intervention.

In summary, mild pain two weeks after an appendectomy can be normal as your body continues to heal. It is essential to listen to your body, avoid overexertion, and follow up with your healthcare provider if your symptoms persist or worsen. They can provide personalized advice and ensure that your recovery is on track. Remember, every individual's healing process is unique, and maintaining open communication with your healthcare team is key to a smooth recovery.

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