Post-Surgery Pain: When to Seek Further Medical Advice - Surgery

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I saw the doctor, but I'm still in pain?


The doctor said that the lump is not yet mature, so they prescribed antibiotics.
After taking them for three days, there is now a hard lump that is painful to touch and also swollen.
Is this normal?

123, 10~19 year old female. Ask Date: 2023/02/09

Dr. Zhang Shuhao reply Surgery


Based on your description, there appears to be a localized inflammatory mass that may develop into an abscess in a few days.
If the antibiotics are not effective, it is usually necessary to perform an incision and drainage to expel the pus.
It is recommended to seek further medical attention if you continue to experience discomfort.

Reply Date: 2023/02/09

More Info


Post-surgery pain is a common experience for many patients, and understanding when to seek further medical advice is crucial for effective recovery. After surgery, it is normal to experience some level of discomfort, swelling, and tenderness in the affected area. However, certain symptoms may indicate complications that require immediate medical attention.

In your case, the presence of a hard lump that is painful to touch, along with swelling, raises some concerns. While some swelling and tenderness can be expected after surgery, particularly if an incision was made or if there was significant manipulation of tissues, the development of a hard lump could suggest several possibilities:
1. Hematoma: This is a localized collection of blood outside of blood vessels, often resulting from bleeding during or after surgery. Hematomas can feel firm and may be painful, especially if they are pressing on surrounding tissues.

2. Seroma: This is a collection of fluid that can accumulate in the space where tissue was removed or manipulated during surgery. Like hematomas, seromas can also feel firm and may cause discomfort.

3. Infection: If the lump is accompanied by increased redness, warmth, fever, or discharge, it could indicate an infection at the surgical site. Infections require prompt treatment, often with antibiotics, and sometimes surgical intervention to drain the infected area.

4. Scar Tissue Formation: After surgery, the body naturally forms scar tissue as part of the healing process. In some cases, this scar tissue can become thickened or fibrous, leading to discomfort or a sensation of tightness.

Given these possibilities, it is essential to monitor your symptoms closely. If the hard lump continues to grow, becomes increasingly painful, or if you develop additional symptoms such as fever or chills, you should seek medical advice as soon as possible. Your healthcare provider may want to perform an examination and possibly imaging studies, such as an ultrasound, to determine the nature of the lump and the best course of action.

In the meantime, here are some general recommendations for managing post-surgery pain and discomfort:
- Rest: Allow your body time to heal. Avoid strenuous activities that could exacerbate pain or swelling.

- Ice Therapy: Applying ice packs to the affected area can help reduce swelling and numb pain. Be sure to wrap the ice pack in a cloth to protect your skin.

- Pain Management: Use over-the-counter pain relievers, such as acetaminophen or ibuprofen, as directed by your healthcare provider. If you were prescribed pain medication, take it as instructed.

- Follow-Up Appointments: Attend all scheduled follow-up appointments with your surgeon or healthcare provider. These visits are crucial for monitoring your recovery and addressing any concerns.

In conclusion, while some post-surgery discomfort is normal, the development of a hard, painful lump warrants further evaluation. Do not hesitate to reach out to your healthcare provider for guidance. They are best equipped to assess your situation and provide appropriate care. Your health and recovery are paramount, and seeking timely medical advice can help prevent complications and ensure a smoother healing process.

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