Post-Appendectomy Concerns: Bad Breath and Bruising Recovery - Surgery

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Post-appendectomy


Hello, doctor.
I underwent laparoscopic surgery three weeks ago, and since then, I've been experiencing bad breath, which I did not have before the surgery.
Is this related to the surgery? Additionally, the bruising around the incision site is still quite severe and hasn't faded much.
Is this a normal occurrence? If it is normal, how long does it typically take for it to fully heal?

Xiao Mei, 40~49 year old female. Ask Date: 2023/07/04

Dr. Chen Jiaming reply Surgery


Halitosis is not related to surgery.
The time it takes for bruising around the wound to resolve is related to the amount of internal bleeding; it can take as little as two weeks, but in some cases, it may take one to two months to fully resolve.

Reply Date: 2023/07/04

More Info


After undergoing laparoscopic appendectomy three weeks ago, it is understandable to have concerns about new symptoms such as bad breath and significant bruising around the surgical site. Let's address these issues one by one.

Bad Breath Post-Surgery:
Experiencing bad breath (halitosis) after surgery can be attributed to several factors. First, during surgery, the body undergoes stress, which can alter normal oral flora and lead to changes in breath odor. Additionally, if you were intubated during the procedure, this could have contributed to dryness in the mouth and throat, which can also lead to bad breath. Post-operative pain medications, particularly opioids, can cause dry mouth (xerostomia), further exacerbating the issue.

Another possibility is that the diet post-surgery may have changed, especially if you were on a liquid or soft food diet. Foods that are high in sugar or certain carbohydrates can contribute to bad breath. If you have been less diligent about oral hygiene due to discomfort or fatigue from the surgery, this could also be a contributing factor.

To mitigate bad breath, ensure you maintain good oral hygiene by brushing your teeth at least twice a day and flossing daily. Staying hydrated is also crucial, as it helps maintain saliva production, which is essential for neutralizing odors in the mouth. If the problem persists, it would be wise to consult your healthcare provider or a dentist to rule out any underlying issues.

Bruising Recovery:
Regarding the bruising around your surgical site, it is not uncommon to experience significant bruising after laparoscopic surgery. The procedure involves making small incisions, and the manipulation of tissues can lead to bleeding under the skin, resulting in bruising. The severity and duration of bruising can vary from person to person based on factors such as skin type, the extent of the surgery, and individual healing processes.

Typically, bruising should start to fade within a couple of weeks post-surgery, but complete resolution can take longer, sometimes up to several weeks. If the bruising is accompanied by increased pain, swelling, or any signs of infection (such as redness, warmth, or discharge), it is essential to seek medical attention promptly.

In general, the healing process after laparoscopic surgery can vary. Most patients can expect to feel significantly better within a few weeks, but complete recovery, including the resolution of bruising and any discomfort, may take longer. It is essential to follow your surgeon's post-operative care instructions, including activity restrictions and follow-up appointments, to ensure proper healing.

If you have any concerns about your recovery or if symptoms worsen, do not hesitate to reach out to your healthcare provider. They can provide personalized advice and reassurance based on your specific situation. Remember, while some post-operative symptoms can be concerning, many are common and resolve with time and proper care.

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