Pain upon palpation of the umbilicus?
Hello, I underwent a traditional right nephrectomy for kidney cancer at the end of June.
I frequently experience pain near the incision, specifically to the left of my navel, and it also hurts when I press on it.
I consulted my doctor, and a CT scan showed no issues.
How should I manage this?
fuki760, 50~59 year old female. Ask Date: 2023/12/06
Dr. Du Shixi reply Urology
Hello: It may be necessary to investigate other causes.
If you are experiencing pain post-surgery that has not improved after six months, please return for a follow-up appointment and discuss this with your physician.
Wishing you good health.
Reply Date: 2023/12/06
More Info
After undergoing a right nephrectomy for kidney cancer, experiencing pain near the belly button, particularly to the left of the surgical site, can be concerning. It's important to understand that post-operative pain is a common occurrence following major surgeries, including nephrectomy. The pain you are experiencing could be attributed to several factors related to the surgical procedure and the healing process.
Firstly, surgical trauma can lead to inflammation and irritation of the surrounding tissues, which may manifest as localized pain. The incision made during the surgery can also cause discomfort as the body heals. This pain can be exacerbated by movements, pressure, or even certain positions, which might explain why you feel pain upon pressing the area.
Additionally, nerve irritation or damage during surgery can lead to neuropathic pain, which may feel different from typical post-surgical pain. This type of pain can be sharp, burning, or tingling and may persist even after the surgical site has healed. It's also worth noting that referred pain can occur, where pain is felt in a different location than its source. This could explain why you feel discomfort near your belly button when the surgery was performed on the kidney.
Since you mentioned that a CT scan showed no issues, this is a positive sign indicating that there are no immediate complications such as abscesses or obstructions. However, if the pain persists or worsens, it is crucial to follow up with your healthcare provider. They may consider additional evaluations, such as an ultrasound or MRI, to rule out any underlying issues that may not have been visible on the CT scan.
In terms of management, here are some strategies that may help alleviate your pain:
1. Pain Management: Over-the-counter pain relievers, such as acetaminophen or NSAIDs (like ibuprofen), can help manage discomfort. Always consult your doctor before taking any medication to ensure it is safe for your specific situation.
2. Physical Therapy: Engaging in gentle physical therapy can help improve mobility and reduce pain. A physical therapist can guide you through exercises that strengthen the abdominal muscles and promote healing without straining the surgical site.
3. Heat Therapy: Applying a warm compress to the area may help soothe discomfort. Heat can promote blood flow and relax tense muscles around the incision site.
4. Rest and Recovery: Ensure you are allowing adequate time for recovery. Avoid strenuous activities that may aggravate the pain. Gradually increase your activity level as tolerated.
5. Follow-Up Appointments: Keep regular follow-up appointments with your healthcare provider to monitor your recovery. If the pain does not improve or if you experience new symptoms, such as fever, increased swelling, or changes in bowel habits, seek medical attention promptly.
6. Mind-Body Techniques: Techniques such as deep breathing, meditation, or gentle yoga can help manage pain perception and promote relaxation.
In conclusion, while post-operative pain is a common experience, it is essential to monitor your symptoms and communicate with your healthcare provider about any concerns. They can provide tailored advice and interventions based on your specific situation. Remember, healing takes time, and it is crucial to be patient with your recovery process.
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