Post-Appendectomy: Abdominal Bloating and Recovery

Post-appendiceal cancer surgery?

Hello Doctor, I would like to ask about my condition.
I was diagnosed with acute appendicitis on March 15th of this year.
I underwent laparoscopic surgery at Cathay General Hospital in Da'an District around 8 PM.
After the surgery, I was able to pass gas, drink water, and eat normally.
I also had normal urination and was hospitalized for four days before being discharged.
Since returning home, I have been eating porridge with eggs, vegetables, and fruits, and I have been taking pain relief and anti-flatulence medications.
However, it has been six days since the surgery, and I have to return to the hospital in two days to have my stitches removed.
My abdomen is still very distended, resembling a pregnancy.
Although I am eating, it is significantly less than before.
Why is my abdomen still so large? Could you please provide an explanation? Thank you!

Li, 10~19 year old female. Ask Date: 2011/03/21

Dr. Hou Yongji reply Surgery

There are many uncertainties regarding the post-operative condition.
If you experience any unusual reactions, please return for a follow-up appointment immediately.
It is advisable to return to the original surgeon's clinic as soon as possible.
Thank you.

Reply Date: 2011/03/21

More Info

After an appendectomy, it is not uncommon for patients to experience abdominal bloating and discomfort during the recovery period. Your situation, where you had surgery on March 15 and are now experiencing significant abdominal bloating six days post-operation, can be attributed to several factors related to the surgical procedure and the body's healing process.

Firstly, during an appendectomy, especially if performed laparoscopically, carbon dioxide gas is used to inflate the abdomen to create a working space for the surgeon. This gas can remain in the abdominal cavity for some time after the surgery, leading to a feeling of fullness or bloating. It is not unusual for this sensation to persist for several days post-surgery, and it may take time for the body to absorb or expel the remaining gas.

Secondly, the surgical trauma to the abdominal area can lead to inflammation and swelling, which can contribute to a bloated appearance. The body responds to surgery with a natural inflammatory response, which can cause fluid retention and swelling in the tissues surrounding the surgical site. This is part of the healing process, but it can also lead to discomfort and a feeling of fullness.

Additionally, changes in diet and activity levels after surgery can impact digestion. If you have been consuming a diet that is lower in fiber or have reduced your physical activity, this can lead to constipation, which can exacerbate feelings of bloating. It is essential to maintain a balanced diet that includes fiber-rich foods to promote healthy digestion and regular bowel movements.
You mentioned that you are taking medications for pain and bloating. While these can help manage discomfort, they may also have side effects that can affect your gastrointestinal function. For example, certain pain medications can slow down bowel motility, leading to constipation and increased bloating. If you find that your bloating persists or worsens, it may be worth discussing your medication regimen with your healthcare provider.

As you approach your follow-up appointment for suture removal, it is crucial to communicate your symptoms to your doctor. They can assess whether your bloating is a normal part of the recovery process or if there are any underlying issues that need to be addressed. In some cases, if there is significant concern about bowel obstruction or other complications, further imaging studies may be warranted.

In summary, while abdominal bloating after an appendectomy can be concerning, it is often a normal part of the recovery process. Factors such as residual gas from the procedure, inflammation, dietary changes, and medication effects can all contribute to this sensation. It is essential to maintain a balanced diet, stay hydrated, and gradually increase your activity level as tolerated. If your symptoms persist or worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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