Post-Appendectomy Symptoms: What to Expect After Surgery - Surgery

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Postoperative symptoms of appendicitis?


Hello, Dr.
Hsieh.
I underwent an appendectomy last Sunday (June 10) due to acute appendicitis.
The doctor informed me that my appendix had ruptured and was infected.
I was discharged on Tuesday (June 12) to rest at home, but since the surgery, I have been experiencing daily abdominal cramping, with occasional severe pain.
Is this normal? I had the surgery in Malaysia, and the doctor did not provide any post-operative care instructions.
The day after the surgery, I ate bread, and for the next two days, I had rice soaked in water and whole wheat bread, along with fish essence.
Could this be the reason for my discomfort? Thank you!

Shawn, 20~29 year old female. Ask Date: 2012/06/13

Dr. Xie Wenhuai reply Surgery


If there is a rupture and suppuration of appendicitis, after surgery, it is important to monitor for signs of infection at the wound site.
If an infection occurs, there will be swelling and pain at the wound, and it may appear red and swollen.
Therefore, it is recommended to return to the hospital for a follow-up.
If the wound looks normal, stitches can typically be removed after one week, and everything should be fine.

Reply Date: 2012/06/13

More Info


After an appendectomy, especially in cases where the appendix has ruptured and become infected, it is common to experience a range of symptoms as part of the recovery process. Your experience of gastrointestinal discomfort and intermittent pain is not unusual, particularly given the nature of your surgery.
Firstly, it’s important to understand that after any abdominal surgery, including an appendectomy, the body undergoes a healing process that can involve inflammation and irritation of the surrounding tissues. This can lead to sensations of pain or discomfort, which may be exacerbated by activities such as walking or even sitting down. The pain you describe, particularly if it feels like cramping or is associated with bowel movements, could be related to the normal healing of your intestines and the re-establishment of normal gastrointestinal function.

In terms of your diet post-surgery, it is advisable to gradually reintroduce solid foods, especially after a significant event like a ruptured appendix. Starting with bland foods, such as toast or rice, is generally recommended, but it’s crucial to listen to your body. If you are experiencing pain after eating certain foods, it may be beneficial to keep a food diary to identify any specific triggers. Foods that are high in fiber or difficult to digest can sometimes cause discomfort, especially if your digestive system is still recovering.

Regarding your question about whether the pain is normal, it is indeed common to experience some level of discomfort for several days to weeks after surgery. However, if the pain is severe, persistent, or accompanied by other symptoms such as fever, vomiting, or changes in bowel habits, it is essential to seek medical attention. These could be signs of complications such as infection or bowel obstruction, which require prompt evaluation.

For managing your symptoms, consider the following recommendations:
1. Pain Management: Over-the-counter pain relievers like acetaminophen or ibuprofen can help alleviate discomfort. However, consult your doctor before taking any medication, especially if you have other health conditions or are taking other medications.

2. Dietary Adjustments: Stick to a bland diet initially and gradually introduce more complex foods as tolerated. Avoid spicy, greasy, or high-fiber foods until you feel more comfortable.

3. Hydration: Ensure you are drinking plenty of fluids, as hydration is crucial for recovery and can help with digestive issues.

4. Activity Level: While it’s important to rest, gentle movement can aid in recovery. Short walks can help stimulate bowel function and reduce the risk of complications.

5. Follow-Up Care: Since your doctor did not provide post-operative care instructions, it may be beneficial to schedule a follow-up appointment. This will allow you to discuss your symptoms and receive personalized advice based on your recovery progress.

In conclusion, while some discomfort after an appendectomy is expected, it’s important to monitor your symptoms closely. If you have any concerns or if your symptoms worsen, do not hesitate to reach out to a healthcare professional for further evaluation. Your recovery is a priority, and ensuring you have the right support and information is key to a smooth healing process.

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