Is Abdominal Discomfort After Appendectomy a Sign of Adhesions?

Q: Is Abdominal Discomfort After Appendectomy a Sign of Adhesions?

Hello： Undergoing surgical treatment for acute appendicitis is the correct decision. <br>If there is a delay and it becomes severe enough for the appendix to rupture and cause peritonitis, the surgery may be more extensive, and the recovery period will be longer. <br>Having surge

Could this symptom be intestinal adhesions?

Hello, doctors on the forum: In mid-September of this year, I went to the emergency room due to acute appendicitis.
After examination, the doctor informed me that it was appendicitis (blood tests/CT scans, etc.) and that I could either receive antibiotics or undergo surgery.
The doctor explained that if I chose antibiotics, there was a possibility of recurrence in the future.
After discussing with my family, we decided to proceed with surgery to remove the appendix to prevent future recurrence.
Due to the rushed preparation, I did not research relevant surgical information (such as laparoscopic surgery/adhesion prevention patches), so I underwent traditional open surgery.
After a follow-up appointment at the end of September, the wound healing was good, and the stitches were removed on the same day.
However, I currently have some questions I would like to ask the doctors on the forum:
1.
In the weeks following the stitch removal, I often feel bloated in my abdomen, have the urge to pass gas, and experience difficulty having bowel movements, requiring effort to do so.
After using the restroom, I still feel bloated.
Occasionally, I feel a sharp pain deep in the rectum due to gas in the abdomen.
Is this normal (postoperative recovery period)? Or could this be a symptom of intestinal adhesions?
2.
Currently, the scabbed area of the wound appears somewhat swollen, and pressing on it does not cause pain.
Is this normal? Due to these symptoms, I now have a feeling of regret about having undergone surgery.
I would appreciate any guidance from the doctors on the forum.
Thank you!

Da Mao, 30~39 year old female. Ask Date: 2013/10/10

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Undergoing surgical treatment for acute appendicitis is the correct decision.
If there is a delay and it becomes severe enough for the appendix to rupture and cause peritonitis, the surgery may be more extensive, and the recovery period will be longer.
Having surgery in mid-September, and within less than a month, this is not yet a sign of intestinal adhesions.
It is important to pay attention to your diet (increase fruits and vegetables, drink plenty of water) and reduce constipation.
If necessary, you can take stool softeners to alleviate symptoms.
Scabbing of the wound is a natural phenomenon of the body's healing process.
You can purchase silicone gel sheets to apply, which can help minimize excessive outward growth of the scab tissue.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2013/10/10

More Info

After an appendectomy, it is not uncommon for patients to experience abdominal discomfort, including bloating, difficulty passing gas, and changes in bowel habits. These symptoms can arise from several factors, including the healing process, changes in bowel function, and the potential development of adhesions.

1. Postoperative Symptoms: After surgery, the body undergoes a healing process that can lead to temporary changes in gastrointestinal function. The abdominal cavity may experience inflammation, which can cause bloating and discomfort. Additionally, the manipulation of the intestines during surgery can lead to temporary changes in motility, resulting in constipation or difficulty passing gas. It is essential to allow time for the body to heal, and these symptoms may gradually improve over weeks.

2. Adhesions: Adhesions are bands of scar tissue that can form between abdominal organs and tissues after surgery. They can cause organs to stick together or to the abdominal wall, potentially leading to discomfort or bowel obstruction. Symptoms of adhesions can include chronic abdominal pain, bloating, and changes in bowel habits. However, not all postoperative discomfort is due to adhesions; it can also be attributed to normal postoperative healing.

3. Normal Healing Process: The presence of swelling or a lump at the incision site that does not cause pain is generally a normal part of the healing process. The body creates scar tissue as part of recovery, and this can sometimes feel firm or swollen. It is crucial to monitor the incision for signs of infection, such as increased redness, warmth, or discharge.

4. When to Seek Medical Attention: If your symptoms persist or worsen, or if you experience severe pain, fever, or changes in bowel habits (such as persistent constipation or diarrhea), it is essential to consult your healthcare provider. They may recommend imaging studies, such as an ultrasound or CT scan, to evaluate for adhesions or other complications.

5. Emotional Impact: It is not uncommon for patients to experience regret or second thoughts after surgery, especially if they encounter unexpected complications or prolonged recovery. It is essential to communicate these feelings with your healthcare provider, who can offer support and guidance.

In summary, while abdominal discomfort after an appendectomy can be a sign of adhesions, it is also common for patients to experience various symptoms as part of the normal healing process. Monitoring your symptoms and maintaining open communication with your healthcare provider will help ensure a smooth recovery. If you have concerns about your symptoms or the possibility of adhesions, do not hesitate to reach out for further evaluation and management.

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