Post-Appendectomy Recovery: Pain, Bruising, and Bowel Changes - Surgery

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Appendectomy


Hello, my mother underwent laparoscopic appendectomy at Chang Gung Memorial Hospital on January 28.
It has been six days since her discharge, and the stitches have been removed.
Why does the abdominal incision feel sharp and have bruising around it? Her abdomen appears swollen, and her stool has changed from being loose to having a soft front and a solid end.
How long will it take for her to recover? Why is her temperature consistently above 37 degrees Celsius? Thank you for your response, doctor.

Feng Qiu Shuang Qing, 20~29 year old female. Ask Date: 2015/02/03

Dr. Ke Fangxu reply Surgery


Common complications after appendectomy include two types: one is wound infection, which can cause redness, swelling, and pain at the incision site, and sometimes there may be purulent discharge.
The second is intra-abdominal abscess, which can lead to abdominal pain and fever.
Based on your description, it seems that both of these could be possibilities, but it may also just be incomplete recovery after surgery.
I recommend taking your mother to an outpatient follow-up appointment to check her white blood cell count, which can help determine if additional treatment is necessary.

Reply Date: 2015/02/03

More Info


Post-appendectomy recovery can be a complex process, and it's important to understand the various symptoms that may arise during this time. Your mother underwent laparoscopic appendectomy on January 28, and it has been six days since the surgery. Let's address the concerns you've raised regarding pain, bruising, bowel changes, and temperature.

Firstly, it is not uncommon for patients to experience some degree of pain and discomfort around the surgical site after an appendectomy. The sharp, stabbing pain you mentioned could be attributed to several factors, including the healing process of the incision, nerve regeneration in the area, or even muscle strain from movements. Bruising around the incision is also a normal part of the healing process, as it indicates that there was some degree of trauma to the tissues during surgery. The abdominal swelling you described, where the belly appears distended, can be due to a combination of factors such as gas buildup, fluid retention, or inflammation following the surgery.
Regarding bowel changes, it is common for patients to experience alterations in bowel habits after abdominal surgery. The fact that your mother's stool is now "mushy" at the beginning and then becomes solid could indicate a temporary change in bowel function, which can occur due to anesthesia, pain medications, or dietary changes post-surgery. It is essential to ensure she is consuming a balanced diet with adequate fiber and hydration to promote regular bowel movements. If the changes persist or worsen, it may be worth consulting her healthcare provider.

As for the elevated body temperature, a mild fever (around 37 degrees Celsius or slightly higher) can be a normal response to surgery as the body works to heal itself. However, if the temperature rises significantly above this range or is accompanied by other symptoms such as increased pain, redness, swelling, or discharge from the incision site, it could indicate an infection, and medical attention should be sought promptly.

In terms of recovery time, most patients can expect to feel significantly better within a few weeks post-surgery, but complete healing of the internal tissues may take longer. It's crucial to follow any post-operative care instructions provided by the surgeon, including activity restrictions, wound care, and follow-up appointments.
Encouraging gentle movement and deep breathing exercises can help reduce the risk of complications such as blood clots and pneumonia, but it's essential to avoid any strenuous activities until cleared by the healthcare provider.
If your mother continues to experience significant pain, persistent fever, or any concerning symptoms, it is advisable to contact her surgeon or healthcare provider for further evaluation. They can assess her recovery and determine if any additional interventions are necessary.

In summary, while some discomfort, bruising, and changes in bowel habits are typical after an appendectomy, it is crucial to monitor her symptoms closely. Open communication with her healthcare team will ensure she receives the appropriate care and support during her recovery process.

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