Post-Surgery Complications: Abdominal Discomfort and Air Sensation

Postoperative complications

Hello Dr.
Chen: I underwent a laparoscopic surgery last November, during which I only received local anesthesia.
I experienced pain intermittently due to insufficient anesthesia, which made me very anxious.
I felt that my intestines on the right side of my abdomen were constricting due to the tension.
A few days after the surgery, I often felt air moving in the area where I felt the constriction, and when I touched it, it would slightly bulge and then gradually subside.
It has been over six months now; what is this symptom called? When the air moves, I feel very uncomfortable, and it usually occurs at night when I am about to sleep, affecting my sleep.
What treatment should I consider?

Qiúzhù wúmén, 20~29 year old female. Ask Date: 2015/06/22

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello, strictly speaking, your symptoms cannot be classified as complications from the fistula surgery; they are more likely a result of postoperative gastrointestinal dysfunction.
The sensation of air movement in the lower abdomen is probably just due to increased intestinal gas.
I recommend drinking plenty of water, consuming more fruits and vegetables, avoiding irritating and fried foods, and steering clear of gas-producing foods such as milk, coffee, cheese, sweet potatoes, taro, and glutinous rice.
If there is no improvement, please consult a gastroenterologist.
Wishing you safety and good health.
Sincerely, Dr.
Chi-Feng Chen, Attending Physician, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/06/22

More Info

Post-surgery complications can often lead to a variety of symptoms, including discomfort and unusual sensations in the abdomen. In your case, the sensation of air moving in your right abdomen after your surgery could be attributed to several factors, primarily related to gastrointestinal function and the body's response to surgery.

Firstly, what you are experiencing may be classified as postoperative gastrointestinal dysfunction. After any abdominal surgery, it is common for the intestines to experience temporary changes in motility. This can lead to sensations of bloating, gas, and discomfort, particularly if you are feeling anxious or stressed, as you mentioned during your surgery. Anxiety can exacerbate gastrointestinal symptoms, leading to increased awareness of sensations that might otherwise go unnoticed.

The feeling of air or gas moving in your abdomen, especially if it is accompanied by a slight bulging sensation, could be due to increased gas production or altered bowel function. After surgery, the intestines may take some time to return to their normal rhythm, which can result in gas accumulation. This is often more pronounced in the evening or at night, as the body tends to relax, and digestive processes may slow down, making you more aware of these sensations.

To manage these symptoms, several lifestyle modifications can be beneficial:
1. Dietary Changes: Focus on a diet rich in fiber, including fruits, vegetables, and whole grains, which can help promote regular bowel movements and reduce gas. Avoid foods that are known to cause bloating, such as dairy products, beans, and carbonated beverages. Keeping a food diary may help you identify specific triggers.

2. Hydration: Drinking plenty of water can aid digestion and help prevent constipation, which can contribute to feelings of bloating and discomfort.

3. Physical Activity: Gentle exercise, such as walking, can stimulate bowel function and help alleviate gas buildup. Aim for regular, moderate activity to promote overall digestive health.

4. Stress Management: Since anxiety can exacerbate gastrointestinal symptoms, consider incorporating relaxation techniques such as deep breathing, meditation, or yoga into your routine.

If these lifestyle changes do not alleviate your symptoms, it may be advisable to consult a gastroenterologist. They can perform further evaluations, such as imaging studies or endoscopic procedures, to rule out any underlying issues that may be contributing to your discomfort.

In summary, the sensations you are experiencing post-surgery are likely related to temporary changes in your gastrointestinal function. With appropriate dietary adjustments, hydration, physical activity, and stress management, you may find relief from these symptoms. However, if your discomfort persists or worsens, seeking medical advice is essential to ensure there are no other underlying conditions that require attention.

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