Post-Appendectomy Recovery: Concerns About Pain and Exercise - Surgery

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I had an appendectomy on June 2nd of this year?


I am a professional soldier, and I have to train every day while wearing gear, which puts pressure on my wound.
Although it looks healed on the outside, it feels hard on the inside, and sometimes just bending over causes pain at the wound site.
Additionally, I am currently unable to have normal bowel movements and have been using laxatives and taking medication for soft stools.
I am concerned that my intestines might be adhered.
Can I exercise? (I have a physical fitness test next Monday.)

Xiao Ge, 20~29 year old female. Ask Date: 2015/07/01

Dr. Li Qinglong reply Surgery


Hello: After a laceration, you may not be able to engage in vigorous exercise immediately.
Will you have a follow-up appointment after the procedure? It is recommended that you attend follow-up visits as scheduled for the physician to monitor the healing of the wound.
Thank you.

Reply Date: 2015/07/01

More Info


Post-appendectomy recovery can be a challenging process, especially for someone with a physically demanding job like a soldier. It’s important to address your concerns regarding pain, exercise, and the potential for complications such as adhesions.

Firstly, it’s not uncommon to experience some discomfort or pain at the surgical site after an appendectomy. The hardness you feel under the skin could be due to swelling or scar tissue formation, which is a normal part of the healing process. However, if you are experiencing significant pain, especially when bending or stretching, it may be a sign that you need to take it easy and allow more time for healing.

Regarding your concerns about bowel movements, it’s essential to maintain regularity after surgery. Constipation can occur post-operatively, often due to pain medications, changes in diet, or reduced physical activity. If you are currently using laxatives and experiencing difficulty, it’s advisable to consult your healthcare provider for further evaluation and management. They may recommend dietary changes, increased fluid intake, or other interventions to help regulate your bowel movements.

The worry about intestinal adhesions is valid, as they can develop after abdominal surgery. Adhesions are bands of scar tissue that can form between abdominal tissues and organs, potentially leading to pain or bowel obstruction. While it’s difficult to predict if adhesions will form, most people do not experience significant issues. If you notice persistent pain, changes in bowel habits, or other concerning symptoms, it’s crucial to seek medical attention.

As for exercise, it’s essential to listen to your body. While light activity can promote healing and prevent complications, you should avoid any strenuous exercise or heavy lifting until you have fully recovered. Since you mentioned that you have a physical fitness test coming up, it’s important to approach this with caution. If you feel pain during any activity, it’s best to stop and consult with a healthcare professional. They can provide guidance on what types of exercises are safe for you at this stage of recovery.

In general, here are some recommendations for your recovery:
1. Rest and Recovery: Allow your body time to heal. Avoid high-impact activities or exercises that strain your abdominal muscles.

2. Gentle Movement: Engage in light activities such as walking, which can help improve circulation and promote healing without putting too much strain on your body.

3. Pain Management: If you experience pain, consider using over-the-counter pain relievers as directed by your healthcare provider. However, avoid taking any medications without consulting them first.

4. Dietary Adjustments: Focus on a high-fiber diet to help with bowel regularity. Foods like fruits, vegetables, whole grains, and plenty of fluids can be beneficial.

5. Monitor Symptoms: Keep an eye on your symptoms. If you experience severe pain, fever, vomiting, or any signs of bowel obstruction (such as severe abdominal pain, bloating, or inability to pass gas), seek medical attention immediately.

6. Consult Your Doctor: Before resuming any exercise regimen, especially with your upcoming fitness test, consult your healthcare provider. They can assess your recovery and provide personalized recommendations based on your condition.

In conclusion, while it’s understandable to be concerned about your recovery and the potential for complications, focusing on gradual healing and listening to your body is key. Make sure to communicate openly with your healthcare provider about your symptoms and concerns, and they will guide you through a safe recovery process.

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