Understanding Post-Appendectomy Pain: Is It Adhesions?
It is common to experience pain after an appendectomy? In mid-July, I underwent laparoscopic surgery for a perforated appendicitis complicated by a localized abscess and peritonitis, involving three ports and one drainage tube, totaling four incisions. I had no significant issues...
Dr. Chen Jiaming Reply:
Appendicitis with perforation and localized peritonitis will inevitably lead to some degree of intra-abdominal adhesions, which will not be altered by your surgical approach (laparoscopy). Individuals may experience varying symptoms based on the extent of intra-abdominal adhesion...[Read More] Understanding Post-Appendectomy Pain: Is It Adhesions?
Understanding Post-Appendectomy Pain in Children: What to Expect
Appendicitis with perforation complicated by peritonitis? A five-year-old child visited the emergency room on July 23 and was diagnosed with appendicitis. Initially, the doctor considered treating it with antibiotics, but that was ineffective, leading to surgery on July 26. The d...
Dr. Chen Jiaming Reply:
Due to a ruptured appendix leading to peritonitis, there is a widespread inflammatory response within the abdominal cavity, making postoperative intestinal adhesions very likely. Children may experience abdominal distension and complain of pain. Generally, it is important to moni...[Read More] Understanding Post-Appendectomy Pain in Children: What to Expect
Understanding Chronic Abdominal Pain After Appendicitis Surgery
Many years after peritonitis surgery? When I was three years old, I underwent surgery for appendicitis that had ruptured, leading to peritonitis. According to my parents, after the surgery, the wound had persistent purulent discharge, and I had to go back to the operating room fo...
Dr. Chen Jiaming Reply:
Any significant intra-abdominal infection or surgery can lead to a certain degree of intra-abdominal adhesions. Common clinical symptoms include bowel irregularity, abdominal distension, pain, and in severe cases, intestinal obstruction. Mild pain or abdominal distension that occ...[Read More] Understanding Chronic Abdominal Pain After Appendicitis Surgery
Is Bright Red Blood in Stool Normal After Appendicitis Surgery?
Bright red blood in the stool? On August 22, there was a rupture of the appendix leading to peritonitis. The physician assessed that there was adhesion, and surgery could not be performed temporarily. After suppressing the inflammation with antibiotics, there is currently no pain...
Dr. Xu Kaixi Reply:
Based on your description, the most likely cause of your bloody stool is inflammation and bleeding from hemorrhoids. However, other serious gastrointestinal diseases are also possible. If the condition persists without improvement, it is recommended that you visit a hospital'...[Read More] Is Bright Red Blood in Stool Normal After Appendicitis Surgery?
Post-Surgery Complications: Understanding Wound Infections After Appendectomy
Post-wound complications? Hello, doctor. I underwent laparoscopic surgery for acute appendicitis on July 10th in the early morning. However, it was discovered a bit late, and there was some early pus formation. The doctor did not assess for peritonitis at that time, but due to co...
Dr. Ke Fangxu Reply:
Laparoscopic appendectomy has a higher risk of infection at the incision site since the appendix is removed through the umbilical incision. However, whether what you are experiencing is truly pus or just wound exudate should be evaluated by a physician. As for the peritonitis cau...[Read More] Post-Surgery Complications: Understanding Wound Infections After Appendectomy
Understanding Cellulitis: Symptoms, Treatment, and Next Steps
Cellulitis Hello Dr. Li, I have developed lesions resembling folliculitis near the groin area at the top of my thigh, accompanied by symptoms of redness, swelling, heat, and pain. I was later diagnosed with cellulitis at a nearby hospital, where I underwent debridement and had a ...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to be hospitalized for antibiotic treatment. A ruptured sebaceous cyst combined with an abscess and cellulitis may require debridement 2 to 3 times before healing. Wishing you well! Changhua Hospital cares about you![Read More] Understanding Cellulitis: Symptoms, Treatment, and Next Steps
Understanding Adhesive and Strangulated Bowel Obstruction in Elderly Patients
Gastrointestinal issues My father is 86 years old and experienced adhesive small bowel obstruction earlier this year. After hospitalization, he has improved. 1. Regarding adhesive small bowel obstruction: (1) The physician suggested that due to his age and pre-existing hear...
Dr. Chen Jiaming Reply:
Intestinal obstruction caused by adhesions is typically managed initially with conservative supportive therapy, which includes fasting, nasogastric tube decompression, and intravenous fluid administration. Clinical response is then monitored, and if improvement is observed, surgi...[Read More] Understanding Adhesive and Strangulated Bowel Obstruction in Elderly Patients
Concerns About Laparoscopic Hemostatic Clips and Appendicitis Surgery
Laparoscopic hemostatic clips and issues related to appendicitis? Hello Dr. Chen, I recently underwent laparoscopic appendectomy. Due to a lack of medical knowledge at the time and the urgent nature of appendicitis requiring surgery, I did not communicate properly with the physic...
Dr. Chen Jiaming Reply:
Titanium clips are compatible with body tissues and are still widely used in various surgical procedures today. The number of reported cases in the literature is relatively rare compared to the actual number of surgeries performed. In contemporary laparoscopic surgeries, the majo...[Read More] Concerns About Laparoscopic Hemostatic Clips and Appendicitis Surgery
Is Non-Surgical Treatment for Appendicitis Risky? Understanding Recurrence Rates
Is the likelihood of recurrence high if appendicitis is not treated surgically? Doctor, I visited a nearby clinic on March 15th due to upper abdominal pain, and I was diagnosed with gastroenteritis. Three days later, as the pain shifted to my lower right abdomen, I went to a larg...
Dr. Chen Jiaming Reply:
Basically, if acute appendicitis is diagnosed and there are no specific reasons that make anesthesia and surgery inappropriate, such as poor cardiopulmonary status in the elderly or severe coagulopathy, it is generally recommended to arrange for an appendectomy as the appropriate...[Read More] Is Non-Surgical Treatment for Appendicitis Risky? Understanding Recurrence Rates
Post-Surgery Care for Pediatric Peritonitis Wounds: Healing Concerns
Peritoneal wound? In cases of pediatric intestinal perforation with peritonitis, if the wound has not healed two weeks post-surgery and requires daily washing for ten days, it is understandable to be concerned. 1. Generally, surgical wounds may need to be cleaned daily until th...
Dr. Ke Fangxu Reply:
1. In infants, intestinal perforation often leads to wound infections due to their underdeveloped immune system. Unless there is leakage of an intra-abdominal abscess, with appropriate treatment, recovery generally occurs within two to three weeks. 2. The infection of the wound ...[Read More] Post-Surgery Care for Pediatric Peritonitis Wounds: Healing Concerns
Understanding Nocturnal Left Upper Abdominal Pain After Peritoneal Dialysis
Persistent left upper abdominal pain for one and a half months? Hello Doctor, my father has been on automated peritoneal dialysis (APD) for over two years. After experiencing a dislodged peritoneal dialysis catheter last September, he underwent laparoscopic surgery for fixation. ...
Dr. Chen Jiaming Reply:
Based on your description, there are too many potential influencing factors. Pain at a specific point in time may sometimes relate to the recent medication status, such as whether pain relief medications have been used. For gastrointestinal and hepatobiliary issues, endoscopy and...[Read More] Understanding Nocturnal Left Upper Abdominal Pain After Peritoneal Dialysis
Post-Surgery Complications: Understanding Bowel Adhesions and Diarrhea
Intestinal obstruction after intestinal adhesion surgery? Hello, Dr. Ke! I have a few questions I would like to ask you. I was hospitalized for conservative treatment of intestinal obstruction on July 20, and after nearly two weeks of treatment, my condition did not improve and a...
Dr. Ke Fangxu Reply:
If the intestinal adhesion surgery did not go smoothly, it is likely that a considerable amount of antibiotics were used. Long-term use of antibiotics can potentially lead to diarrhea. Additionally, if a significant portion of the small intestine was resected during the surgery, ...[Read More] Post-Surgery Complications: Understanding Bowel Adhesions and Diarrhea
Post-Laparoscopic Surgery: Managing Prolonged Drainage and Risks
Post-laparoscopic surgery, the drainage of serosanguinous fluid has remained elevated for over two weeks, exceeding the standard volume (145cc)? Ultrasound examination is normal. Antibiotics have been administered for three days. The physician mentioned that it is "possible&...
Dr. Chen Jiaming Reply:
Simply from the text, it is not possible to understand what type of laparoscopic surgery you underwent, such as appendectomy, cholecystectomy, or another type. Each surgical procedure has different clinical indications and presentations that vary from person to person, such as ac...[Read More] Post-Laparoscopic Surgery: Managing Prolonged Drainage and Risks
Understanding Anal Itching: Causes, Symptoms, and Home Remedies
Anal itching Hello Doctor, I have a history of peritonitis and usually do not have daily bowel movements. Since this winter break, I have noticed that my stools are painful and there is quite a bit of blood. After a period of improvement, I have recently started to see blood in m...
Dr. Yu Mingchang Reply:
Hello: The likelihood of anal fissures is higher. Please consume more fruits and vegetables. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Understanding Anal Itching: Causes, Symptoms, and Home Remedies
Understanding Post-Surgery Complications: Insights on Peritonitis and Kidney Function
Appendectomy for peritonitis? Hello, doctor. My family member fainted on the 14th and was taken to the emergency room. The doctor diagnosed them with peritonitis and they required emergency surgery, which lasted nearly six hours. The doctor mentioned that due to the severity of t...
Dr. Xu Kaixi Reply:
Peritonitis can lead to sepsis or septic shock, which may result in inadequate organ perfusion and potentially cause multiple organ failure, including renal failure. Additionally, there are numerous possible causes of renal failure, and it is often not due to a single factor. It ...[Read More] Understanding Post-Surgery Complications: Insights on Peritonitis and Kidney Function
Post-Surgery Recovery: Is Stomach Pain Normal After Gastric Perforation?
Surgery for gastric perforation and peritonitis? Hello doctor, I had surgery for a gastric perforation and peritonitis about a month ago and have been recovering at home. However, I still experience sharp pain in my stomach. Is this normal? My attending physician advised me to ha...
Dr. Li Zhonghuai Reply:
Hello! The difference between laparoscopic surgery and traditional surgery primarily lies in the ease of excising surrounding tissue for pathological examination. Laparoscopic surgery typically involves simple suturing, so post-operative concerns about perforation are often relat...[Read More] Post-Surgery Recovery: Is Stomach Pain Normal After Gastric Perforation?
Post-Operative Care for Peritonitis: Managing Complications and Recovery
Postoperative peritonitis The patient is a 71-year-old male. On January 18, he presented to the emergency department with acute abdominal pain and was observed for one day before being discharged. On January 19, he experienced severe abdominal pain again and was diagnosed with in...
Dr. Yang Yaokun Reply:
Hello^^ Due to the patient's complex clinical condition, we are unable to provide relevant advice. Please discuss the situation in detail with the treating physician. Thank you![Read More] Post-Operative Care for Peritonitis: Managing Complications and Recovery
Post-Appendectomy Recovery: Understanding Pain and Elevated White Blood Cell Count
Post-appendectomy Hello Dr. Hsu, I am from Hong Kong. After my examination on January 30, the doctor informed me that I had appendicitis and a rupture, with contaminated fluid in my abdomen. I was also told that I had colitis, and I underwent surgery at 3 PM that same day. After ...
Dr. Xu Kaixi Reply:
Based on the information you provided, the initial diagnosis of appendicitis and rupture, along with the surgical approach and postoperative care and recovery process, combined with ongoing gastrointestinal symptoms, wound pain, and a series of blood test results, indicate that y...[Read More] Post-Appendectomy Recovery: Understanding Pain and Elevated White Blood Cell Count
Understanding Peritonitis Treatment: Insights and Patient Experiences
Treatment of peritonitis? Hello Dr. Ke, I apologize for accidentally sending the message before finishing it last time. My mother has been on peritoneal dialysis for eleven years and is in good condition, having never experienced peritonitis. However, from mid-December to the end...
Dr. Ke Fangxu Reply:
Peritoneal dialysis is most concerned with peritoneal infection. It has now been decided to switch to hemodialysis and remove the peritoneal catheter. Following this, antibiotic treatment will be based on the results of bacterial cultures, which is the correct approach. As long a...[Read More] Understanding Peritonitis Treatment: Insights and Patient Experiences
Understanding Peritoneal Dialysis Complications: A Three-Month Hospital Journey
Hospitalized for three months due to peritonitis? Hello Dr. Ke, my mother has been on peritoneal dialysis for eleven years and her condition has been stable without any episodes of peritonitis. However, from mid-December to the end of December last year, she experienced difficult...
Dr. Ke Fangxu Reply:
Due to the incomplete nature of your inquiry, we are currently unable to provide you with a response. If needed, please feel free to ask again and present your question in full detail. Thank you![Read More] Understanding Peritoneal Dialysis Complications: A Three-Month Hospital Journey