Hi, I Had An Appendectomy About 4 Weeks Ago. The
I had an appendectomy about 4 weeks ago. The surgeon also repaired an umbilical hernia at the same time. Everything has been healing well until last night I woke up with stomach pains. I went to the bathroom and it felt a little better. I went again this morning I thought I had diaherria but it was actually blood. I just went again now and there was more blood. I was also lifting some very heavy things the night before and I don’t know if that caused something. Please let me know what you think this could be.
Thank You, XXXXXXX Hooper
Usually internal piles or polyp
Detailed Answer:
Hi.
Thanks for your query.
Noted the history well and understood the concerns.
The commonest cause for blood per-rectum after 4 weeks of appendectomy that I can think is:
Bleeding internal piles/hemorrhoids.
Other causes can be Polyp, Diverticulitis, telengiectasia, low platelet and so on.
The bleeding from Appendectomy site after 4 weeks of surgery is almost unheard of although should be kelp in mind as healed wound can have a granuloma or so.
I would advise you the following in such a case:
Go to ER so that at least per-rectal examination can show for hemorrhoids or polyp.
May need Colonoscopy.
Blood tests will be vital and may indicate for any general cause.
Take care.
And give feedback.
Dr T Chandrakant.
General Surgeon.