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Is It Normal To Get Discharge Purulent Post A Minor Liver Surgery?

Posted on Mon, 27 Jun 2016

Question: on last Saturday I got minor surgery of live abscess (ALA) . Drain was installed. Pus was come out with chocolate colour but little thick . but till today watery chocolate colour is also comming out . is it normal ? how much time to recover ? For how many days drain installed ?

Answered by Dr. Ajit Naniksingh Kukreja (6 hours later)

Brief Answer:
It is normal

Detailed Answer:
Hi

Thanks for writing in

It is normal to get discharge purulent or serous for up to three weeks if you are on treatment

It appears you have amoebic liver abscess it needs long term treatment around six weeks the time taken to recover

The drain needs to be kept for a minimum of 5 days till the track is formed and/or the drain is totally dry

To assure you should go for a repeat CBC and ultrasound at three weeks

Hope this helps
Do write back in case of concern

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ajit Naniksingh Kukreja (24 minutes later)

fluid is comming out near about 70 ml per day . what is the resion for this fluid ? is it pus or water ?

Answered by Dr. Ajit Naniksingh Kukreja (59 minutes later)

Brief Answer:
Get a culture of the drain fluid done

Detailed Answer:
Hi
THanks for writing in again

If on 6th post operative day it is 70ml per day get a culture of the drain fluid done and a CBC today itself

It is probably serousanguinous fluid that is coming out of the cavity

What was the size of abscess before it was drained ?
How much of it was drained ?
What medicines are you taking right now ?

Do write back with details so that I can help you better
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajit Naniksingh Kukreja (10 minutes later)

I attached document and yesterday ultrasound report. before drain fuild was thick . but now fluid is watery and chocolate colour . on surgery time near about 250 ml drain . medicines are in documents.

Answered by Dr. Ajit Naniksingh Kukreja (2 minutes later)

Brief Answer:
There is no attachment

Detailed Answer:
Seems you missed attaching the files

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Ajit Naniksingh Kukreja (16 minutes later)

file attached

Answered by Dr. Ajit Naniksingh Kukreja (19 hours later)

Brief Answer:
Wait & Watch

Detailed Answer:
Hi

Thanks for the update

Having gone through your reports I feel the cavity will regress soon

Continue Monocef O for minimum 10-14 days
Metrogyll for 21 Days

If the volume of drain does not reduce in another 48-72 hours go for culture of the fluid

Hope this reassures you
Keep me updated about the progress
Wishing you speedy recovery

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad