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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Abdominal Pain

I had a laparoscopic appendectomy on June 29th. I am home recuperating until July 27th because I am a nursing assistant in a hospital. There is no light duty. I ve been getting bouts of severe abdominal pain and running low grade fevers of 99.6-100.2. Should I be concerned?
Tue, 30 Jun 2020
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General & Family Physician 's  Response
Hi,

Low grade fever with pain in abdomen after a laparoscopic appendectomy suggests presence of infection/inflammation at the operation site. A local examination followed by MRI, if needful would pin point the cause followed by suitable antibiotic, anti inflammatory medicines / any other procedure to cure the problem.

You should consult your operating surgeon for the advise after direct examination and personal advise about dosage of medicines. Till then you can take paracetamol pill after food to relieve pain and inflammatory process. Please don't massage or foment it.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Vasudha Jayant Athavale, General & Family Physician
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General & Family Physician Dr. Dr. Yogapriya Vasudevan's  Response
Hi.
I've gone through your query and I can understand your anxiety.

Abdominal pain post surgery cannot be taken for granted. It needs immediate attention. It might be due to the condition called Stump appendicitis, which is a rare complication following appendectomy. Here the residual portion of the appendix left behind during surgery gets inflamed & gives the same clinical presentation as that of acute appendicitis.

History reveals you have abdominal pain, high grade fever too. So other complications like bleeding, Wound infection, peritonitis, blocked bowels or njury to nearby organs should be ruled out

I would advice you to
- Go to ER for a USG or CT abdomen
- Do blood leukocyte count which would be elevated in such cases
- Take analgesics
- Take adequate rest.
- Avoid lifting heavy weights

Hope I have answered your query. Let me know if I can assist you further. Take care.

Regards,
Dr. Yogapriya V, General and family physician.
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Suggest Treatment For Severe Abdominal Pain

Hi, Low grade fever with pain in abdomen after a laparoscopic appendectomy suggests presence of infection/inflammation at the operation site. A local examination followed by MRI, if needful would pin point the cause followed by suitable antibiotic, anti inflammatory medicines / any other procedure to cure the problem. You should consult your operating surgeon for the advise after direct examination and personal advise about dosage of medicines. Till then you can take paracetamol pill after food to relieve pain and inflammatory process. Please don t massage or foment it. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Vasudha Jayant Athavale, General & Family Physician