Q. I recently had my appendicitis surgery but still having pain in right lower abdomen. Why?

Answered by
Dr. Ahmad Meleha
and medically reviewed by iCliniq medical review team.
Published on Oct 24, 2019

Hello doctor,

I had my appendix removal surgery before twenty days via laparoscopy. I am having pain in the right lower abdomen for the past three to four days. Ultrasound shows mild post-operation fluid build-up. I have enclosed my USG report. Is this serious? What does this mean? Please advise on diagnosis and treatment.

Dr. Ahmad Meleha

General Practitioner General Surgery
#

Hello,

Welcome to icliniq.com.

I have seen the reports. (attachment removed to protect patient identity).

When anybody has an intra-abdominal inflammation, there will be inflammatory fluids, which is described as a fluid collection. This inflammatory fluid irritates the abdomen and develops a pain.

When we do a laparoscopic appendectomy, there will be some inflammatory fluids. After the surgery is done, the surgeon cleans this fluid by the suction. There are many hidden intra-abdominal pouches that may collect some fluids and remain in the abdominal cavity even after the operation. Some surgeons may put an intra-abdominal drain to drain any remaining fluids, while others are satisfied with good suction. Anyway, the minimal remaining inflammatory fluid is not a big deal and will be naturally reabsorbed by the body with the aid of medication.

So you now have two reasons for the pain:

1. The operation itself and the healing wound.

2. The remaining intra-abdominal inflammatory fluid.


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Thank you doctor,

Do you suggest any medication? Or should I just leave and let it heal on its own? I have enclosed my USG report for your reference. Please advise.

Dr. Ahmad Meleha

General Practitioner General Surgery
#

Hello,

Welcome back to icliniq.com.

I have seen your report. (attachment removed to protect patient identity).

Continue on your regular post-operative medications, and this fluid will get reabsorbed by time. Even your pain will decrease gradually.


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