I am 45, post-op with norovirus. Why is the JP drain fluid dark?

Question

Hello doctor,

Norovirus is causing significant issues following my bariatric revision surgery (I am 45 years old, female). I cannot even keep ice chips down, and my dumping syndrome is worse than ever. I have lost 31 pounds in 6 days, which is being considered too rapid. My potassium level is 2.7 despite receiving IV treatment, and my blood sugar has dropped to 45 despite the administration of dextrose. The JP drain is showing dark fluid. Could this be a leak or is it just a result of the virus?

Please guide.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Thank you for posting your query.

Rapid weight loss, severe electrolyte imbalances, and worsening dumping syndrome following norovirus and bariatric surgery can be very dangerous. A potassium level of 2.7 mEq/Lis is critically low, so urgent potassium replacement is necessary. The low blood sugar could be due to the body's stress response, but close monitoring is essential.

Regarding the Jackson-Pratt drain, dark drainage may indicate a leak, infection, or simply a response to the virus. It is important to consult with your surgical team immediately to rule out any potential complications. You may require intravenous fluids, antiemetic medications, and more intensive monitoring of your electrolytes and blood glucose levels. Stay in close contact with your healthcare team for necessary adjustments.

Please let me know if you want some help.

Thank you.