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What Causes Vomitting Of Bile Fluid After Being Weaned Off NG Tube?
Question: just had 5th bowel surgery. bowel obstruction from adhesions. currently in hospital day 11. have a pocket that holds 1Liter of fluids that seems to press off the guts and causes great pain. everytime I've been weaned off the NG tube ive ended up being put bock on tube and having 1Liter pulled off or vomiting about thatmuch. it is below stomach but all the bile is pushed up. the majority of fluid is bile. what could pocket be and how do i get the docs to treat me.
Brief Answer:
Its a seroma.
Detailed Answer:
Hello and thanks for query my dear patient,
Most likely its a seroma.A seroma is a collection of fluid that builds up under the surface of your skin. Seromas usually develop after a surgical procedure, most often where tissue was removed(usually in large surgeries involvi g gut).The swelling and fluid may start collecting after surgery.S
Ask your surgical team to put a drainage catheter around the site of incision for few days this would help to drain off the fluid quickly.Initially get an ultra sound done to rule out possibility of calcification of fluid or development of pus into it.If things are normal ask your general surgeon to put drainiage tube at the site of removal of tissue of intestine.It will take few days for the fluid to get draimed off.
Broad spectrum antibiotics should be given parentrally to prevent formation of absess or sepsis.
Hope i answered your query well.
Please feel free to follow up.
Thanks
Its a seroma.
Detailed Answer:
Hello and thanks for query my dear patient,
Most likely its a seroma.A seroma is a collection of fluid that builds up under the surface of your skin. Seromas usually develop after a surgical procedure, most often where tissue was removed(usually in large surgeries involvi g gut).The swelling and fluid may start collecting after surgery.S
Ask your surgical team to put a drainage catheter around the site of incision for few days this would help to drain off the fluid quickly.Initially get an ultra sound done to rule out possibility of calcification of fluid or development of pus into it.If things are normal ask your general surgeon to put drainiage tube at the site of removal of tissue of intestine.It will take few days for the fluid to get draimed off.
Broad spectrum antibiotics should be given parentrally to prevent formation of absess or sepsis.
Hope i answered your query well.
Please feel free to follow up.
Thanks
Above answer was peer-reviewed by :
Dr. Kampana
nothing was removed and bowel is intact. fluid accumulates in bowel and is relieved by ng tube or vomit of 1000mL of fluid. it is after the stomach and allows fluid passage while it acclumates fluid until bowel is closed off.
Brief Answer:
follow up.
Detailed Answer:
Hello my dear patient,
I feel that there is some perforation in your gut as a result of complication of surgery which acts like a point of continuous leakage of fluid.
At this point surgeon has to take call whether he wants to do a explorative laprotomy again to find the site of leak or would wait and watch however 1000 ml of fluid could be suggestive of some perforation or site of leakage and a explorative check laprotomy could be done.
Thank you.
follow up.
Detailed Answer:
Hello my dear patient,
I feel that there is some perforation in your gut as a result of complication of surgery which acts like a point of continuous leakage of fluid.
At this point surgeon has to take call whether he wants to do a explorative laprotomy again to find the site of leak or would wait and watch however 1000 ml of fluid could be suggestive of some perforation or site of leakage and a explorative check laprotomy could be done.
Thank you.
Above answer was peer-reviewed by :
Dr. Remy Koshy
dialated dueodenal part 4 closing off the rest of bowel
Brief Answer:
follow up.
Detailed Answer:
Hello again,
Very likely thats the site of leakage.
Exploratory check laprotomy should be done.
Regards.
follow up.
Detailed Answer:
Hello again,
Very likely thats the site of leakage.
Exploratory check laprotomy should be done.
Regards.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Prasad
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