As your daughter has asthma
, it would not be unusual to have a cough with a small amount of sputum at this stage following an appendectomy
. She may need to use her inhalers a little more over the next few days. This does not necessarily indicate that she is developing a chest infection
The shoulder pain
may be related to the surgical method that was used. Many appendectomies are carried out through telescopic instruments rather than larger surical incisions
. As part of the technique, gas is used during the procedure. This can commonly become trapped for a few days post-operatively and cause shoulder tip pain. This will resolve spontaneously in the next few days.
At this stage there is nothing to worry about. If your daughter is still producing sputum after a week and has a fever, I would suggest she may need antibiotics.
I wish her a speedy recovery.
Dr K A Pottinger,