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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Weakness And Fluctuating Blood Pressure Level After An Appendectomy?

My 82yo mother is in hospital after an appendectomy. She is pale, weak, is on IV meds to improve her low and fluctuating blood pressure and has given her blood through the night. Doctors suggest internal bleeding but not sure where from until they perform scans. Can you shed some light?
Mon, 29 Dec 2014
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Internal Medicine Specialist 's  Response
If she is having to receive blood all night and blood pressure is low, then likely it is due to internal bleeding. The scans are necessary to identify the source of bleeding. It could be a result of the surgery, perhaps the area wasn't sufficiently stitched up. An injury could also have occurred to another area during the surgery, such as a blood vessel or the ureter or bladder, and is continuing to bleed. She might also be experiencing an infection (sepsis) as the result of the inflamed appendix which can also cause weakness and low blood pressure. If there is active bleeding, they may need to do surgery to stop it, depending on what the scans show. Sepsis requires aggressive antibiotic treatment and control of blood pressure. These would be the primary complications most likely to cause her symptoms. Hope this answers your question.
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What Causes Weakness And Fluctuating Blood Pressure Level After An Appendectomy?

If she is having to receive blood all night and blood pressure is low, then likely it is due to internal bleeding. The scans are necessary to identify the source of bleeding. It could be a result of the surgery, perhaps the area wasn t sufficiently stitched up. An injury could also have occurred to another area during the surgery, such as a blood vessel or the ureter or bladder, and is continuing to bleed. She might also be experiencing an infection (sepsis) as the result of the inflamed appendix which can also cause weakness and low blood pressure. If there is active bleeding, they may need to do surgery to stop it, depending on what the scans show. Sepsis requires aggressive antibiotic treatment and control of blood pressure. These would be the primary complications most likely to cause her symptoms. Hope this answers your question.