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Liver abscess removed by surgery. Having digestion problem. What is causing this?

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General Surgeon
Practicing since : 2008
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My Hsuband had pus in his Liver 5 years back which was removed thru a small surgery (basically pulled out he pus using a long needle). At that time he was asymptomatic, the doctors took 3 days to diagnose it since all he was suffereing from was high fever and chills no issues with digestion .... everything went well, we did a scan a year later and the liver was shown as ok. Of late he is having digestion problems, complains of gas and indigestion ... do we need to be worried, are there chances of a relapse?
Posted Sat, 9 Mar 2013 in Digestion and Bowels
Answered by Dr. Grzegorz Stanko 35 minutes later

Thank you for the query.

Liver abscess does not appear without a reason. Most likely it is caused by inflammation of the bile ducts, veins or abdominal cavity which affect liver. Every inflammation lefts scar tissue. If the infection were from intestines or other part of abdominal cavity, for sure it has created adhesions. Such adhesions can impede proper intestines passage and can be a reason of digestion problems. Moreover, as liver is in close relations to the pancreas, severe pancreas inflammation can be a reason of indigestion.
A part of abscess treatment is antibiotics therapy. Every antibiotics therapy can affect intestines and also give such symptoms.
Most of this diseases are benign however needs to be ruled out. I suggest you to visit gastroenterologist and have abdominal ultrasound, abdominal X-ray, blood work, liver tests, amylase, lipase, bilirubin checked. If no findings, abdominal CT with oral contrast might be necessary to visualize intestines.
If no findings, you may also try Rifaximine treatment along with probiotics. It usually eradicate pathological bacterias and lefts the good once.

Hope this will help. Feel free to ask further questions.
Above answer was peer-reviewed by
Follow-up: Liver abscess removed by surgery. Having digestion problem. What is causing this? 4 minutes later
Thanks a Ton for your response
Answered by Dr. Grzegorz Stanko 1 minute later
You are welcome.
Above answer was peer-reviewed by
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