Get your Health question answered in 3 easy steps

187 Doctors Online
Owl Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes chills and fever post transvaginal hysterectomy?

Answered by
Owl Image
Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6000 Questions

Question
Hello. I'm 66 yo. Had transvaginal hysterectomy/bladder prolapse repair July 1 of this year. July 13 in a.m. I had extreme chills and fever. Doctor had me admitted for three nights. CAT scan showed 2" x 4" liquid sack in area of surgery. Doc said they would be unable to aspirate it. I'm now home and taking two antibiotics. O.k. so far. What usually causes these infections? Anything else I can do? Thanks!
Also, I read that women who have complications usually are obese and/or diabetic or smokers. I am none of these.
I've had early morning night sweats since I've come home.
Sat, 9 Aug 2014 in General Health
 
 
Answered by Dr. Aarti Abraham 26 minutes later
Brief Answer:
VAGINAL VAULT HEMATOMA, COMMON COMPLICATION.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
What you have got is called a vaginal vault hematoma.
This is very common after a vaginal hysterectomy, with incidences ranging from 25 % to 98 % in most studies.
Obesity, diabetes, smoking, non - ambulation are risk factors for wound sepsis and wound infection.
However, for a vaginal vault collection, the most important factor is surgical technique.
SO please do not blame yourself or look to yourself as a culprit.
Almost more than 50 % of women have small or big amount of such fluid collection in the pelvis following a hysterectomy.
Yours is a moderate sized collection, the problem is that with fever and chills, it indicates that there is infection.
Unluckily, it must be situated in such a position that they are unable to drain it - drainage is the quickest and most effective solution.
In absence of drainage, you need to wait for it to spontaenously get absorbed as the fluid will seep back into the peritoneal spaces.
It will take time.
The antibiotics should be diligently taken to avoid risk of florid infection setting in.
What you can do is ambulate moderately.
Take the antibiotics without skipping a dose.
Keep a tab on your fever, and if it is persistently elevated inspite of antibiotic coverage, report back to your doctor.
Avoid undue strain such as intercourse, bending, lifting weights or unaccustomed postures.
Take a hot water bottle if there is too much of pain.
Keep in touch with your doctor and have a follow up scan after the antibiotic course is completed.
All the best
Please feel free to discuss further.
Above answer was peer-reviewed by
 
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Topics

Recent questions on Night sweats

doctor1 MD

caught an unknown cold/virus 14 days ago. initial onset skin irritation I had been sunbathing 30 min in afternoon sun. first three days of infection characterized by severe skin sensitivity. hot and cold flashes. night sweats. moments where i cant get warm at all. by day 5 I was feeling better so I went back to work. day 6 rebound. day 7 decided to sweat it out with some work. rebound. day 8 9 and 10 bedridden left shoulder from mid back to base of neck locked up in spasm. day 11 took anti inflammatories felt horrible got home started hiccups. all other symptoms still with me to a seemingly lesser degree but now i have persistent hiccups and going on day 3 with no relief. tried 100mg gabapentin, worked for an hour.

doctor1 MD

I have had a fever for the past 3 days along with a stiff neck and back, and loss of appitite. My fevers usually range between 101.5- 102.6 with the occasional 103- 103.6. Last night I had night sweats and have started to get an infrequent cough. I also have granuloma annulare and with my immune system down it has flaired up swelling one eye shut and leaving various lesions around my knuckles, feet, and face. The fever and aches are keeping me up a lot at night and herefore I am always tired. Unfortunetley I am between providers and my insurance will not kick in until the 18th so seeing a doctor would be quite expensive. I have been drinking a lot of water and occasionally taking some over the counter fever reducers. I do have a perscribtion for Amoxicillin but I am not sure if that will help me. Please any suggestions would be greatly appreciated.

doctor1 MD

I have a torn meniscus due to an injury...since then, i've been in severe pain...can't eat, sleep and wake up in the night sweating profusely...nothing seems to help...feels like i have a fever, but haven't had a chance to take my temperature...can this cause a fever?

doctor1 MD

hi i know i might definitly need to go to get checked out but like some more insight about my problem. my tailbone hurts whenever i sit down in a certain way, i also have some form of night sweats, which consist of only occurring around my groin and buttocks, which also smell sometimes. it smells also when i go to the bathroom when going #2. i have already been twice to a planned parenthood facility to check for stds and hiv and all came out negative. what would your diagnosis be based from the symptoms im having?

doctor1 MD

the last 2 nights I have had some problems with night sweats and elevated blood pressure also the onset of sudden headaches at the back behind the ears its not severe and it do not last and feeling of general anxiety it wakes me up my hole body...

doctor1 MD

I feel dumb for asking these questions but I am at a loss .All of my life I have been relatively healthy 5-11 180 pounds. over the last year something has gone terribly wrong not sure if it is anxiety which I am told it is,by my some of my Dr s ....

doctor1 MD

pain in both arm pits also feeling weakness in body as a whole Had augmentations put in 7 years ago. Have had a thyroidectomy due to thyroid cancer . Have been feeling rushes of adrenaline and wekness in my body . I get warm and have been having...