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What causes pain and wet feeling around incision scar after abdominal surgery?

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Posted on Wed, 20 May 2015
Question: I recently had open abdominal surgery to remove an adhesion to my small intestine. My scar is healing up nicely, but to the right of the scar I am having some pain and sometimes my skin feels wet. Also, continuing to have immense pressure and discomfort when I push to have a bowel movement.
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Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Please give details.

Detailed Answer:
Hi.
Thanks for your query and an elucidate history.

To recapitulate: 48/Female - H/O Hysterectomy causing adhesion - open Surgery to remove adhesion on small intestine - scar healing nice - but some pain and feeling wet on the right of the scar - continuing to have immense pressure and discomfort when you have to push for BM.

Please provide some further information:
- What were the symptoms before surgery for which you were operated?
- When were both the surgeries done?
- Can you please post the reports attached to this query?
- Does the pain on the right of the scar increase when you push for BM?
- Wetness is just a feeling or there is actual wetting/leaking of fluid?
- Any other information you would like to share.

It is premature for me to say anything without a proper details of symptoms or findings or reports.
Yet it looks that everything is not fine as per your history.

It is possible that there is recurrence of adhesion, which is so common .
May be something/ intestine is adherent to the under-surface of the scar.

I would advise for a contrast enhanced CT scan of the abdomen.
Review by the operating Surgeon or Second opinion if he thinks so.

This will clear the real picture to decide further management.

I hope this gives you an insight and helps to take further steps. Please feel free to ask further relevant queries if you have or if you feel that there is a gap of communication.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (5 hours later)
Thank you for your response. Prior to this surgery, I had a severe pinching on the right side once per month. I thought that because I have one ovary on the same side, that it was related to ovulation or a cyst on that ovary. Finally on March 17 I had severe pain on that right side and had been constipated for several days. I went to my primary care MD, but I could not walk upright. He sent me to the ER. I had an NG tube put in after several contrast CT scans. At one point, I had so much nausea and vomiting that my NG tube came out. When the RN put it back in the NG tube was flipped up at the end and for two days I suffered with pain. I have had esophageal distress since that time with discomfort. On the sixth day, I believe the intestine was more distended and my surgeon decided to do an open abdominal surgery. Surgery was March 24th. I have healed nicely but am having tenderness and the "wet feeling," on my left side( I wrote the wrong side I initially). There is nothing wet but I look down and it "feels wet." I think that my stomach is still sore and so when I push it is just uncomfortable. The left side discomfort is about 1/2 inch from the top of the scar and feels tender about three inches out.
doctor
Answered by Dr. T Chandrakant (7 hours later)
Brief Answer:
Laxative/ enema after consultation with your Surgeon.

Detailed Answer:
Thanks for your feedback.
You are re-operated on March 24.
Pain was on the right side and has constipation - esophageal distress since NGT problem - now the tenderness and wet feeling is on the ''left side'' - uncomfortable on pushing for BM -

The probable reason can be colitis or loaded colon.
If there are no intestinal symptoms at all as you had before obstruction, mild laxative or/and enema should help you - after consultation of your Surgeon.
Many times due to change in bowel habits due to intestinal problems it takes time for the body clock to come back to normal.

I hope this answer helps you. Please try and give feedback.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. T Chandrakant

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Practicing since :1984

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What causes pain and wet feeling around incision scar after abdominal surgery?

Brief Answer: Please give details. Detailed Answer: Hi. Thanks for your query and an elucidate history. To recapitulate: 48/Female - H/O Hysterectomy causing adhesion - open Surgery to remove adhesion on small intestine - scar healing nice - but some pain and feeling wet on the right of the scar - continuing to have immense pressure and discomfort when you have to push for BM. Please provide some further information: - What were the symptoms before surgery for which you were operated? - When were both the surgeries done? - Can you please post the reports attached to this query? - Does the pain on the right of the scar increase when you push for BM? - Wetness is just a feeling or there is actual wetting/leaking of fluid? - Any other information you would like to share. It is premature for me to say anything without a proper details of symptoms or findings or reports. Yet it looks that everything is not fine as per your history. It is possible that there is recurrence of adhesion, which is so common . May be something/ intestine is adherent to the under-surface of the scar. I would advise for a contrast enhanced CT scan of the abdomen. Review by the operating Surgeon or Second opinion if he thinks so. This will clear the real picture to decide further management. I hope this gives you an insight and helps to take further steps. Please feel free to ask further relevant queries if you have or if you feel that there is a gap of communication.