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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe pain and dark urine after having an abdominoplasty. Elevated liver enzymes and eosinophils. Loss of appetite and headache. Need diet advice

Hello I had abdominoplasty three weeks ago.I had a marcane pain buster after surgery for a few days and never experienced much p ain at all since then. I only took an occasional hydrocodone , motrin and tylenol . Everything was great and then a week ago I started feeling sick. My urine got dark and my skin began to itch and my urine was dark. It turns out my liver enzymes and esophinosil levels are up and I might have cholestasis hepatitis. I am to f/u with my gastroenterologist tomorrow. I have a headache now. No fever or pain anywhere. The ct showed nothing but the Gi doctor on call says I still need a sono and it could be from anesthesia. They took me off flecanide which I take for occasional paroxismal a fib. I am wondering what the best diet for this is as I am not hungry and what the recovery time is for this. Thank you very much
Mon, 15 Apr 2019
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General Surgeon 's  Response
Hello,

* The post-surgical issue with dark urine and severe pain, indicates possible inflammation inside the abdomen, most likely biliary system.
* In my clinic, I recommend to undertake basic lab panel and later if requires MRI of the abdomen & pelvis as it provides much-needed information than right now.
* Diet advise would be bland, vegan diet with plenty of liquids till the recovery.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Bhagyesh V. Patel, General Surgeon
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