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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Cure For Sickness In The Stomach

My mom has hada sudden onset of mottling on her abdomen. I am curious what the cause is. Her back story is as follows: she is 3 weeks post op from a modified Whipple( removed body and tail of pancreas, instead of the head) she went to surgeon s office on a Wednesday to have JP drain removed. Started vomiting about 4-5 hrs after getting home. Continued vomiting until she went to ER sunday. Saturday night her abdomen was normal. Sunday when she was in ER her abdomen now has mottling across the whole thing. I didn t see her surgeon in ER. When I did see him on Monday, I asked about and he has no idea what has caused it. Any ideas????
Wed, 12 Nov 2014
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General Surgeon,  's  Response
Hi.
Thanks for your query. Read the history about your Mother and understood it.

The cause of sudden mottling on the stomach after the drain is removed after modified Whipple's surgery can be due to following reasons:
-Commonest reason is some sort of allergy, for which a detailed history is need.
-There might have been leakage of pancreatic enzymes, which can cause this.
-The spread of infection in the subcutaneous planes can also cause this.
If the vomiting is persistent, if the other signs or symptoms develop like continuation of vomiting, distension of abdomen, constipation or obstipation, fever an so on, she needs to be admitted; Nasogastric tube passed and kept on intravenous fluids and antibiotics. Blood and urine investigations will be done.

CT scan of the abdomen will help to diagnose a few more things and the course of action will depend upon the progress of the symptoms / signs / vitals and complications if they develop.

Take care, get her admitted and do not take your Mother home till she is cured well.

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Suggest Cure For Sickness In The Stomach

Hi. Thanks for your query. Read the history about your Mother and understood it. The cause of sudden mottling on the stomach after the drain is removed after modified Whipple s surgery can be due to following reasons: -Commonest reason is some sort of allergy, for which a detailed history is need. -There might have been leakage of pancreatic enzymes, which can cause this. -The spread of infection in the subcutaneous planes can also cause this. If the vomiting is persistent, if the other signs or symptoms develop like continuation of vomiting, distension of abdomen, constipation or obstipation, fever an so on, she needs to be admitted; Nasogastric tube passed and kept on intravenous fluids and antibiotics. Blood and urine investigations will be done. CT scan of the abdomen will help to diagnose a few more things and the course of action will depend upon the progress of the symptoms / signs / vitals and complications if they develop. Take care, get her admitted and do not take your Mother home till she is cured well.