[18F] With abdominal pain and altered bowel habits post-appendectomy

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Post-Appendectomy Complications:

   • Adhesions or Scar Tissue: After abdominal surgery like an appendectomy, it's possible to develop adhesions (bands of scar tissue) that can cause pain and digestive issues. This could explain the cramping and sharp pain, as well as changes in bowel habits.
   • Infection or Abscess: Although less likely given the absence of fever and redness, post-surgical infections or abscesses can sometimes present with abdominal pain and changes in bowel habits.

2. Irritable Bowel Syndrome (IBS):

   • Symptoms: IBS can cause cramping, abdominal pain, bloating, gas, and changes in bowel habits (diarrhea or constipation). Stress and certain foods can trigger symptoms.
   • Diagnosis and Treatment: Diagnosis is usually based on symptoms and ruling out other conditions. Treatment often includes dietary changes, stress management, and sometimes medications.

3. Lactose Intolerance:

   • Symptoms: Since you mentioned that milk makes your symptoms worse, lactose intolerance could be a factor. This condition can cause bloating, diarrhea, and abdominal pain after consuming dairy products.
   • Diagnosis and Treatment: Diagnosis can be confirmed through a lactose tolerance test. Treatment involves avoiding lactose-containing foods or using lactase supplements.

4. Gastrointestinal Infections:

   • Symptoms: Infections can cause diarrhea, abdominal pain, and nausea. Given the watery and yellow stool, a gastrointestinal infection could be a possibility.
   • Diagnosis and Treatment: Diagnosis is usually through stool tests. Treatment may include hydration, rest, and sometimes antibiotics.

What you can do

Post-Appendectomy Complications:

• See a Doctor: It's important to consult with your healthcare provider to rule out any post-surgical complications. They may recommend imaging tests like an ultrasound or CT scan.
• Pain Management: Continue using hot compresses and over-the-counter pain relievers like Tylenol and ibuprofen as needed, but avoid exceeding the recommended doses.

Irritable Bowel Syndrome (IBS):

• Dietary Changes: Consider keeping a food diary to identify and avoid trigger foods. High-fiber foods, probiotics, and plenty of water can help manage symptoms.
• Stress Management: Techniques like yoga, meditation, and regular exercise can help reduce stress, which may alleviate symptoms.

Lactose Intolerance:

• Avoid Dairy: Since milk seems to worsen your symptoms, try avoiding dairy products or using lactose-free alternatives.
• Lactase Supplements: Over-the-counter lactase enzyme supplements can help digest lactose if you choose to consume dairy.

Gastrointestinal Infections:

• Hydration: Ensure you stay hydrated, especially if you are experiencing frequent diarrhea. Oral rehydration solutions can help maintain electrolyte balance.
• Consult a Doctor: If symptoms persist, consult your healthcare provider for further evaluation and possible stool tests.

What you should look out for

Given the severity of your symptoms and the potential for complications, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe or Worsening Pain: If the pain becomes unbearable or significantly worsens.
• Signs of Infection: Fever, chills, or redness and swelling around the surgical site.
• Blood in Stool: If you notice any new or persistent blood in your stool.
• Dehydration: Signs include extreme thirst, dry mouth, dark urine, or dizziness.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.