[32F] With abdominal pain and umbilical discharge post-intestinal surgery

Patient Description

A 32-year-old female presents with a two-day history of abdominal pain and a red, leaking belly button with yellow pus. The patient has a history of significant intestinal surgery nearly three years ago. The current temperature is 99.4°F. The patient reports constipation but no nausea or vomiting. There is a lump in the belly button, which is not painful upon palpation. The patient is on a blood thinner for Factor V deficiency, diagnosed at birth, and takes Valium 10mg once daily. Occasionally, the patient takes Tylenol PM. No known drug allergies. The patient uses tobacco and drinks alcohol occasionally. No recent travel or specific dietary restrictions reported.

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Arora's Assessment

What might be happening

Based on the information you’ve provided, there are a few serious conditions that could be causing your symptoms:

  1. Infection (Possible Abscess or Cellulitis): The presence of yellow pus, redness, and a lump around your belly button suggests a possible infection. Given your history of intestinal surgery, this could be related to a surgical site infection or an abscess. Infections can become serious if not treated promptly.

  2. Hernia: The lump in your belly button could indicate a hernia, especially given your history of abdominal surgery. A hernia occurs when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall. If the hernia becomes strangulated (cutting off blood supply), it can be life-threatening.

  3. Post-Surgical Complications: Given your history of significant intestinal surgery, there could be complications related to the surgery, such as adhesions (bands of scar tissue) or other structural issues.

What you can do

  1. Seek Immediate Medical Attention: Given the severity of your symptoms, it is crucial to seek medical attention immediately. You should go to the nearest emergency room or urgent care center. If you are unable to get there yourself, please call 911 or have someone drive you.

  2. Monitor Symptoms: While waiting for medical help, monitor your symptoms closely. If you experience increased pain, fever, chills, or any other concerning symptoms, inform the medical staff immediately.

  3. Avoid Self-Medicating: Do not attempt to treat the infection or pain with over-the-counter medications without consulting a healthcare professional, as this could mask symptoms and delay proper treatment.

  4. Keep the Area Clean: If possible, gently clean the area around your belly button with mild soap and water, and cover it with a clean, dry bandage to prevent further contamination.

Remember, I am not a doctor, and it is essential to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. Your symptoms are concerning and warrant immediate medical attention.

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5 mo ago


People Also Ask


What are the signs of an infection in the belly button area?

Signs of an infection in the belly button area can include redness, swelling, warmth, pain, and the presence of pus or discharge. A fever may also accompany these symptoms.


How can a previous intestinal surgery affect current abdominal symptoms?

Previous intestinal surgery can lead to complications such as adhesions, which are bands of scar tissue that can cause pain or blockages. It can also increase the risk of hernias or infections at the surgical site.


What is a hernia and how can it be related to abdominal lumps?

A hernia occurs when an internal organ or tissue pushes through a weak spot in the abdominal wall. It can present as a lump and may be related to previous surgeries, which can weaken the abdominal muscles.


What precautions should be taken when on blood thinners and experiencing an infection?

When on blood thinners, it's important to monitor for signs of excessive bleeding or bruising. Infections can increase the risk of bleeding, so it's crucial to seek medical advice before taking any additional medications or treatments.


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