[67F] Persistent abdominal distension post-hernia surgery

Patient Description

A 67-year-old female presents with persistent abdominal distension and a sense of uncomfortable fullness since her hernia surgery over a year ago. She maintains a healthy lifestyle with daily exercise and a light diet, and she is currently taking Telmisartan 80mg for hypertension, as well as supplements including a B complex, vitamin D3, antioxidants, and magnesium. She has a history of severe thrombocytopenia treated with platelet transfusions and successfully cured hepatitis C. She experiences shortness of breath when walking for extended periods. The patient has a noticeable bulge on the left side of the abdomen, which developed during recovery from hernia surgery and previously leaked bloody matter, treated with daily antibiotic injections. She has no known allergies except for codeine and has not experienced any recent weight changes, intense abdominal pain, vomiting, or changes in bowel habits. The patient is considering adding zinc to her supplement regimen but has not yet discussed this with her healthcare provider.

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Arora's Assessment

What might be happening

Based on the information provided, here are some possibilities:

  • Postoperative Changes: After hernia surgery, it's common to experience some changes in the abdominal area. Swelling, discomfort, and changes in the appearance of the abdomen can occur as a result of the surgery itself and the healing process.

  • Incisional Hernia: This is a type of hernia that occurs at the site of a surgical scar. The symptoms can include a bulge or swelling in the area of the surgery, discomfort, and a feeling of heaviness or fullness.

  • Ascites: This is a condition characterized by an accumulation of fluid in the abdominal cavity, which can cause abdominal distension and discomfort. It's often associated with liver disease, but can also occur due to other conditions such as heart failure or cancer.

What you can do

  1. Consult your doctor: It's important to discuss your symptoms with your doctor, especially since they have persisted since your hernia operation. They may want to examine your abdomen and possibly order imaging studies to better understand what's causing your symptoms.

  2. Monitor your symptoms: Keep track of any changes in your symptoms, as this information can be helpful to your doctor.

  3. Maintain your healthy habits: Continue your daily exercise and balanced diet. These habits are beneficial for overall health and can also help manage your weight.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe or worsening abdominal pain
  • Fever or chills
  • Nausea or vomiting
  • Changes in bowel movements, such as constipation or diarrhea
  • Difficulty breathing

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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9 mo ago

People Also Ask

What are the common symptoms of an incisional hernia?

Common symptoms of an incisional hernia include a noticeable bulge or swelling at the site of a surgical scar, discomfort or pain in the area, and a feeling of heaviness or fullness in the abdomen.

Can abdominal distension be a sign of something serious?

Abdominal distension can be a sign of various conditions, some of which may be serious, such as ascites, bowel obstruction, or organ enlargement. It's important to consult a healthcare provider to determine the underlying cause.

How can postoperative changes affect recovery after hernia surgery?

Postoperative changes can include swelling, discomfort, and changes in the appearance of the abdomen. These are typically part of the healing process, but persistent or worsening symptoms should be evaluated by a doctor to rule out complications.

Is it safe to add zinc supplements to my regimen if I'm already taking other vitamins and medications?

Before adding zinc or any new supplement to your regimen, it's important to discuss it with your healthcare provider, especially if you are taking other medications or supplements, to avoid potential interactions or side effects.

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