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Doctor insights on: Post Op Complications Of Bowel Surgery

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Dr. Jack Hinkle
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Intestine (Definition)

The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more


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3wk post op bowel obst/hernia surgery. Low grade fever 100 stomach alittle hot to touch yellow type discharge, weak body no energy. Wound infection?

3wk post op bowel obst/hernia surgery. Low grade fever 100 stomach alittle hot to touch yellow type discharge, weak body no energy. Wound infection?

Possibly: These are pretty non-specific symptoms for an infection. The weakness and lack of energy are probably the most worrisome. If it was a wound infection, I would expect wound to be red and swollen. Also could be infection of the mesh, although more likely, you are just accumulating a seroma (fluid collection) around the mesh. See your surgeon tomorrow. ...Read more

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Post op complications from hernia surgery had 2nd hernia repair surgery 01/10/12 off work 6 weeks post op. Husband is a school teacher so even when he went back to school no lifting needed. When we went to his post op appointment there was under the incis

Hello, : Hello, it sounds like your husband has had a change in status since he was examined. It doesn't state if it is tender, painful or if there is drainage. Fever? Warmth, erythema, swelling to the point of hardening may well represent an infection. He needs to be re-evaluated. For fever or severe abdominal pain, he should go to the er. If not, i would call the general surgeon in the morning and tell him or her / staff about the changes your husband has eperienced over the last three days.Take care. ...Read more

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What would a post op check up consist of if the patient had surgery to repair 3 gsws and they were in a medically induced coma?

What would a post op check up consist of if the patient had surgery to repair 3 gsws and they were in a medically induced coma?

Many/nurse's list: It runs from how deep the coma is or the paralytic if being used, how well the ventilator and the patient are synchronized, all the vital signs, heart rate and rhythm, temp, bp, saturation, position in bed, urinating, bowel sounds, heart sounds, breath sounds. Ask the nurse and there will be a long list. ...Read more

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Dr. Jack Hinkle
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I have just had my appendix removed. Do i need to change my diet until the post-surgery pain improves? Is 'gurgling' or trapped wind common post-op?

I have just had my appendix removed. Do i need to change my diet until the post-surgery pain improves? Is 'gurgling' or trapped wind common post-op?

Very common, post op: Your diet post appendecomy should be soft and bland with slow advancement to a more normal diet. Post surgery 'gas' and 'gurgling' is normal. Surgical removal of the appendix causes the rest of the small/large bowel to act irregular and irritable. This should slowly regain a normal flow pattern. Avoid heavy foods with high bulk. Avoid gas forming foods. Add probiotics, yogurt. Avoid constipation. ...Read more

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Who do I see for post-op bowel functioning problems? Is there a critical window post-op after which chance of resuming normal bowel function is slim?

Who do I see for post-op bowel functioning problems? Is there a critical window post-op after which chance of resuming normal bowel function is slim?

Surgeon and GI Dr: Presumably, your surgeon and your GI doctor know you the best. They should be interested in your progress, especially during your recovery. ...Read more

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At 1.5 weeks post op wasn't feeling well. Primary pa said i had no bowel sounds. Put on ducolax 2xday. What does that mean and is this treatment good?

At 1.5 weeks post op wasn't feeling well. Primary pa said i had no bowel sounds. Put on ducolax 2xday. What does that mean and is this treatment good?

Dulcolax for Ileus: We can not comment on this as we do not have enough information, as to what kind of surgery you had and what kind of anesthesia used but dulcolax is a laxative and is often used for post operative ileus(no bowel sounds) hope it works for you. ...Read more

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I have a large, swollen, warm lump under my skin near the incision after a spinal fusion surgery. I'm three weeks post op should I go to the ER?

I have a large, swollen, warm lump under my skin near the incision after a spinal fusion surgery. I'm three weeks post op should I go to the ER?

Get care ASAP: This could be a wound infection, which might be serious and should be diagnosed and treated ASAP. Maybe just a collection of serum or blood, but you shouldn't take the chance. Call the office of the surgeon who did the fusion; even night or weekend, probably someone is on call. But if not or you can't get through, visit an urgent care clinic or ER at the hospital where the surgery was done. ...Read more

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I am 6 days post op total hip replacement. Can I take miralax twice daily until bowel movement?

I am  6 days post op total hip replacement. Can I take miralax twice daily until bowel movement?

Yes..: Especially if it's been several days or since before your surgery that you had a full bowel movement. Try one dose first and see if that helps. If not, then move on to two doses a day which should certainly help you have some kind of movement and relief. Good luck! ...Read more

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What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?

What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?

None: There is no rx for adhesions themselves. If they cause a bowel obstruction then that will be treated with a tube through the nose to decompress the bowel and no food for a few days. If that doesnt work then surgery may be required. ...Read more

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Bowel (Definition)

The bowel is the intestinal tract in the body. The small intestine ...Read more


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Dr. Jack Hinkle
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