What are the symptoms of intestinal adhesions after appendicitis surgery?

Postoperative intestinal adhesions manifest as abdominal traction pain. It is prone to gastrointestinal dysfunction, abdominal distension and abdominal pain, intermittent intestinal obstruction, and in severe cases, normal diet is restricted. After the intestinal obstruction caused by adhesions is relieved, there are no secondary pathological changes such as intestinal hypertrophy and dilation, that is, there is no lesion in the intestinal tube itself.

Appendicitis is the disease with the greatest chance of adhesion in patients with intestinal adhesions. Because appendicitis disease generally has varying degrees of local tissue inflammation, hyperemia, edema or bloody exudate, coupled with trauma during the surgical operation, this has already formed adhesions. Purulent appendicitis or necrotizing appendicitis, the consequences of which are more severe.

In patients with panperitonitis with appendix perforation, the tissues in the abdominal cavity are eroded and destroyed by inflammation, and the intestinal serous layer is damaged, resulting in hyperemia, edema, intestinal inflammatory thickening, weakened intestinal function, and part of the muscular layer of the intestinal tract is also damaged, forming adhesions.

The occurrence of intestinal obstruction after appendicitis is mainly related to severe contamination of the abdominal cavity by appendicular lesions, incomplete removal of pus in the abdominal cavity, or severe surgical injury. Therefore, avoiding the above factors is an important means to prevent postoperative intestinal adhesions, patients with severe intra-abdominal inflammation have more manifestations such as slow recovery of intestinal peristalsis and intestinal paralysis in the early postoperative period, which is the basis for the occurrence of early intestinal adhesions, most of which are generalized incomplete obstruction, and the patient's manifestations are mainly abdominal distention, abdominal pain is not obvious, and can be cured by active bed-taking activities or the application of a combination of Western and Western medicine.

Advanced intestinal obstruction mostly occurs in a few months after surgery, mostly due to intestinal obstruction caused by the failure to absorb the remaining fibrous bands and cords after intestinal adhesions, and some can cause intestinal volvulus, intestinal strangulation, and intestinal necrosis. Due to appendiceal lesions and surgery, some of them cause omental adhesion in the right lower abdomen, forming a special type of intestinal adhesion, that is, omental adhesion syndrome, postoperative children often have abdominal distention, nausea, and even vomiting after meals, and some often constipation.

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Categories: Healthcare.

Problem description: It's been a week since I had appendicitis surgery and I don't feel any discomfort. Is it still possible to have intestinal adhesions at this time?

Analysis: Intestinal adhesions are a complication that can occur in all abdominal surgeries.

Regardless of the surgery, as long as the intestine is touched during the operation, adhesions will occur.

But don't worry, adhesions can also be mild and severe, and mild adhesions don't have any symptoms.

Heavy adhesions may narrow the bowel and prevent digested food from running smoothly.

Appendectomy is relatively minimal in terms of intestinal adhesions.

Intestinal adhesions are a chronic process that usually occurs only a few months after surgery.

But don't worry, the odds are too small.

If there's anything you don't understand, you can send me a message. Model faithfulness.

Hope mine is helpful to you.

The specific symptoms of intestinal adhesion after appendicitis are mainly manifested in the following aspects:

1. Abdominal discomfort and vague pain Within 1 2 weeks of abdominal surgery, the patient feels paroxysmal vague pain or discomfort in the abdomen.

2. Recurrent vomiting is characterized by vomiting that can be caused by eating or drinking, and vomit can be intestinal or gastric contents.

3. Prolonged defecation and gas Generally speaking, after 2 4 days of abdominal surgery, with the return of intestinal peristalsis to normal, defecation and gas can also be restored. However, if intestinal adhesions occur after surgery, there is still no defecation or gas after 2 to 4 days.

4. Persistent abdominal distension Persistent abdominal distension after surgery may be a reaction to intestinal adhesions, if it is indeed intestinal adhesions, it may also be accompanied by signs such as local bulge of the abdomen, active bowel sounds and hyperactivity during intestinal peristalsis.

5. Positive trunk hyperextension The patient's trunk is hyperextended, or the surgical scar is pulled downward, which will cause pain in the surgical area or other parts.

The filming is not visible, the judgment method: 1. The doctor is based on experience. 2. Rehearsal ultrasound and gastrointestinal endoscopy. Regardless of whether it is heavy or not, it must be **, otherwise it will get heavier and heavier, and it will be difficult to treat at that time.

Symptoms vary depending on the severity of the adhesions.

As long as there has been surgery, there must be a certain degree of adhesion, after all, it is invasive. Mild adhesions are rarely symptomatic.

Adhesions are severe, and the real severity is that they can cause obstruction. The symptoms of obstruction are also severity, there can be no obvious symptoms, or some abdominal pain, more severe, vomiting may occur, abdominal pain is aggravated, and more serious, if it affects the blood circulation of the intestines, then there may be intestinal necrosis perforation, this symptom is more troublesome, there will be peritonitis, fever and other symptoms.

Unless the intestine is perforated, it cannot be seen on the radiograph.

If it's just mild abdominal pain, there's no need to **, it's so severe that you vomit or something, it's best to go to the hospital to see, if it's more serious, then it's necessary.

Purulent appendicitis is treated late, so severe that after the appendix ruptures, pus oozes out into the abdominal cavity, and the doctor needs to clean the abdominal cavity again after removing the appendix (about 30 minutes of surgery becomes 3 hours), and it can only be cleaned with normal saline, after closing the abdominal cavity, it is inevitable that there will be residues, resulting in chronic inflammation, it is not easy... If the doctor says it's that serious, it's not that light.

Abdominal surgery is not particularly successful, it is more common to produce adhesive intestinal obstruction, affecting intestinal peristalsis and excretion, and at that time, there was also infection after surgery, and the intestinal recovery after surgery is not particularly good, and it is easy to produce some intestinal lesions.

This important thing is to prevent, if it has happened, it is necessary to decompress the gastrointestinal tract and do not overeat, and in severe cases, surgery**.

The clinical symptoms of intestinal adhesion can vary depending on the degree of adhesion and the location of adhesions, mild cases may not have any discomfort or occasional slight abdominal pain and abdominal distension after eating, and severe cases may often be accompanied by abdominal pain, abdominal distention, poor gas, belching, dry stool, abdominal air masses and even incomplete obstruction.

The most after appendicitis surgery is intestinal adhesions, it is best to have intestinal adhesions in time, and the recovery is relatively fast, because intestinal adhesions are generally caused by surgery, so it is not recommended to operate again**, you can use drugs conservative**, such as intestinal adhesion magnetic therapy patches, etc., the effect of intestinal adhesions ** is very good, I wish you soon**!

Bleeding, incision infection, intestinal adhesions, intestinal obstruction,

Du fecal leakage, etc. are all postoperative complications, also.

There is one more common type of DAO.

Specifically, it is appendiceal stumpitis, when the appendix stump is retained for more than 1 cm, or fecal stone remains, the postoperative stump can be inflamed**, and it still shows the symptoms of appendicitis. Occasionally, the diseased appendix was not removed during the operation, and it was left behind, resulting in postoperative inflammation**. Barium enema fluoroscopy should be performed to confirm the diagnosis.

If symptoms are severe, the appendix remnant should be surgically removed again.

Because of inflammatory exudation after infection in the abdominal cavity, fibrinization in the abdominal cavity, omentum, or intestinal wall forms connective tissue and causes adhesions. For example, pelvic inflammatory disease, adnexitis, various abdominal surgeries and other diseases, adhesions can often occur, and intestinal adhesions are the most common. Patients often experience bloating, abdominal pain, nausea, loss of appetite, constipation, and even mechanical intestinal obstruction.

Once intestinal adhesions occur, the patient is very painful, and his physical condition deteriorates, which seriously affects his work and life. Therefore, it is very necessary to start as soon as possible after infection.

Here's how:

1. Wax therapy, incandescent lamp, infrared, etc. can improve abdominal blood circulation, relieve abdominal distension, abdominal pain and other symptoms.

2. Audio electrotherapy has the effect of dissipating adhesions and relieving pain.

3. Interference with electrotherapy and modulation of intermediate frequency electrotherapy not only have the effect of dissipating adhesions and relieving pain, but also promote intestinal peristalsis and relieve constipation.

4. Breathing exercises, abdominal muscle exercises, abdominal massage, and lower limb activities are conducive to preventing the formation of adhesions and improving digestive function.

Go to a TCM hospital to find a good doctor with a conscience to prescribe medicine, take medicine, usually walk more, walk slowly, not strennered.

If it's the after-effects, that's it.

If it is not a sequelae, it depends on the doctor's vision and whether he can find out why it hurts.

Unless there is another operation, there is no other way, release.

For chronic pain of unknown postoperative cause, no specific cause can be found, and postoperative adhesions are important considerations. Whether there is adhesion in the bend pei, and whether the spring is able to relieve the pain and discomfort through adhesions, this is a question that can only be confirmed after practice, but it is logically understood in this way. You can come to our hospital for treatment in this situation, and we hope to help you get rid of the disease, thank you.

Cai Xiaojun of the Armed Police General Chain Hospital.