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Complication with gall bladder surgery...or just slow healing????



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Sep 16, 2002 04:17 PM

Complication with gall bladder surgery...or just slow healing????


Hi all...

I had my gall bladder removed (per scope) about three weeks ago. I seem to be doing alright with the exception of some right sided pain. The pain is just under my right rib and feels like I am being stabbed with a knife. The pain occurs with deep breaths, when I yawn, when I laugh, and when I twist my torso. The pain ranks about a 7-8 out of 10 and goes away as quickly as it comes. If I sit still I have absolutely no pain at all. Walking does not aggrevate the pain nor does regular activity. I feel as if I could avoid taking deep breaths and yawning I could be 99% pain free. The surgeon says this is a normal side effect of the surgery and it should pass in time. I am a bit concerned that I am still feeling this pain. My lungs sound clear and equal with good air exchange and I have no fever. My GI system is functioning fine (thank goodness). Am I being overly concerned? Is the type of pain I am describing normal? Does anyone out there have any experience with the type of pain I am describing? I would appreciate any input/advice. Thanks!


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22 Comments
No. 1
Old Sep 16, 2002, 04:37 PM

I REALLY DO NOT KNOW MUCH ABOUT THIS TYPE OF SURGERY, BUT ALL I WOULD LIKE TO SAT IS THAT I HOPE YOU GET TO FEELING BETTER REALLY SOON, AND THE PAIN THAT YOU HAVE BEEN EXPERIENCING GETS RESOLVED VERY SOON.
(((((FRANKIEJANE)))))))))
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No. 2
from RN-PA
Old Sep 16, 2002, 05:07 PM

FrankieJane, I've cared for lots of lap chole patients (cared for one over this past weekend), but know next to nothing about their recuperation/healing after discharge. If your symptoms don't change much in the next few weeks, I'd ask your doctor about them again. Your profile says you're a Med/Surg nurse and I wondered about possibly asking one of the surgeons (if you think they'd be approachable about your question) at your hospital about it when you get a chance.

Also, I don't know much about this site's credibility, but you could ask your question at MedExpert.net and see what they come up with.

http://www.medexpert.net/
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No. 3
from susanmary
Old Sep 16, 2002, 05:29 PM

Three weeks after a lap choly is a long time to be getting stabbing pains -- 7-8 out of 10 on a pain scale. In my opinion, it is not normal, and you need to follow through on this.
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No. 4
Old Sep 16, 2002, 05:45 PM

I had pain after my surgery for almost a yr after I had mine, but I also had a stones in there the size of texas. One was actually the size of a egg, I kid you not. It would depend on a few things , Did you have stones and was a ERCP done prior to your Lap Chole? Is the pain decreasing in the time frame inwhich it starts? Is the pain on one of the icisional sites?
If you can relay back to me what symptoms and the durations of them I will get you an answer , and never think your being overcautious.... Pain is never pleasant and needs to be addressed.
Zoe
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No. 5
Old Sep 16, 2002, 05:58 PM

I had the full blown gallbladder surgery and it took 10 plus weeks to fully feel normal agian although if I sneeze and don't hold my side it still hurts after 14 plus years. I've heard of many people who have had the scope surgery done and they are much more pain free than you describe. If it continues for a while I'd ask to be checked again. Doesn't seem normal to me.
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No. 6
Old Sep 16, 2002, 07:53 PM

RN-PA: I have also cared for lap chole pts, but I only see them for about one day post op...and then they go home. I am still off work on sick leave...(there's no such thing as light duty at my hospital...if one can't lift, one can't work) so I haven't been able to talk to the other surgeons. I am going to call my surgeon again about my pain. If she does nothing I will go and seek another opinion.

ITSJUSTMEZOE: I also had stones, but I don't know how big they were. I do know that there were several stones and my gall bladder was inflamed and scarred. An ERCP was not done prior to my surgery. I had three incisions and there is no pain at all around the incision sites. When I twist my torso to the right, I get pain (an achey pain) that rates a 2-3. The pain ends when I stop twisting. This pain does not concern me. What does concern me is when I take a deep breath I get a sharp stabbing pain on the right lateral side of my torso, just under the ribs. The pain is 7-8 and goes away as my lung volume decreases. I also get the stabbing pain if I laugh or yawn. The pain starts sharp...and then decreases in intensity. Basically, if I am not breathing deeply...I am quite comfortable. I only hurt badly upon deep inspiration. The pain is always in the same location and pain medication does not help. It literally feels as though someone stabs me with a knife just under my rib. The pain is short lasting (lasts less than 45 seconds each time it occurs) and does not radiate. I have no referred pain elsewhere. The pain has decreased somewhat. Currently it rates about a six upon deep inspiration. The pain gets worse at night when I am fatigued (or perhaps I notice it more at night because I am yawning more at night). I was told by the surgeon on call that perhaps my diaphram got irritated during the procedure. I also notice that if I hiccup I also get the right sided pain. I am trying to be more faithful with my incentive spirometer in hopes that it will help, it is just hard to want to do deep breathing exercises when it hurts to breathe deeply.

Thank you, everyone, for your replies.
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No. 7
from midwestRN
Old Sep 16, 2002, 09:27 PM

I had this done. Terrible shoulder pain for 24 hrs, then nothing. Surgeon sent me home 8 hours after the procedure. I didn't even stay the night. I like the idea of asking another surgeon. This pain sounds too severe 3 weeks post op. By the way, be ready for diarrhea/constipation/diarrhea/constipation.
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No. 8
from NSDRN
Old Sep 17, 2002, 09:47 AM

I also had a lap chole and a lap nissen at the same time. For about 2-3 weeks after the procedure I too had severe pains that felt like someone was stabbing me with a giant knife.
The pains I felt were in my abdomen not my right side. Had no pain at all there.

I called my doc and he seemed to think that it was muscular pain from the stretching of the muscles by the scope and other instruments. He also seemed to think that it was compounded by the fact that I only took two weeks off work.

My advice is to call your physician and let him/her know what's going on. Best of luck to you.
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No. 9
from pacunurse
Old Sep 17, 2002, 09:55 AM

I also feel that this pain is not typical, 7-8/10 seems like too much. I would definitely get a second opinion if your surgeon is still blowing off your concerns.
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