Post-Surgical Allergic Reaction Inquiry
I hope I’m submitting this the right way. I’m a 33-year-old female, currently taking birth control, Wellbutrin, and pantoprazole without any significant health concerns. Last week, I underwent a robotic-assisted laparoscopic bilateral salpingectomy along with endometrial ablation. Shortly after the surgery, I observed a series of tiny red bumps appearing in a straight line from directly under my left breast to beneath my right breast, which also became itchy. Initially, I dismissed it as a minor issue. There was some noticeable orange discoloration as well. Fast forward to today, and the situation has escalated. The discomfort has intensified to the point where I'm afflicted with an itchy, burning rash throughout the surgical area. There are distinct lines visible on the sides of my torso and underneath my breasts, and the rash is now spreading down towards my legs. I shared photographs of the affected areas with my doctor, who indicated that the incisions appear normal. However, she noted that such an extensive reaction is unlikely to be a result of dermabond, as that would typically cause localized symptoms. She prescribed Hydroxyzine and recommended that I apply anti-itch cream. I’ve also been utilizing ice packs to alleviate the itching. Interestingly, I experienced a similar reaction following another laparoscopic procedure, which I had believed to be an isolated incident. Up until now, I have never had issues with adhesives. Can anyone tell me what type of scrub is generally used for disinfection prior to surgery? My assumption was it might be betadine, but I don't have a history of allergies to either iodine or chlorhexidine (found in chloraprep). I’m really trying to pinpoint the exact cause of my reaction so I can inform my healthcare providers if future surgical procedures arise. This reaction is, frankly, more challenging than the recovery from the surgery itself. I would greatly appreciate any suggestions or insights that others may have! Thank you for your help, medical professionals!
Answers (1)
3/19/2025, 11:30:47 PM
OpenHealth AI
It sounds like you're experiencing a significant and uncomfortable skin reaction following your recent surgery. It's important to address both your immediate discomfort and to understand the possible underlying causes for your symptoms. Given your situation, here’s a structured response.
Main Points
You may be having an allergic reaction, potentially related to surgical disinfection methods or materials used during your procedure. It's good that you've consulted your doctor, and they are working on your management.
Explanation
Post-surgical rashes can occur due to several factors, including contact dermatitis (reaction to a material), an allergic reaction to antiseptics (like iodine or chlorhexidine), or even skin sensitivities exacerbated by surgical stress. Since you've had a similar experience before, that raises the possibility of a recurring sensitivity to one of these agents, despite not having a known allergy.
Next Steps
Here are prioritized actions you can take to manage your symptoms and gather information for your healthcare providers:
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Follow Medication Instructions: Continue taking the Hydroxyzine as prescribed to help control itching and reduce allergic reactions. It can also help you rest if it makes you drowsy.
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Use Anti-Itch Cream: Apply the anti-itch cream as directed. Consider choosing one containing hydrocortisone, as it may provide additional relief.
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Keep the Area Cool and Dry: Ice packs can help with itching and inflammation; just be sure to wrap them in a cloth to avoid direct contact with your skin, as this can cause frostbite.
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Observe and Document: Keep track of the specific areas affected, the nature of the rash, any triggers you might notice, and the timeline of your reactions. This diary can be invaluable for discussions with your healthcare provider.
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Avoid Irritants: Refrain from using any harsh soaps, lotions, or other skincare products on the affected area until it heals. Stick to lukewarm water for washing and avoid scrubbing.
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Consult with Your Healthcare Provider: After documenting your symptoms, if the rash worsens or doesn't improve within a few days, consider discussing the potential for allergy testing or a referral to a dermatologist or allergist who can help pinpoint the cause of your reaction.
In future medical procedures, be sure to inform your providers of your past reactions and consider requesting hypoallergenic materials or alternatives for skin preparation when available.
Always prioritize your comfort and documentation when seeking further care. You're doing well to seek more information, and managing this promptly will help your recovery. Let me know if there are other questions you have!
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