Concerns About Premature Hospital Discharge After Hemoperitoneum
Profile: 5’9, Male, 28 Years, 240 Pounds Recently, I underwent a vertical gastric sleeve procedure utilizing a double suture technique. Just two days post-surgery, I began experiencing notable discomfort in my shoulders and back, which felt distinctly different from typical post-operative gas pain. Recognizing the seriousness of my condition, I quickly sought emergency medical attention. Unfortunately, I collapsed in the waiting area due to the intensity of the pain and was subsequently admitted for urgent care. Upon evaluation, it was determined that I had a hemorrhage resulting in hemoperitoneum. My hemoglobin levels were alarming; they fell from 13 to 10, and then plummeted further to 9, 8, and eventually 7, before stabilizing at 8. I spent one night in the Intensive Care Unit (ICU) and then transitioned to a standard room for two additional days before being discharged today. The medical team expressed confidence in my natural recovery and indicated that I wouldn't need a blood transfusion, iron treatment, or any surgical procedure to manage the excess blood. After researching hemoperitoneum, I found that most cases typically require some kind of intervention. In my situation, however, the treatment consisted solely of IV antibiotics, close monitoring of my hemoglobin levels, and ensuring I remained hydrated. Interestingly, my doctor shared that she, too, experienced a similar issue following a different procedure, where her hemoglobin dropped to 4. Despite this, she did not undergo any intervention and suggested I follow her lead. I was discharged today after my hemoglobin stabilized at 8, with no visible signs of active bleeding. Before leaving, I requested another scan to confirm a reduction in blood volume and to check for persistent bleeding, but the staff deemed it unnecessary, citing radiation exposure concerns. I can't shake the anxiety of being sent home with internal bleeding, especially since I was not prescribed any antibiotics for aftercare and was simply advised to consume protein shakes and increase my activity. Nevertheless, all three doctors assured me that I would be okay. What’s your perspective on this situation? My surgeon noted that such complications are rare and suggested that I was simply unfortunate.
Answers (1)
6/21/2025, 9:10:41 PM
OpenHealth AI
It’s completely understandable to feel anxious after experiencing a serious medical issue like hemoperitoneum, especially after such a recent surgery. The concerns you're expressing are valid, and it's important to address them clearly and comprehensively.
Key Points:
- Your Surgical Complications: You had a serious issue with internal bleeding that required hospitalization and monitoring.
- Discharge Plan: You were discharged after your hemoglobin stabilized, and the medical team has some confidence in your recovery.
- Concerns About Follow-Up: Feeling uneasy about the lack of antibiotics and the decision not to perform further imaging is normal.
Explanation:
Hemoperitoneum can indeed be a serious condition; it's usually handled with close monitoring and, in some cases, surgical intervention. However, your doctors probably assessed that your body was managing the situation adequately without further invasive measures. After bleeding stabilizes and no active bleeding is detected, it's often safe to watch and wait, particularly if your hemoglobin is stable enough to support recovery.
Your experience and the advice you received reflect a cautious approach that many surgeons might take—balancing the risks of further interventions against the benefits. It’s reassuring to know that you were closely monitored during your hospital stay.
Next Steps:
- Monitor Symptoms: Watch for any new or worsening symptoms such as increasing pain, dizziness, or signs of infection (like fever).
- Hydration & Nutrition: Continue to stay hydrated and focus on a high-protein diet to support recovery. Protein shakes are a good start, but gradually include solid foods that are gentle on your stomach, like yogurt, eggs, and soft fruits.
- Activity Gradually: Increase your activity as advised by the doctors, but listen to your body. Start slowly and gradually introduce more movement.
- Follow Up: Schedule a follow-up appointment with your surgeon or primary care provider within the next week or two to discuss your recovery and any lingering concerns. If discomfort or anxiety persists, do not hesitate to reach out for support.
- Mental Health Support: It’s normal to feel anxious after such experiences. If your anxiety persists or worsens, consider discussing it with a mental health professional.
If any concerning symptoms arise or if you have questions, it's important to communicate those with your healthcare team. Trust your instincts about your body, and don't hesitate to seek help if you feel uncertain about your recovery. Remember, you're not alone in this, and many people have had similar experiences and recovered well.
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