Is This Wound Healing Properly? My Mother-in-Law Recently Underwent Surgery for Bowel Obstruction
My mother-in-law, who is in her late 70s, stands at approximately 5 feet tall and carries a bit of extra weight, mainly in her midsection. She is generally healthy, with no history of conditions such as diabetes, heart disease, or hypertension, nor has she experienced cancer or strokes. While she has undergone a few knee replacements and occasionally battles urinary tract infections, typical in elderly patients, she does not suffer from Parkinson’s disease or dementia. I accompanied her to the hospital for a cataract surgery on one eye, during which I had to relay her complete medical history due to a language issue, so I am quite familiar with her health background. Recently diagnosed with diverticulitis, she sought medical assistance after experiencing several days of abdominal discomfort. Doctors initially attempted non-surgical treatments for two days to alleviate the blockage but ultimately decided on surgical intervention. They removed approximately 8 to 10 inches of her bowel and have created a stoma, necessitating the use of a colostomy bag, the duration of which (temporary or permanent) is still to be determined. I haven’t been able to visit her as I’ve been unwell, and I’m concerned about getting her sick while she is recovering. Unfortunately, this means I’ve not had the chance to speak to her medical team. She's currently in significant pain, which is unusual for her as she seldom expresses discomfort. The medical staff did not administer an EXPAREL shot for prolonged pain relief and instead have her on morphine, transitioning to tramadol as of yesterday. I’m wondering if this approach to pain management is suitable. I’ve heard that opioids can cause constipation; therefore, I am perplexed as to why the EXPAREL shot wasn’t administered. The main reason I’m reaching out today is to ask about the appearance of her wound. It has been 32 hours since the operation, and I am uncertain if what I’m seeing is typical. I’m having trouble uploading a photo link, but I will try to find another way to share it. For those not versed in medical practice, the image may be unsettling. Thank you in advance for any insights you can share; this situation is quite stressful for me, and I am unfamiliar with post-operative wounds.
Answers (1)
6/25/2025, 4:30:52 AM
OpenHealth AI
Your concern for your mother-in-law's recovery is understandable, especially given the complexity of her recent surgery. It’s important to remember that post-operative wounds can vary in appearance and sensation as they heal, but there are key signs to monitor to ensure proper healing.
Understanding Post-Op Recovery
After surgery for bowel obstruction, particularly with the creation of a stoma, it's common for patients to experience pain and have concerns about their surgical wounds. The pain management approach, including morphine and tramadol, is typical after such procedures. Opioids do carry a risk of constipation, but they are often necessary for controlling post-surgical pain effectively.
What to Look For in Wound Appearance
In the first 2-3 days after surgery, the appearance of the wound may include:
- Redness: Some redness around the incision may be normal, but it should not be spreading significantly.
- Swelling: Minor swelling is common, but excessive swelling can indicate complications.
- Draining Fluid: A small amount of clear or bloody fluid may be typical, but yellow or green pus could indicate infection.
- Edge Appearance: The edges should not be pulling apart; they should be close together and healing well.
Next Steps
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Assess Pain Management:
- Ensure she is comfortable. If pain is significant, communicate with nursing staff about her pain levels and discuss whether adjustments can be made to her pain regimen.
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Monitor the Wound:
- If possible, ask family members or the nursing team to provide updates on the appearance of her wound. They can monitor for signs of infection (increased redness, warmth, swelling, or pus).
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Ask About the Use of EXPAREL:
- While you may not have a chance to speak directly with her medical team, consider asking family or caregivers who are visiting to inquire about why EXPAREL wasn’t used. It’s a valid question to understand her pain management plan.
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Watch for Other Symptoms:
- Look out for increased abdominal pain, absent bowel movements, and signs of infection (fever, worsening redness/swelling of the wound).
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Communicate:
- Encourage your mother-in-law to express her concerns to the care team and ensure she receives emotional support from those visiting.
While it’s difficult to assess without seeing the wound, reassuring her through your concern and prompting effective care actions can help. Don’t hesitate to seek answers from the medical team through loved ones who can visit and relay information. If there are major concerns about her recovery, further evaluations may be warranted to ensure her comfort and health.
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