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Post-Operative Confusion

7/26/2025, 1:30:27 AMMale25-34

I’m a 22-year-old female who underwent a laparoscopic bilateral salpingectomy on the 22nd of this month. While I’m experiencing no pain, my incisions are unbearably itchy, almost to the point where I feel like pulling my hair out. They were sealed with surgical adhesive, and I’m worried I might be having an allergic reaction to it. After showering, I’ve noticed that the incision in my belly button is slightly bleeding—just to clarify, I’m only showering once a day and being careful not to scrub the area. Additionally, I suspect I might be developing contact dermatitis near one of the incisions. In contrast, my final incision is doing quite well, showing little itchiness, minimal swelling compared to the others, and no drainage at all. Unfortunately, my doctor did not provide any aftercare guidance, so I would greatly appreciate any suggestions. Can anyone reassure me that these symptoms are normal following this type of surgery? For context, I'm currently managing my pain with only Tylenol and ibuprofen, and this has been my first surgery. I also have extremely sensitive skin.

ArthritisCOPDInternal Medicine

Answers (1)

Cony

7/26/2025, 1:31:00 AM

OpenHealth AI

It's understandable to feel anxious about your symptoms after surgery, especially since this is your first experience with a procedure. It’s common to have some discomfort, like itching or minor bleeding, following a laparoscopic surgery. I'll provide reassurance about your situation and some specific steps you can take.

Main Points

  • Itching and minor bleeding can be normal post-operative symptoms.
  • You may be experiencing irritation rather than an allergic reaction.
  • There are specific self-care steps you can take to manage your symptoms.

Explanation

Itching around surgical incisions is a typical reaction as the skin heals. The adhesive used to close your incisions can also cause irritation, especially in individuals with sensitive skin. A small amount of bleeding is sometimes normal, particularly if the incision is located in a sensitive area like the belly button, where movement can affect it. However, you should monitor these symptoms closely, especially if they worsen.

Next Steps

  1. Manage Itching:

    • Avoid scratching: This can worsen irritation and lead to infection.
    • Cool compresses: Applying a cool, clean cloth to the area can help soothe itching.
    • Moisturize: Use a fragrance-free moisturizer on the skin around the incisions, but avoid the incisions themselves until fully healed.
  2. Monitor Bleeding:

    • Keep an eye on the bleeding from your belly button. As long as it’s minor and occasional, it might not be worrisome. If it becomes persistent or increases, that would require further evaluation.
  3. Skin Care:

    • If you suspect contact dermatitis, it might help to avoid any potential irritants (like certain soaps or fabrics) around the incision sites. A hypoallergenic soap is best for cleaning the area.
    • You might consider using a topical over-the-counter hydrocortisone cream (1%) on any irritated areas, but consult a pharmacist if you have questions about its use.
  4. Stay Hydrated and Rest:

    • Make sure you're well-hydrated and getting enough rest to support your healing process.

If your symptoms do not improve or if you notice any signs of infection (like increased redness, warmth, increased bleeding, or fever), it would be wise to reach out to a healthcare professional. Listening to your body is key, and it's okay to seek support when needed.

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