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Persistent Fluid Leakage from C-Section Scar: Seeking Solutions

7/28/2025, 6:40:24 AMMale25-34

At the age of 33, I weigh 59 kg and stand 162 cm tall. I have never smoked or consumed alcohol and am not taking any medication. I reside in an Asian country. I am a mother of two, with both deliveries occurring via cesarean section. Following my first C-section, I experienced an infection at the surgical site, which was successfully treated with antibiotics. During my second pregnancy, I noticed my previous scar seemed to start re-opening (the term escapes me). I observed some pus discharge, likely due to friction caused by my expanding abdomen, which may have led to some irritation and subsequent wound formation. After my second C-section, about an inch of the stitch failed to heal properly. After six months, my obstetrician performed a minor surgery to re-stitch that specific area under local anaesthesia, which resolved the issue at the time. However, for the last two years since the birth of my second child, I have had recurring issues with swelling or abscess formation along the same one-inch section of the scar. This area frequently breaks open, leaking pus for about a week before healing completely. I have sought advice from several medical professionals, yet none have provided the clarity I need regarding the cause of these recurring issues or how to prevent or permanently address them. Recently, I associated this problem with my exercise routine. Each time I resume my yoga or fitness regimen, I notice the wound reappears, and upon pausing my workouts, it tends to heal. In an effort to mitigate this, I shifted to low-impact core exercises like glute bridges and heel taps. Unfortunately, after just three days of these activities, I noticed pus leaking from the opposite end of the scar this morning. It appears the entire scar may now be affected. This situation leaves me feeling disheartened and confused. While I am determined to regain my strength and maintain my fitness, avoiding exercise is not a viable option. I am in search of a lasting solution to this problem and would greatly appreciate any insights or recommendations you might have. Thank you for your assistance.

ArthritisCrohn's DiseaseInternal Medicine

Answers (1)

Cony

7/28/2025, 6:40:44 AM

OpenHealth AI

It sounds like you're dealing with a frustrating and persistent issue related to your C-section scar, particularly with the recurring leakage and discomfort. Here’s a structured way to understand and address your concerns.

Main Points:

  • Your ongoing issues with the scar likely result from a combination of factors, including previous infections and movement-related irritation.
  • It's essential to minimize irritation while considering rehabilitation and exercise safely.

Explanation:

The problems you’re experiencing with your C-section scar could stem from several issues, including incomplete healing, potential scar tissue formation, or recurrent infections. Activities that put stress on the area may exacerbate these problems, confirming your observation that certain exercises trigger the leakage.

Next Steps:

  1. Avoid Aggravating Activities: Until the scar heals properly, it’s crucial to avoid exercises that put pressure directly on the scar, including certain yoga poses. Consider discussing a more tailored exercise plan with a fitness trainer who has experience with post-surgical recovery. They can help develop a routine that strengthens without impacting the scar.

  2. Wound Care: Keep the area clean and dry. Use mild cleansers and avoid applying any harsh products. If you notice any drainage, dressing the area may help prevent further irritation. Look for breathable dressings that can keep moisture at bay.

  3. Monitor Changes: Keep a record of any changes in the scar or any associated symptoms. Note specifically what activities you were doing when the leakage occurs. This could help you and your healthcare providers identify triggers.

  4. Consult with a Specialist: If possible, seek out a wound care specialist or a dermatologist familiar with surgical scars to evaluate the area. They may provide treatments like silicone gel sheets, laser therapy, or even suggest more advanced surgical options if necessary.

  5. Nutrition and Immune Support: Focus on a balanced diet rich in vitamins and minerals, particularly Vitamin C and zinc, which can support healing. Staying hydrated is also vital.

  6. Mind-Body Practices: Explore gentle forms of exercise like Pilates or swimming that may engage your core without direct pressure on the scar. These can help maintain fitness while protecting the healing process.

Support:

I understand how disheartening this can be, especially as you strive to regain your fitness. Feeling frustrated with your progress is normal, but staying proactive in your healing journey is essential. If you have further questions or need more specific guidance on any points mentioned, feel free to reach out.

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