Postoperative Care

Patients with simple acute appendicitis can be treated with one to two doses of perioperative antibiotics and oral intake can begin on the first or second postoperative day. In the setting of peritonitis or perforation, a 5-day course ofbroad spectrum antibiotics should be used, and initiation of oral intake should wait until bowel function begins to return. Ileus is not uncommon after perforated appendicitis and diet should be advanced slowly.

Complications following appendectomy include wound infection, appendiceal stump leak, and peri-appendiceal abscess or fluid collection, with a much higher incidence of these in the setting of perforation and peritonitis. Because these problems usually occur once the patient has left the hospital, it is critical to educate patients and families regarding the signs and symptoms of these complications and to return for follow up after discharge. In patients having appendectomy for perforated appendicitis and abscess, follow-up should include rectal exam to rule out recurrent abscess. Patients managed nonoperatively by antibiotics and percutaneous drainage of peri-appendiceal abscess should undergo interval appendectomy 6 weeks from the drainage procedure because of the high incidence of recurrent appendicitis.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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