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Post op hematoma
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04-23-2009, 05:37 PM
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Guest
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Posts: 3
Hysterectomy: April 6th, 2009
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Post op hematoma
Hi everyone, I'm new to this site and have a couple of questions. I had my hysterectomy Apil 6, the night of the surgery I was in so much pain that I could hardly breath (due to hematoma) I had a blood transfusion and was kept one more day before discharge. After being home for three days, I couldn't walk, eat and could still barely breath. I was finally admitted back in the hospital and they drained almost three pints of blood from my pelvic area. I remained in the hospital for three more days and was then discharged again. I couldn't eat because every time I swallowed anything, even water, my stomach reacted by violent surges of pain. I didn't have a bowel movement for the entire time I was there until the last day when they gave me an enima. I am now home but still in an extreme amount of pain. I was told by my doctor that my body would re-absorb the blood, but it has now been almost three weeks and I can still barely walk. Did anyone else experience anything like this?
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04-24-2009, 04:27 PM
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Posts: 15,188
Hysterectomy: September 20th, 2004
Surgery Type: TAH
Ovaries: Kept 1 or both
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Re: Post op hematoma
Oh, ((sister))) I'm so sorry you're dealing with all of this!
I also had a large (19x9x4 cm.) hematoma after surgery, except mine wasn't even diagnosed for several months. I just thought I had a never-ending case of swelly-belly and was a slow healer.
The is correct in saying that most hematomas do resolve on their own. But I'm curious -- do they think they didn't get it all when they drained it? How much blood do they think is still in there to reabsorb?
A hematoma is like a blood blister on the inside, and it can be extremely painful as you have discovered. Blood is very irritating when it's not where it's supposed to be.
It can take weeks (even months) for a hematoma to completely reabsorb. Think about the bruises you get on the outside... sometimes they seem to go away in just a day or two, and sometimes they hang around much longer. It's really important to try and give the area as little stress as possible, so be very careful with exercise. You want to be up and moving some, of course -- but I would double-check with the doctor or nurses as to just how much you should be doing. One definite is lifting (although you're still on lifting restrictions anyway) -- no strain to the muscles!
Don't be afraid to ask for good pain control if you need it. Your body can't heal if it's in pain, and now is no time to be a hero. My doctor went from being skeptical that I was really even in pain to asking me if Percoset was going to be strong enough once she saw what I was dealing with.
I hope you are feeling much better soon! Please keep us informed as to your progress.
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04-24-2009, 06:53 PM
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HysterSister
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Posts: 509
Hysterectomy: January 19th, 2009
Surgery Type: SAH
Ovaries: Kept 1 or both
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Re: Post op hematoma
I had a hematoma but it was much smaller than yours. It was about the size of a grapefruit. It is much smaller now but I still have (had) it. I actually have to go back in and get myself checked to see if it is all gone. I am thinking not...because I still have some pain in that area. I was instructed not to lift anything heavy or I could get a hernia as well. I was hoping this thing would be gone considering I am about 15 weeks post op. I hope you get some relief very soon from this hematoma and that you heal fast. Keep us posted!
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04-24-2009, 08:44 PM
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Guest
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Posts: 3
Hysterectomy: April 6th, 2009
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Re: Post op hematoma
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Quote: |
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Originally Posted by mjd2491
Oh, ((sister))) I'm so sorry you're dealing with all of this!
I also had a large (19x9x4 cm.) hematoma after surgery, except mine wasn't even diagnosed for several months. I just thought I had a never-ending case of swelly-belly and was a slow healer.
The is correct in saying that most hematomas do resolve on their own. But I'm curious -- do they think they didn't get it all when they drained it? How much blood do they think is still in there to reabsorb?
A hematoma is like a blood blister on the inside, and it can be extremely painful as you have discovered. Blood is very irritating when it's not where it's supposed to be.
It can take weeks (even months) for a hematoma to completely reabsorb. Think about the bruises you get on the outside... sometimes they seem to go away in just a day or two, and sometimes they hang around much longer. It's really important to try and give the area as little stress as possible, so be very careful with exercise. You want to be up and moving some, of course but I would double-check with the doctor or nurses as to just how much you should be doing. One definite is lifting (although you're still on lifting restrictions anyway) no strain to the muscles!
Don't be afraid to ask for good pain control if you need it. Your body can't heal if it's in pain, and now is no time to be a hero. My doctor went from being skeptical that I was really even in pain to asking me if Percoset was going to be strong enough once she saw what I was dealing with.
I hope you are feeling much better soon! Please keep us informed as to your progress.
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Hi I thought I replied to this but I think I did something wrong so if you see a reply twice that's why. I went in on a Monday to have the hematoma drained and the radiologist showed me on an ultrasound what it looked like. I'm no expert, but I saw more than one, and they were all of good size. He drained the biggest one which was 280ml running me through a CT scan then inserting the needle taking another scan inserting the needle more etc. the procedure was pretty painful and didn't seem to bring much relief. The radiologist said he drained the biggest mass. I stayed in the hospital until Saturday. They tried me on Percoset too but it did nothing so they sent me home with Oxycontin. I'm scared to death of that drug, but take it only when I can't stand the pain any more. I walk that is the only exercise I get I am not overdoing it I want to heal right without anymore problems but every time I walk it feels as if my insides are being pulled on and I have non stop gas pains, is this normal?
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04-28-2009, 12:54 PM
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Posts: 15,188
Hysterectomy: September 20th, 2004
Surgery Type: TAH
Ovaries: Kept 1 or both
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Re: Post op hematoma
Oh, (((sister))) I'm so sorry you're still suffering.
Unfortunately, a hematoma can be very painful. I had gas pains, plus pains that *felt* like gas pains but I knew they weren't because of location. That pain would come in waves and at unexpected times. I learned that this pain was related to the hematoma.
I understand you being scared of the Oxycontin. It's a strong medicine, but if you're really in pain, it will bring you relief so you can rest and relax. In the vast majority of cases, patients who take pain medications for real pain (like what you're having) suffer no ill effects and have no trouble stopping the medicine when the pain subsides.
Also, remember that if you wait too long to take the medicine, it will not work as well. (They call it "getting behind the pain" as opposed to "staying ahead of the pain".) In other words, for a while, take the medication on time no matter what... eventually you'll get the pain under control. After that, you can think about spacing the doses out a little more if you don't need them. I'm not trying to tell you how to take your medicine -- only your or doctor can do that. But when you say you wait until you can't stand it anymore (which I definitely understand), it may be counterproductive.
to you. Please take care and keep us updated.
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