I think I have a problem

wahoo59
on 5/8/07 10:12 am - Cranbury, NJ
Some of you remeber giving me advice on my gall bladder. Well it was removed yesterday. I am having severe pain in my right shoulder and starting to develope a fever. what should I do? My temp right now is 100.1. Going up by .3 everyhalf hour to hour. Also no pain relief from medication. Please help Tommy
ardbeg
on 5/8/07 10:21 am, edited 5/8/07 10:23 am - AL
Don't mess around, call your surgeon.  Don't wait for morning.  If he has an "in case of emergency" number listed on his main line or pager, call that.  Right after surgery is exactly the time he should expect such calls.  If he's unavailable, try your PCP instead.  You may not have a big problem, and maybe he'll tell you "if it goes above XXX, call me again."  But he should at least know what your symptoms are so he'll be ready to receive the next call if it comes. I admit, if it were me, I'd probably wait and see if it kept going up for a couple more hours.  But I may also be an idiot.
Cards Fan
on 5/8/07 1:30 pm

No question about it - call your surgeon.  The fever is a sure sign that you have something going on and you're body is attempting to fight it off.  Don't wait until an infection has already taken hold.  What you're experiencing is not unusual after surgery, but you should not take any chances.   CF

Beam me up Scottie
on 5/8/07 1:46 pm
The good thing about Dr. Roslin's practice is that there are 3 bariatric surgeons ..and one of them is ALWAYS on call.  I'd call the service, and have them call you back.  If the pain increases or the fever goes above 101, go to the ER.  Scott
(deactivated member)
on 5/8/07 1:47 pm - Houston, TX
If no answer...go to the ER...now is not the time to be a "He-Man" Russ
Dx E
on 5/8/07 2:24 pm - Northern, MS

Fever? Yep, stay on top of that!! They tend to take action if it climbs above 101. Speed-dial on the phone…. The shoulder pain? Different issue, perhaps totally un-related. Was the GB surgery laproscopic? If so, the shoulder pain is pretty common….. (Sorry,  Another old re-post from Dx of Christmases Past)------ Post-Surgical Pain in Shoulder &/or Chest? _________________________________ Some chest pain, and even more often- shoulder?

Yep, pretty common. I have no ‘first-hand’ experience with that one, But I see a lot of folks who had their procedure (RNY or BAND) Done Laproscopically complain about it. Often with gallbladder Surgery. ...sometimes the chest/upper back/shoulder pain following a laparoscopy Can be even more painful than the incision sites.! But if work was done in the abdomen, why the upper body pain?

_____________________________________________ During laparoscopy, C02 (carbon dioxide) gas Is injected through a special needle inserted just below the navel. This is done to expand the abdomen and allow your surgeon A view of your organs. After the laparoscopy, most have upper body/shoulder pain, Sometimes barely, sometimes severe. It’s attributed to the C02 gas being trapped as it exits the body. What is REALLY Interesting- is that the diaphragm / abdominal area, And the shoulder also share some of the same nerves; chiefly, the Phrenic Nerve. The Phrenic Nerve runs up on each side of the neck, From the 3rd, 4th and 5th cervical spine roots. It Runs down between the lungs and the heart to reach the diaphragm. Abdomen and Chest/Upper Back/Shoulders? Yep. Signals from this nerve coordinate the muscular movements of the Chest cavity and the diaphragm so that your breathing "synchs-up." When the C02 gas irritates the diaphragmatic nerves, That pain is transmitted through that nerve, all the way to, - and passing the irritation- To the upper body. Yes? Also, as the CO2 is removed at the end of the surgery Some small ‘bubbles’ or pockets, remain to be re-absorbed by the body. They are able to move between thin layers of the peritoneal tissue, Even traveling up (as ‘bubbles’ want to do ) between thin layers of connective tissues. Apparently, early Laproscopic procedures caused even more post-op pain More recently the advancement of heating and humidifying the C02 Has reduced this post-op pain, but not yet eliminated it. From posts I’ve read in the past, - It seems to go away around the end of the second week. Most people also seem to notice the pains around the time They start back off their pain meds. Probably when you breathe in deep, You are raising the internal pressure in your body, certainly using your Diaphragm and upper Thoracic muscles and further stimulating the Phrenic Nerve At the same time that a little bubble or pocket of leftover CO2 Would then be "mashing" against, or between the layers of tissues. Sorry to babble on, but it’s very interesting to me How all of the inner workings connect. I’m a Discovery Channel Nerd, What can I say. J Best Wishes- Dx

wahoo59
on 5/8/07 4:48 pm - Cranbury, NJ
Who needs support group meetings when you have the best help right here in the LOCKER ROOM. My fever broke about midnight and pain has subsided alot. You guys are great support. THanks again everyone. Tommy
(deactivated member)
on 5/8/07 10:09 pm - northeastern, NC
In case no one has said it yet, CALL YOUR SURGEON. You and your insuramce company pay him $$$$$$$ for a reason...
Richard13
on 5/9/07 12:40 am - Pittsburgh, PA
Call your surgeon immediately or go to the emergency room.  This is nothing to play around with.  Sounds like you probably have an infection. Rich
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