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Was stool culture done?
In the hospital 3 months ago, no c diff
What are current symptoms?
oozing at wound site, pain and inflammation surrounding the site
Where is the wound site?
it actually feels electrically charged when it is discharging. it is on the right side under the breast near rib cage.
Is pus oozing out through wound site?
When do I hit the accept button? I am not really good with computers
Please dont hit accept till we have finished discussion.
I will tell you when to hit it.
Is the discharge coming out through a sinus or fistula?
No fistula was seen on CT scan, if sinus means the hole that is from the surgery, yes it comes out of there.
Was contrast or dye installed in the opening through which pus comes out during CT scan ?
no, the contrast was done through the arm
Then there are chances that fistula or sinus and its intra-abdominal extent would be missed.
In view of your symptoms and antibiotics not responding formation of such fistula is very likely.
what is my next move? Would infectious disease dr help. If it is fistula, what does that mean
Such fistulas are very well known to persist even with good antibiotics.
Next step would be to get a fistulogram done to see internal extent of the tract.
Fistula is abnormal linear tract communication with viscous organs.This tract is commonly infected.
Is that done in a hospital?
Its common to have localised collection of pus underneath such fistulas.
Yes,its done in radiology department of hospital.
what type of dr should I see? I don't even know if I want to go back to my surgeon
Would intravenous antibiotics help and does that fistulogram require being put out?
Actually a general surgeon is a person who can handle this.Since your current surgeon has not taken any action I guess you need to consider a second opinion.
OK. Is there anything else I should ask that you can think of? I can't even think anymore
Intravenous antibiotics can surely help but first fistula and underlying pus collection needs to be taken care of or otherwise only taking antibiotics will not prove helpful.
Are we done now?
I guess thats all.Do consider taking a second opinion or discuss about the things I have suggested with current surgeon so that he/she can take further steps.If not . then you can go ahead with second opinion.
Please ask if there are doubts.Regards.
If you dont have doubts, then we are done.
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Thank you. Regards.
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