My husband had an emergency appendectomy at 7:40 pm Sunday 6/6. His appendix had ruptured and the surgeon said it is likely that the rupture happened up to two weeks ago. His bowel and intestines had "blocked" the site of rupture from the rest of his abdomen. 48 hours post-op, he is still in excruciating pain, has nausea and vomiting, low-grade fever and NO bowel sounds. The surgeon attempted laparoscopy until seeing the condition he was dealing with so his abdomen is distended from the gas. How long does it typically take for the bowels to regain activity? Is this something I should be concerned about?
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replied April 23rd, 2011
Hello and thank you for your post on e health forum.

Post surgical procedures on the intestines, it does take some time for the function to return to normal.

In your husband's case the rupture of the appendix and the resulting spread of infection through out the peritoneal cavity, has caused a temporary state of intestinal paralysis (total reduction of intestinal peristalysis). This results in the collection of gas inside the intestines causing bloating.

This will usually resolve within the next few days as the inflammation and infection settles down, and the intestinal function will resume within 48-72 hours. A complicated surgery has caused delay in resumption of functions.



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