Suggest Treatment For Abdominal Swelling And Difficulty While Urinating

Posted on Fri, 11 Nov 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 11 Nov 2016 Answered on

Thu, 1 Dec 2016 Last reviewed on

Question : 11 hours ago had laparoscopic for inguinal surgery on both sides...difficulty urinating...great deal of swelling both sides of stomach too ...no swelling near groin. No fever little pain but on pain pills...2 blocks and a general for procedure...swelling very significant!!!!! Is this normal? For swelling...even hard to the touch on the sides of stomach when standing softer while lying down.

Answered by Dr. T Chandrakant (48 minutes later)

Brief Answer:
On Coumadin hence possibility of hematoma to be ruled out first

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/62 - on Coumadin - Bilateral Lap Inguinal Hernia 11 hours ago - difficulty urinating - great deal of swelling/significant on both sides of stomach - but no swelling near groin - no fever - little pain as on pain pills - 2 blocks and General for procedure - icing and taking Vicodin - hard to touch on sides of stomach when standing - softer while lying down - wants to know whether this is normal...

My thoughts after reading reading the history:
Since you are on Coumadin and got operated within 12 hours, the chances of the swelling being hematoma are to e considered as the first diagnosis.
I would advise you the following:
Tests of blood: CBC, bleeding time, clotting time, prothrombine time- PT and to get INR values and to get corrected if abnormal.
High resolution ultrasound and color doppler followed by a CT scan if hematoma is suspected to get a confirmed diagnosis and get further treatment according to the reports.
Getting the correct diagnosis is of utmost importance.
I hope, this answers your query and helps you to get an early diagnosis and proper treatment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar