Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Severe Pain Despite Removing Stitches After An Episiotomy?
Posted on
Thu, 27 Aug 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 27 Aug 2015
Answered on
Wed, 16 Sep 2015
Last reviewed on
Question : Sir my wife has epistomy on 14aug and 10days she has persistent pain when we saw a dr she removed stitches and said pain is because of this and no sign of infection but but she still hav sever pain what to do
Brief Answer:
Precautions advised
Detailed Answer:
Hello sir, thanks for trusting health care magic.
This is common a problem and is seen in 4-5% of patients who undergo episiotomy.
It is because of healing tissue which may have subtle infection or due to poor tissue quality of the patient, contributing to pain.
In such a situation, I usually recommend my patients to take Tablet Lyser-D three times a day for 5 days and see the response.
It will help in healing and also decrease the pain significantly.
Also keep the area clean always, wipe it with clean tissue after using washroom everytime.
Ask her to avoid sitting in squatting position and keep her legs straight even during feeding the baby.
Take care
Regards
Dr Manisha
Precautions advised
Detailed Answer:
Hello sir, thanks for trusting health care magic.
This is common a problem and is seen in 4-5% of patients who undergo episiotomy.
It is because of healing tissue which may have subtle infection or due to poor tissue quality of the patient, contributing to pain.
In such a situation, I usually recommend my patients to take Tablet Lyser-D three times a day for 5 days and see the response.
It will help in healing and also decrease the pain significantly.
Also keep the area clean always, wipe it with clean tissue after using washroom everytime.
Ask her to avoid sitting in squatting position and keep her legs straight even during feeding the baby.
Take care
Regards
Dr Manisha
Above answer was peer-reviewed by :
Dr. Sonia Raina
Madam lyser d tab which company please name the comp and if any possible that stitches in epistomy have stitches removed help
Dear madam today I have send my wife to dr she said there is a infection but she is taking antibiotics regularly and there is a some swelling around that it means that anti biotic does not help are something is series what I can do she is taking zerodal sp and seftec CV regularly about 5days what to do
Please reply as earlier as possible
Dear madam today I have send my wife to dr she said there is a infection but she is taking antibiotics regularly and there is a some swelling around that it means that anti biotic does not help are something is series what I can do she is taking zerodal sp and seftec CV regularly about 5days what to do
Please reply as earlier as possible
Brief Answer:
Wait for 2 days more
Detailed Answer:
Hello Sir, sorry for the delay in response as I was struck in an emergency surgery.
Yes she should jeep taking Zerodol and seftec CV as advised for 5 more days.
But in case there is a collection and pain doesn't subside with these drugs then she needs surgical exploration of the episiotomy site and release the swelling.
She should also take sitz bath viz sit in a tub full of lukewarm water at least twice a day.
Wait for a couple of days and then act accordingly.
Take care
Wait for 2 days more
Detailed Answer:
Hello Sir, sorry for the delay in response as I was struck in an emergency surgery.
Yes she should jeep taking Zerodol and seftec CV as advised for 5 more days.
But in case there is a collection and pain doesn't subside with these drugs then she needs surgical exploration of the episiotomy site and release the swelling.
She should also take sitz bath viz sit in a tub full of lukewarm water at least twice a day.
Wait for a couple of days and then act accordingly.
Take care
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Madam can i give her amoxycilin and potassium clavalunate 625mg b id for 5 days is it safe I think this is better than seftec CV
Brief Answer:
better than that and safe to use
Detailed Answer:
Yes it is definitely better and should be take without a miss for 5 days at least.
Keeping the area clean is the mist important point.
But in my opinion it will need surgical exploration in the form of release of the swelling in the wound.
Hot sitz bath will give her a lot of relief.
All the best.
better than that and safe to use
Detailed Answer:
Yes it is definitely better and should be take without a miss for 5 days at least.
Keeping the area clean is the mist important point.
But in my opinion it will need surgical exploration in the form of release of the swelling in the wound.
Hot sitz bath will give her a lot of relief.
All the best.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Madam surgical exploration is needed are it clear without that today dr Rx only trypsin and chymotrypsin and not antibiotic she said antibiotics is not needed
Brief Answer:
Treatment needed
Detailed Answer:
Yes that is what I said that wait for two days on same treatment and in case pain and swelling persists then it will need surgical exploration and drainage of the involved area.
But in case pain decreases then only zerodal so will lead to complete resolution of the problem.
As far as antibiotics are concerned, you updated last day that doctor said there is persistent swelling and thus antibiotic still needed.
And in my opinion also if there is a lot pain and swelling antibiotic is a must as it is an infection prone area and needs lot of vigilance.
Take antibiotic and zerodal along with trypsin chymotrypsin as advised for 5 days at least.
Treatment needed
Detailed Answer:
Yes that is what I said that wait for two days on same treatment and in case pain and swelling persists then it will need surgical exploration and drainage of the involved area.
But in case pain decreases then only zerodal so will lead to complete resolution of the problem.
As far as antibiotics are concerned, you updated last day that doctor said there is persistent swelling and thus antibiotic still needed.
And in my opinion also if there is a lot pain and swelling antibiotic is a must as it is an infection prone area and needs lot of vigilance.
Take antibiotic and zerodal along with trypsin chymotrypsin as advised for 5 days at least.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
