Hi my zsr has been done on 25th Jan 2025 but now few days I am seeing some water coming from stitches is this normal ...? and which medicine I can take for this please help

Hello Taqi Ji,

Intestinal perforation is a surgical emergency and requires immediate hospitalization with surgical and critical care support. The patient should be urgently evaluated for exploratory laparotomy or laparoscopic repair to seal the perforation and prevent peritonitis/sepsis.

Next Steps:

✅ Immediate referral to a surgical team for emergency intervention.
✅ Close monitoring for signs of peritonitis, sepsis, or worsening liver function due to Hepatitis B.
✅ Long-term follow-up with a hepatologist for Hepatitis B management post-surgery.

⚠ Delay in treatment can be life-threatening. Immediate surgical intervention is required!

Dear Abhishek Kumar Ji,

We understand that dealing with a persistent infection after gallbladder surgery can be concerning. Since your infection has been ongoing since November, it’s essential to evaluate a few key factors:

1. Current Symptoms – Are you experiencing fever, abdominal pain, nausea, or drainage from the surgical site?
2. Previous Tests & Treatment – Have you undergone any blood tests, imaging (like an ultrasound or CT scan), or a culture to identify the infection? What antibiotics have you been on so far?
3. Liver Function & Bile Duct Health – Any signs of jaundice (yellowing of skin/eyes) or abnormal liver function tests?

Possible Causes & Next Steps:

• Abscess or Bile Leakage: An ultrasound or CT scan may help identify an undrained collection if the infection is persistent.
• Resistant Infection: If initial antibiotics were ineffective, a culture test can guide better antibiotic selection.
• Bile Duct Issues: In some cases, retained stones or strictures in the bile duct can lead to ongoing infection, requiring an ERCP (Endoscopic Retrograde Cholangiopancreatography) for evaluation and treatment.

Suggested Next Steps:

🔹 Consult a Gastroenterologist or General Surgeon for a detailed evaluation.
🔹 Repeat imaging (Ultrasound/CT Scan) to check for fluid collections or bile leaks.
🔹 Blood tests (CBC, Liver Function, CRP, Procalcitonin, Blood Culture) to assess infection severity.
🔹 If needed, an interventional procedure (drain placement, ERCP, or further surgical intervention) may be required.

We strongly recommend seeking urgent medical attention if you have high fever, worsening pain, jaundice, or severe weakness. Let us know if you need assistance in booking an appointment with a specialist.

Wishing you a speedy recovery. 

प्रिय नरेश जी,

आपकी माता जी की वर्तमान स्थिति को देखते हुए, एक अनुभवी लिवर विशेषज्ञ से दूसरी राय लेना अत्यंत महत्वपूर्ण है। हम आपकी सहायता के लिए तैयार हैं। कृपया उनकी चिकित्सा रिपोर्ट्स और विस्तृत चिकित्सा इतिहास हमारे साथ साझा करें, ताकि हम उनकी स्थिति का मूल्यांकन कर उचित परामर्श प्रदान कर सकें।