Mild to moderate pain in the abdominal area after sleeve gastrectomy is an expected condition. This pain develops due to the laparoscopic incision sites and tissue healing around the stomach. It usually decreases within the first few days and can be controlled with pain medication.
During the first week, the intensity of the pain gradually decreases and, in most patients, reaches a level that does not interfere with daily life. However, in some individuals, tenderness at the incision sites and sharp gas-related pain may continue for a while. During this period, rest and regular follow-up are important.
Severe or progressively increasing pain may rarely indicate complications. Such conditions are associated with clinical situations requiring surgical intervention, such as infection, gastric leakage, or vascular occlusion. Therefore, the progression of the pain should be monitored carefully.
To reduce pain, early mobilization, changing positions, and regulating fluid intake are recommended. Walking and breathing exercises to prevent gas accumulation may be beneficial. The entire pain management process should be carried out under the supervision of a physician.
İçerik
Is Pain Normal After Surgery?
Experiencing a certain level of pain after sleeve gastrectomy is expected. This pain is the body’s natural response to the surgical procedure. Incisions made in the abdominal area during surgery, reshaping of the stomach tissue, and the gas used during the operation may all contribute to the sensation of pain.
Most patients report that the pain is more noticeable during the first few days after surgery. As time passes, the intensity of the pain decreases and reaches a level that does not interfere with daily activities. However, since pain perception varies from person to person, every patient’s experience may be different.
The Most Common Areas Where Pain Is Felt
Since sleeve gastrectomy is generally performed using a minimally invasive (laparoscopic) technique, there are several small incisions in the abdominal area. Tenderness and aching pain may be felt around these incision sites. In addition, some patients may report pain in the shoulders or upper back.
This condition is generally related to the gas introduced into the abdomen during surgery, which affects the diaphragm. Shoulder pain is usually temporary and decreases on its own within a few days. A feeling of abdominal pressure or fullness may also accompany the pain.
How Long Does the Pain Last?
The duration of pain after surgery may vary depending on the individual’s overall health, pain threshold, and the course of the operation. Generally, the pain is more noticeable during the first 3–5 days. By the end of the first week, most patients report that the pain has significantly decreased.
From the second week onward, the pain is more commonly described as brief aching sensations experienced during sudden movements, coughing, or getting out of bed. This is considered a natural part of the healing process. However, if the pain gradually increases or persists for a prolonged period, evaluation by a specialist may be necessary.
How Is Pain Managed?
Pain control after surgery is an important part of the recovery process. During the hospital stay, pain medications are administered under the supervision of a physician. After discharge, medications considered appropriate for the patient may also be prescribed.
In addition, performing the recommended movements and avoiding sudden or strenuous activities may help reduce pain. Light activities such as walking both facilitate the elimination of gas and promote overall comfort. It is important that patients do not take medication on their own and do not exceed the recommended dosages.
Other Sensations That May Be Mistaken for Pain
After sleeve gastrectomy, some sensations may be perceived as pain but have different causes. For example, burning, pressure, or pulling sensations in the stomach area may not always indicate pain. These sensations are often related to the reduced stomach volume and the digestive system adapting to its new condition.
In addition, gas pain, bloating, or discomfort related to bowel movements may also be mistaken for pain. These complaints are generally temporary and decrease as eating habits become established. Nevertheless, medical evaluation is important for proper differentiation.
In Which Situations Should Extra Attention Be Paid?
Although a certain degree of pain after surgery is considered normal, some situations require closer evaluation. Pain that gradually becomes more severe, starts suddenly, or is accompanied by additional symptoms such as fever, nausea, or vomiting should be taken seriously.
In addition, redness, discharge, or significant tenderness at the incision sites may indicate the possibility of infection. Such symptoms should not be interpreted independently and must be reported to a healthcare professional. It should be remembered that clinical decisions are individualized.
What Do Patient Experiences Say About Pain?
Many patients who have undergone sleeve gastrectomy state that they experienced less pain than they had expected before surgery. In particular, surgeries performed using minimally invasive techniques are frequently described as providing a more comfortable recovery process compared to open surgery.
However, some patients report that they had difficulty moving during the first few days but felt more comfortable with each passing day. The gradual reduction in pain increases patients’ confidence in the recovery process. Nevertheless, it should be kept in mind that every experience is personal and may not be exactly the same as someone else’s.
The Effect of Psychological Factors on Pain Perception
One of the factors affecting pain perception during the postoperative period is psychological condition. Feelings of anxiety, stress, and uncertainty may cause pain to be perceived more intensely. Therefore, providing sufficient information before and after surgery is important for patients.
A supportive follow-up process helps patients feel more secure. Knowing that the pain is temporary provides reassurance for most patients. When necessary, receiving psychological support may also contribute positively to the recovery process.
Frequently Asked Questions
How long does pain last after sleeve gastrectomy, and where is it usually felt?
Is it normal to experience severe pain after sleeve gastrectomy?
Why does shoulder pain occur after sleeve gastrectomy?
What methods can help reduce pain after sleeve gastrectomy?
Can pain after sleeve gastrectomy be a sign of infection?
When does gas pain go away after sleeve gastrectomy?
Is it normal to feel pain while eating after sleeve gastrectomy?
On which day does pain significantly decrease after sleeve gastrectomy?
What problems may prolonged pain after sleeve gastrectomy indicate?
What should be done before sleeve gastrectomy to reduce the risk of postoperative pain?
Op. Dr. Ahmet Bekin was born in Istanbul in 1983. He graduated from the Faculty of Medicine at Kocaeli University in 2006 and completed his specialty training in the Department of General Surgery at Istanbul University Çapa Faculty of Medicine in 2011. After his specialization, he worked in the fields of hernia surgery, reflux surgery, obesity surgery, advanced laparoscopic surgery, and robotic surgery. In addition, he received training in endocrine surgery, oncological surgery, and minimally invasive surgery. He is currently accepting patients from Turkey as well as from countries such as Germany and France at his private clinic located in Istanbul.
