Diagnosis | Pain after caesarean section

Diagnosis

Whether the pain after a caesarean section is due to the birth process or whether the scar is infected can best be assessed by a doctor. On the one hand, it is important that the patient tells the treating physician about her symptoms completely in the medical history. In addition, the doctor can look at (inspect) and palpate (palpate) the scar.It quickly becomes clear whether this is an inflammation of the scar or whether the pain is caused by the wound after the caesarean section. In addition, blood can be taken from the patient because inflammation values such as the C-reactive protein (CRP for short) increase when the scar is actually inflamed. Mostly, however, the pain after the caesarean section is only pain that has been caused by the injury to the nerves and which should disappear on its own after some time and therefore does not require any diagnosis.

Frequency distribution

Since a Caesarean section involves a very large opening of the abdominal skin including fat and muscles, every patient experiences pain after the Caesarean section. Especially immediately after the operation there can be greater pain. For most patients, the pain after the Caesarean section becomes less and less every day, so that after about 2 weeks, slight pain is rarely felt.

Other patients, however, still have pain in the scar area after 6 weeks. How long the pain lasts depends on the patient and is difficult to predict in advance. Pain after the caesarean section can have different accompanying symptoms and intensities.

Usually, there is a strong pain on the day after the Caesarean section, but this should decrease slightly from day to day. If there is movement or effort, such as holding the newborn baby, the pain after the Caesarean section may become worse or more intense. If, in addition to the pain, there is also itching around the scar, red discoloration of the skin, suppuration or fever, the patient should urgently consult a doctor, as it could be an infection of the scar, which in the worst case could spread further.

In addition to pain after the caesarean section, vaginal discharge is also common and there may be repeated chest pain. How long the pain remains after the Caesarean section varies greatly from patient to patient. Most patients stay in hospital for about 5-7 days after the Caesarean section.

During this time, pain can occur again and again, although the duration of the pain after the Caesarean section and the intensity of the pain should decrease within the first week. However, the exact duration of pain after the C-section is difficult to predict. During the days in hospital, the pain is usually at its worst, which is why every patient also has a pain pump with which she can pump painkillers into her blood vessels as needed.

How long the pain lasts after the caesarean section varies greatly from one individual to another. Most patients are able to walk around the apartment again without pain after 10 days, but lifting heavy objects or small children is not yet allowed during this time, as this can lead to severe pain and thus prolong the duration of the pain after the Caesarean section. After 6 weeks the wound healing is completely finished.

By this time at the latest, patients should be as pain-free as possible. However, if complications occur, such as an infection of the scar, the duration of pain after the caesarean section can be prolonged. In general, however, the patient is free of pain again after 2 weeks so that she can go about her daily routine.

Unfortunately, it is not possible to judge how bad the pain will be after the Caesarean section. There are some risk factors, such as obesity, which may indicate that the pain after the Caesarean section is worse than in other patients. However, the exact extent of the pain after the Caesarean section varies greatly from patient to patient and also depends on personal feelings and whether or not the patient has had complications.

If a patient has complications, such as an inflammation of the scar, the pain after the Caesarean section will be worse than in patients who have not had any complications. How bad the pain after the caesarean section complication becomes depends on the extent of the complication and the treatment. In general, however, the pain after the C-section is worst in the first week, with the patient spending that week in the hospital, where she can take painkillers to relieve the pain, so that a quick recovery is possible.

Mostly pain occurs after the C-section on the left and on the right side, because the scar of the patient goes through the middle abdomen.Since superficial skin nerves are cut through during the operation, there is pain after the caesarean section on the left and right side of the abdomen, i.e. on the left and right side of the scar. In principle, this is not unusual and the patient can also get a good grip on the pain with the help of painkillers and a balanced diet. However, if the pain changes or becomes more intense on the left and right side of the abdomen after the Caesarean section and there is also fever or swelling of the scar, a doctor should be consulted so that he or she can check whether the pain after the Caesarean section on the left and right side of the abdomen is possibly an infection of the scar.

If a patient gives birth to her child by Caesarean section, there will be pain after the Caesarean section on the abdomen. This is due to the fact that a Caesarean section is a major operation that requires a large incision to be made through the abdominal wall. During this procedure, superficial skin nerves, fatty tissue and muscles are damaged and injured.

This causes pain after the Caesarean section on the abdomen. During the first week that the patient spends in the hospital for check-ups, she is given pain medication for the pain after the abdominal C-section. After that, the patient should try to minimize the pain after the abdominal C-section with lots of walking training, light food and plenty of fluids.

After about 2-6 weeks, the pain after the abdominal C-section should have disappeared or at least the patient should be able to carry out her daily activities. Many patients complain of pain after a Caesarean section, which sometimes extends into the pubic bone. This can have several causes.

One reason may be that the patient has already had pain before due to the pregnancy and the pressure the baby has put on the pubic bone, but she does not become aware of it until after the birth. Thus, the patient may feel as if she had the pain after the caesarean section on the pubic bone, even though it may have been there before. Another reason may be that when the patient tried to push the baby out of the birth canal, the pubic bone was put under great strain.

Thus, the pain after the caesarean section of the pubic bone may be due to the fact that the patient has overstrained the pubic bone naturally when trying to give birth to the child. Another cause can be that the patient tries to adopt a relieving posture because of the pain in the abdomen, for example lying on her back a lot, and thereby overloading the pubic bone. This can also lead to pain after the caesarean section on the pubic bone. In general, however, the patient has nothing to fear, as it is normal that after a birth and especially after a major operation, pain can occur that is not limited to the abdomen. However, if the pain persists or if the patient feels insecure, she should ask a doctor to examine the pubic bone, because in rare cases a patient may have suffered a fatigue fracture in this area, or one of the ligaments or the pubic symphysis may have become detached.