I can understand your frustration. Yes, in the face of liver disease the absorption of blood in a hematoma can lead to encephalopathy. They are at least partially correct in that the hematoma should eventually absorb but the concern is the low platelet count and ongoing ooze. Was a CT obtained to assess the magnitude of the bleed/hematoma?
Thank you Dr., Walters
Just returned from a 24 hour turnaround trip to meet with the Surgeon in the ER. He left early for Chicago and sent his 3green interns (no offense - still learning to put practicum and knowledge to use). One dug a 1/4 into the belly button and removed some infection. Same one wanted to aspirate my scrotum to let some of the air and pressure off. Wasn't done. The 3rd senior stated the "elephant balls were normal, eggplant color or not, and should just go away. I am now back to abdominal pain, low platelets and low WBC. They gave me Rx for 10 days Keflex and to return for regular follow-up office visit on the 9th of May. Also, after a few hours each day, the Encephalopathy has caused great confusion, fallen asleep while sitting and waking up--talking to no one there and thinking I'm editing documents on a lap top in front of me. I have notified friends and emergency caretakers to keep a daily check on me and not to believe me if I DO seem in a delirium.
What should I ask my gifted and touted surgeon on Tuesday? A man of my past profession and 7 years college, I was mortified in the ER Monday night.
Again, thanks = as my concerns are, (I think),I increasing. But I'm practicing relaxation techniques and staying still.
Capt Hayes
As I said, in the face of portal hypertension this needs to be closely monitored as it is not the typical little hematoma tracking inferiorly. Contact your surgeon today.
Thanks for your comments. But I don't think this is a typical inconvenience. My scrotal sac and shaft are now huge, inflamed, and egg plant purple. But the color is paling out because the are it's covering is expanding. I guess the Scrotal sac is approximately 16" in diameter and painful just to view, let alone touch. Today, Monday, I started a low grade fever of 100.2 and it is vacillating between that and 99. It looks the shape of a genetically altered eggplant.
I am , today as onset, seeping a yellow, mucous blood out of my belly- button. I wouldn't call it a bleeding indicator of internal bleeding. I fashioned a scrotal halter to keep it elevated when up and out of danger (from sitting, etc.)
With this additional and no pain relief (of course it hurts)do I still wait to normal follow up May 8, 2013???
Thanks for your thoughts and your help. Just hurting really bad and hesitant.
With thanks,
Capt. Hayes
Fishing Lore and Time Out Charters
In the usual situation this is just an inconvenience. In the face of portal hypertension it needs to be closely monitored. If no communication from surgeon may need re-evaluation in ER.