Author Topic: Gyno Sufferer for 4-5 years, what do I do?! 4MothsPostOpPics - Opinions? Pg.9!  (Read 37236 times)

Offline kingboob

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The past 2 nights (when I've been sleeping at home) i've been trying to sleep on my back but when I wake up in the morning twice I've been on my side/front with my chest resting against the bed! What could this do? I havn't felt any discomfort/pain from this, but I hear you're supposed to sleep on your back.. What effect could this have?

Thanks

If you were doing any harm you would wake up in the middle of the night (pain etc).  I wouldn't worry about it....  main thing is to avoid doing any intense exercise and avoid taking any blows to the chest for a while. (IE: I wouldn't go playing a game of rugby for a few weeks).

Offline wantridofgyno17

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Okay that's reassuring. Think I'm going to try and get some Arnica capsules tomorrow to help with the bruising and swelling and see if that helps me see some sort of result!

Offline postiey

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who did u have ur surgery with in the end! do u have any before and after pics,

good luck with ur recovery

Offline wantridofgyno17

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Just took a couple of pics, not great quality but you get the idea. I can see no improvement so far from looking at the pictures. Got some arnica capsules earlier so I'm going to try them and see if that helps me see some sort of result.. I emailed Mr. Masood about my concerns etc but I doubt he'll reply with anything over email worthwhile, will probably have to wait until thursday.  :( The area is still quite soft and tender to touch. Christmas trees were because the surgeon was feeling festive lol..


Offline wantridofgyno17

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Sorry, I have got a bit lost half way through this thread..... at the start you were talking about going private with Dr. Karidis or Mr Levick?   

I assume this Mr Masood is NHS though......

Does it *feel* swollen or does it feel the same as it did pre-op?     It is difficult to describe how to tell the difference but when the tissues are swollen up with fluid (or whatever), it does take on a strange kind of mushy feeling which lets you know it is swelling rather than the original tissue still remaining.

I mean you are going to be looking at a good few weeks before you can get some idea of the final result.... plus the over all healing process can take a year really.   

You will probably find those bandages really start to irritate the skin after a while as well..... they drive me up the wall.  :D  ..... something to do with the adhesive used I think


Well Yeah I mean it feels softer around that area than before, it's quite sore and tender to touch and I don't think I have sentivity in my nipple still, definitely feels different yeah. I think them plasters should be off on thursday *hopefully*.


Offline wantridofgyno17

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Bit of bad news! Think I may have developed a hemtoma on my left side.. I just went to check on things so I undid the top of the best and low and behold on the left side it was quite badly bruised, very dark and little dark spots aswell, it is also more painful than the other areas.. I'm going upto the hospital shortly so they can look at it.

Could this be anything to do with the arnica? When I was in hospital my left side was bleeding more than my right when I was on the drains.. Hopefully I won't need anything serious done to solve it! Hopefully they'll just drain it out with a needle or something. I'll ask them about swelling whilst I'm there and see if I can possibly speak to Mr Masood but I won't get my hopes up.

Thanks

Offline decimal

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I think you mentioned somewhere that you were sleeping on ur stomach or on ur side after the surgery....tht can be REALLY bad for post-surgery swellings...after surgery, you want to keep the blood away as much as possible from the operated site until the tissues have a chance to heal. 

Hope everything works out for your though. Best of luck

Offline wantridofgyno17

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Well spent about 2 hours waiting in the hospital! Finally someone saw me (wasn't who I thought it'd be) and he literally had a quick look, and asked me a couple of questions and said it'd be fine and that it'd sort itself out over the next couple of weeks. I forgot to ask if it was a hematoma or not. Basically the areas all quite red and a little sore, may just be bruising that the arnica has brought out! Next stop is on thursday when I go back again for the proper check up and hopefully have plasters etc taken off - will try and speak to Mr Masood then too if I can as he wasn't there today.


Offline kingboob

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I think you mentioned somewhere that you were sleeping on ur stomach or on ur side after the surgery....tht can be REALLY bad for post-surgery swellings...after surgery, you want to keep the blood away as much as possible from the operated site until the tissues have a chance to heal. 

Hope everything works out for your though. Best of luck


I don't agree with that at all............  You don't want to keep blood away as much as possible..... tissues without blood supply DIE OFF.  :D

What you don't want to do is start working out (raising the heart rate) too soon because that causes extra swelling.  Also taking any kind blow to the chest would be best avoided (don't go boxing or play rugby for example).

At the end of the day listen to your body, if it hurts then don't do it.

Offline decimal

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I don't agree with that at all............  You don't want to keep blood away as much as possible..... tissues without blood supply DIE OFF.  :D

What you don't want to do is start working out (raising the heart rate) too soon because that causes extra swelling.  Also taking any kind blow to the chest would be best avoided (don't go boxing or play rugby for example).

At the end of the day listen to your body, if it hurts then don't do it.


Obviously I dont mean you cut off the blood supply...thts how one dies.. DUH!

But whenever you have a rupture anywhere in your body you try to minimize the blood flow to it.  You need the blood flowing in the veins and arteries where it is supposed to be...NOT in the surrounding space. That is the exact reason why after an injury, you ICE it for the first 48 hours to reduce post-trauma inflammation. Whenever there is any kind of rupture/incision in the body, the blood ends up leaking out of the arteries/vein at the site of injury. That is not how the circulatory system is supposed to work. The blood in the human body is supposed to run only in the circulatory system consisting of the heart, arteries and veins, nowhere else. Ever heard of internal bleeding?!! This spilled off blood dries up and the body takes a long time to absorb it or flush it off. This is why it delays the healing considerably.

Why do you think "raising your heart rate increases swelling"? Its coz once your heart rate goes up, you are essentially pumping the blood with more force throughout your body. At times like this, at points where the circulatory system has been exposed to trauma and is weak, blood can break through the veins and seep into the surrounding tissue, thereby causing inflammation. Think of it something similar to the water gushing out at a weaker point in the plumbing when you increase the water pressure.

Offline wantridofgyno17

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Now now ladies, no need to bicker!!  :D

Mr Masood replied to email and said that he'd answer my questions when he sees me on Thursday in the dressings clinic.. Had another look earlier at my chest and it seems a little more bruising has come up now on the right hand side, so my guess is that it's just the Arnica bringing out all the bruising etc.

Offline decimal

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1) Sleeping on his side or climbing stairs or raising his BP will not make one "bleed to death". That is an EXTREME one in a million possibility. But when you do sleep on ur side, or worst your chest, you are promoting collection of blood/fluids at the site of injury. The squeezing of the blood vessels encourages seeping-out of fluids from the bloodstream. Once again that DOES NOT mean you will "bleed to death". Depending on the severity of the cracks/fissures in the blood vessels, anything could leak out. Worst case scenario you will have blood, full of red blood cells, oozing out, which is essentially a haematoma.  Sometimes the crack is wide just enough for the plasma in the blood to seep out, which leads to a seroma. Plasma looks quite the same as pale yellow colored clear liquid that you might have often noticed oozing out of skin incisions. When out of the blood stream it solidifies into a crusty yellow solid.

2) Coming back to the internal bleeding question. A few milliliters/drops of blood that seeped out at the site of injury wont kill anyone or pose any serious threat to the person's overall health (one might not even feel it) , but is enough to cause visibly conspicuous inflammation. Seeping is not the same as a full blown-out rupture. Even if a blood vessel DOES rupture, unless the person is heamophilic, the body is completely capable of safely dealing with it by coagulating the blood at the site of the injury with the help of platelets. So once again there is no serious threat to the person's well being. None the less, the blood that did manage to spill over just sits there leading to inflammation, bruising etc, and takes a long time to disappear/drain out. The veins are superb at draining out fluids from sites that are supposed to be supplied by the circulatory system; anything extraneous to that, and the body does a pathetic job of draining out the fluids, and this throttles the healing to a great extent. This is the reason, why post-op some doctors attach drains to the patient, if they feel that there might be bleeding/excessive fluid secretion post-surgery in that particular patient's case. In the absence of drains, sometimes when there is enough fluid collection (fluid can be anything blood, plasma, water etc) the doctor might elect to drain it out using syringes. But then again, if the doc feels that the fluid collection is not to the extent that it will severely impair the healing process, he will tell the patient not to worry about it, and "give it time" - not always what the patient wants to hear  :D

3) Sleeping in the wrong position will most probably not lead to "significant" bleeding, but it can definitely exacerbate an existing condition leading to sub-optimal healing. You are letting mother gravity happily do what you have been so carefully trying to avoid by keeping your heart-rate low or not working out. Not saying that sleeping in the wrong position leads to the same kind of damage as working out too soon, but both of them will lead down the same path of sub-optimal healing and un-necessary complications that could have been completely avoided. Sleeping on your back after a gynecomastia surgery is highly recommended by most of the top surgeons because it does optimize the healing process. In fact, I noticed a post on this forum about a guy who couldnt sleep on his back due to a sleep apnea condition, and doctor Jacobs strongly advised him against the surgery.

4) Pain should not always be used as the only determining factor in deciding whether what you are doing is ok or not. Different people have different tolerance and sensitivity for pain. Many people would agree with this, that immediately after the operation, the feeling in your chest is that of a very hard chest workout - definitely not what you would expect after a surgery where your were cut open, tubes were dug into and tissue was extracted. Different people would perceive this feeling in a variety of ways. While some would call it mere "soreness"  and go about their routine daily activities simply ignoring the unpleasant feeling, others would actually comprehend it as serious "pain" and not do anything that elicits that feelings. In fact bodybuilders, crave this feeling of soreness because they use it as a yardstick for the efficacy of their workout, which gives them greater motivation to go hammer and tongs at the next chest workout and make their muscles bigger. Thankfully, a post-op gynecomastia patient knows that the soreness is not due to an anabolism-inducing muscle breakdown which he should "man" up to, but due to trauma caused by surgical instruments being poked into him. That is why it is always more prudent to go by what your doctor says because ONLY HE knows whats actually going on inside your body.
Dont just go by what your body tells you. Unfortunately we are not that good at interpreting the signals given off by our bodies.

5) Different people heal at different rates. One week is too premature to say that you are out of the dangerous complication-prone zone. People develop fluid collection complications even when they are all the way into the 4th 5th week of recovery.

6) Kingboobs I apologize if I came off rude in my earlier response, that was not my intent.

Lastly, but most importantly, best of luck on your visit to Dr Masood, wantridofgyno17. For all you know, it could be nothing and all this worrying could be for naught. ::)

Alrite.....enough with the right and wrong sleeping positions, hijacking wantrid's thread,  ;D.....I just cant wait to heal completely so that I can do some actual "sleeping"  ;)

« Last Edit: December 29, 2009, 01:08:05 PM by decimal »

Offline kingboob

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Now now ladies, no need to bicker!!  :D

Mr Masood replied to email and said that he'd answer my questions when he sees me on Thursday in the dressings clinic.. Had another look earlier at my chest and it seems a little more bruising has come up now on the right hand side, so my guess is that it's just the Arnica bringing out all the bruising etc.

Sorry.........    I still stand by my point of view that your own body will let you know if you are getting it wrong.

Are you using some kind of arnica gel/cream or just those homeopathic sugar pills?  ;D

Offline decimal

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Be sure to tell that to someone who is bleeding to death with a ruptured aorta or similar............. 'hey mate, as long as you ain't a haemophiliac   your fine''.

Idiot.

I am not taking about an "aorta". Ever heard of a "vein" or the difference between an artery and a vein. Dumbass. If you cannot distinguish between the medical gravity of a ruptured aorta and ruptured vein...... Lemme guess, so everytime someone gets some form of bruising, he is as f***ed as someone with a punctured aortic septum!

Forget it, its not even worth responding...

Offline decimal

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Pus is combined combination of dead RBCs, dead WBCs, platelets and bacteria. Pus can range in color newhere from yellow, green to white.

Serous fluid is just the blood without cells, platelets etc.

And to correct myself....Plasma/serous fluid looks the same as the pale yellow colored gooey liquid........


 

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