What should I do if there is bleeding after suture removal for appendicitis?

Nov 25, 2025 Source: Cainiu Health
Dr. Wang Lei
Introduction
After suture removal for appendicitis, if bleeding occurs at the wound site, manage it by cleaning and disinfecting the wound, applying pressure to stop the bleeding, keeping the wound dry, avoiding pulling on the wound, and monitoring the bleeding. In most cases, minor oozing is normal; proper wound care is essential to prevent infection. However, if there is heavy, persistent bleeding, or if signs such as redness, swelling, pus, or severe pain develop, seek medical attention promptly.

Bleeding from the incision site after suture removal for appendicitis can be managed by cleaning and disinfecting the wound, applying gentle pressure to stop bleeding, keeping the wound dry, avoiding pulling on the wound, and monitoring the bleeding. Minor oozing is usually normal and proper wound care should be followed to prevent infection. If there is heavy, persistent bleeding, or if it is accompanied by redness, swelling, pus, or severe pain, prompt medical attention is recommended.

1. Clean and disinfect the wound: Rinse the bleeding area with sterile saline solution, then gently wipe and disinfect with iodophor to remove blood crusts and contaminants, preventing bacterial growth. Allow the area to air-dry naturally after disinfection—do not wipe.

2. Apply pressure to stop bleeding: Gently press the bleeding site with sterile gauze or a cotton swab for 3–5 minutes. Use moderate pressure and avoid rubbing to promote platelet aggregation and clotting. Never repeatedly wipe the area, as this may worsen wound damage.

3. Keep the wound dry: After stopping the bleeding, lightly cover the wound with sterile gauze. Avoid contact with water or sweat, wear loose, breathable cotton clothing, and minimize friction and moisture exposure to the wound.

4. Avoid pulling on the wound: For at least one week after suture removal, avoid strenuous activities, bending, twisting, or lifting heavy objects to prevent strain on the wound that could cause re-rupture and bleeding.

5. Monitor bleeding: Record the color, amount, and duration of any bleeding. Slight pale red oozing that gradually decreases is typically normal. Be alert for bright red blood or increasing volume, which may indicate complications.

During postoperative recovery, maintain a light and easily digestible diet. Consume adequate protein and vitamin-rich foods to support wound healing. Follow a regular sleep schedule, avoid staying up late, stay emotionally balanced, and regularly assess wound recovery as directed by your physician.

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