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What should I do about a hard lump in the scar after appendicitis surgery?

Nov 25, 2025 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Hard scars after appendectomy can be improved through local heat application, proper scar massage, use of scar treatment products, dietary adjustments, and moderate rehabilitation exercises. These conditions are often related to scar tissue proliferation and require long-term consistent intervention. If the scar continues to enlarge, or is accompanied by redness, swelling, pain, or ulceration, prompt medical evaluation is recommended.

Hard lumps in scars after appendectomy can be improved through methods such as local heat application, proper scar massage, use of scar treatment products, dietary adjustments, and moderate rehabilitation exercises. These lumps are often related to scar tissue proliferation and require long-term consistent intervention. If the lump continues to grow, or is accompanied by redness, swelling, pain, or ulceration, prompt medical attention is recommended.

1. Local Heat Application: After stable postoperative recovery, apply a warm towel at around 40°C to the hard area for 15–20 minutes per session, 2–3 times daily. This helps improve local blood circulation, soften scar tissue, and reduce hardness and discomfort.

2. Proper Scar Massage: After heat application, apply a gentle moisturizer and use the fingertips to massage the scar and surrounding skin gently. Apply pressure only to the point of no pain, for 5–10 minutes per session. This promotes scar tissue metabolism and reduces excessive fibrous tissue growth.

3. Use of Scar Treatment Products: Under medical guidance, use silicone-based scar gels or patches. Consistent and regular application can help suppress scar hyperplasia and soften hardened areas. Pay attention to product compatibility and recommended duration of use.

4. Dietary Adjustments: Increase intake of foods rich in vitamin C and protein, such as fresh fruits and vegetables, lean meat, and eggs, to support skin tissue repair. Avoid spicy, stimulating, and greasy foods to minimize inflammatory responses in the scar tissue.

5. Moderate Rehabilitation Exercise: Based on individual recovery progress, engage in mild activities such as walking or abdominal stretching exercises. These promote overall blood circulation and improve local tissue metabolism, helping prevent worsening scar hardening due to prolonged immobility.

Maintain cleanliness and dryness of the scar area in daily life. Avoid friction or scratching the lump, and wear loose, breathable clothing to reduce irritation. Maintain a regular sleep schedule and avoid staying up late, as poor rest can impair tissue healing. Long-term, consistent care supports softening and fading of scar-related hard lumps.

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