<s>[INST] I had a ruptured appendix 7 weeks ago and had a laparotomy. Since then the site of my appendix still is tender I have had erratic bowel movements with mucous and have now got a hernia to left of scar. My main worry is a high abdominal pain that gets worse after eating. It is the same pain I had the week of my appendicitis and has lasted 6 days . My go assures me it is i b s but I would like another opinion. Why is it the same kind of pain? Am I going to get peritonitis from the remains of my appendi? Could the hernia be causing a pain so high up even thouhh it is left quadrant. Could it be acid even though I have no reflux? When will it stop? How long will my bowels suffer as a result of this op? [/INST] Hi. Thanks for your query and an elucidated history. Read your history again and again. I would suggest you to go for High Resolution CT scan to see the exact position of the appendix/ bowel/ presence of any abscess or foreign body like dead momentum and all. This really helps. Another is to go for colonoscopy as this can help to get a diagnosis of any associated colonic pathology like tuberculosis or so. The information so gathered can give idea whether you need another surgery for correction of remaining pathology or medicines would help. Be on the liquid diet. Take rest- it helps in early healing. Avoid all foods and beverages which you know increase your symptoms. Do not worry about hernia. It can be treated at a later date or during the next surgery. (Mesh should not be put at the moment as there are more chances of infection) </s>