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Post-C-section CRP levels: what's normal?

Started by ambermason822 · · 👁 4 views · 7 replies

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Participants ambermason822Scott Allen10ruggedscout91fadedheron892mellowraven32
ambermason822 ambermason822 NewcomerOP
7 messages
joined Jan 2011
#1 ·
Hey everyone!
I gave birth via C-section about 40 days ago. This was my second baby and my second surgery. I actually got discharged from the hospital on day five, but literally the next day, I ended up back in the cardiology ward because my blood pressure spiked to 170/110 and my heart rate dropped down to the 40-45 range. After running through the whole gauntlet—blood work, eye pressure tests, an echo, and even a chest CT to rule out a pulmonary embolism—they stabilized me with Tertensif SR and Diovan 80. My numbers finally leveled out, and they sent me home on day eleven. The doctors basically chalked everything up to my body reacting to the delivery, the surgery, and the Bromergon I had to take for some nasty mastitis. I just redid my blood work yesterday, and aside from some mild anemia, everything looks fine except for my CRP being at 102 and ESR at 66. Since I didn't sleep at all the night before the draw, and since the pain around my incision was way more intense than usual during those first few days—plus the skin around the cut looked pretty red—I'm wondering if that could be driving these high numbers up. Honestly, I feel pretty good otherwise and haven't had any major issues. I haven't made it to my OBGYN yet because my period started right around the same time. Plus, my cardiologist warned me against getting an abdominal ultrasound right now; he said I shouldn't have anyone pressing on my stomach while things are still healing because of the risk of internal bleeding.
I ended up with orders for three different tests: a urine culture, a urine cytology, and a fecal occult blood test. I'm honestly feeling a bit overwhelmed by it all. What do you guys think? Given that it'll take a while for my period to pass, then get the tests done, and then wait for results... how worried should I be? Could all of this just be inflammation from the tissue around my incision site?
Scott Allen10 Scott Allen10 Regular
315 messages
joined Jun 2005
#2 ·
ambermason822 said:..... I haven't made it to my OB-GYN appointment yet because my period started that same day, plus my cardiologist told me it wouldn't be smart to get an abdominal ultrasound since we shouldn't be pressing on my stomach while everything is still so fresh, saying there could be some internal bleeding..

😂....man, that is just wild.....I mean, I know cardiologists live in their own little world, but I had no idea they could be such total clowns about stuff like this....

Honestly, what does a cardiologist even know about gynecology or abdominal ultrasounds? It’s honestly baffling to me how someone with actual medical training can spout such nonsense....
So, you really need to follow through with that OB-GYN visit. They're the ones who can actually verify how your surgical site is healing and make sure your whole reproductive system is bouncing back okay after the delivery.

I'm also not totally clear if you actually had a pulmonary embolism or if that was just a guess from the doctors? That high CRP reading might be explained by the body's inflammatory response following an embolism....though maybe it's a wound infection, but that doesn't sound quite right to me either...

Anyway, look, it's going to be hard for us to give you any real, solid advice here, and I hope you get that...Just go see the OB-GYN so you can get some real answers and stop worrying...and hey, if that clown of a cardiologist keeps talking nonsense, just find a new one and don't look back...
ambermason822 ambermason822 NewcomerOP
7 messages
joined Jan 2011
#3 ·
Scott Allen10;27320558 said:😂..
I'm not totally following—did they actually diagnose you with a pulmonary embolism, or was that just a guess? A high CRP could be explained by inflammation from an embolism... or maybe some kind of infection near a wound, though I'm not really buying that part...

Nah, it wasn't a pulmonary embolism. All my test results came back fine. My CRP was just high while I was at the hospital, sitting around 40, especially since I was on Augmentin twice a day at 1g each time.
ruggedscout91 ruggedscout91 Active Member
63 messages
joined Feb 2010
#4 ·
ambermason822;27320902 said:
Scott Allen10 said:😂..
I am not entirely clear on whether you actually had a pulmonary embolism or if it was just a suspicion. A high CRP might be explained by inflammatory processes following an embolism... or perhaps some infection at the surgical site, though that doesn't seem particularly convincing to me....

No, I didn't have a pulmonary embolism. All my test results came back normal. My CRP was elevated at around 40 while I was in the hospital, even though I was already taking Augmentin twice a day at 1g doses.

Your OB-GYN surgeon is the one person you absolutely need to follow up with. There is no need to panic. The cardiologist did their job, but your gynecologist holds jurisdiction over your care until the incision heals. As for the ultrasound, your surgeon will know best what might jeopardize the healing process.
My opinion? That CRP and sedimentation rate are linked to your surgery. It would be wise to get checked out by your surgeon immediately.
fadedheron892 fadedheron892 Active Member
57 messages
joined Nov 2009
#5 ·
Look, I’m telling you, CRP and ESR levels are definitely tied to whatever surgical procedure you just went through. After my own surgery, I was running a fever for a whole week, and even though the doctors tried to brush me off, I insisted on getting my CRP checked—it was high, but then it just leveled out on its own. Honestly, you need to take charge of your own damn health and go talk directly to your surgeon or your OBGYN; if you let some random doctor poking around your abdomen cause bleeding, that's on you. Don't listen to doctors who have zero business meddling in stuff that isn't their specialty.
mellowraven32 mellowraven32 Member
28 messages
joined Jul 2007
#6 ·
Scott Allen10 said:😂....unbelievable.....I know cardiologists are their own breed, but I didn't realize they could be this clueless....

I mean, a cardiologist knows nothing about gynecology or abdominal ultrasounds. It’s baffling how someone with a medical degree can spout such nonsense....
You definitely need to see an OB-GYN. They’re the ones who should actually verify your incision site and your overall reproductive health post-delivery.

I'm also not sure if you actually had a pulmonary embolism or if someone just guessed. A high CRP might be explained by the body reacting to an embolism....or maybe a wound infection, though that doesn't seem right...

Either way, we can't really give you much help here, if you catch my drift...Go see a gynecologist to clear up any doubts...and if that idiot cardiologist keeps talking nonsense, just find a new one...

hahahahah I'm totally with you on that, but don't go painting all cardiologists with the same brush
ambermason822 ambermason822 NewcomerOP
7 messages
joined Jan 2011
#7 ·
Thanks for all the input, everyone! I’m gonna give my OB-GYN a call first thing in the morning, and I already scheduled an ultrasound at a private clinic for tomorrow. I'll check back in once I have some actual updates... thanks again!
ruggedscout91 ruggedscout91 Active Member
63 messages
joined Feb 2010
#8 ·
ambermason822 said:Thanks everyone for the input. I’m calling my OB-GYN first thing in the morning, and I already have an ultrasound scheduled at a private clinic tomorrow. I'll update you all once I know more. Thanks again.

Talk to your surgeon. They're the ones who actually saw what was happening in there. It sounds cold, but let's be honest: doctors tend to remember scans and procedures much better than they remember names or faces. 😍 I still remember my attending physician used to say, "Pass me that pneumothorax from yesterday," or "Hand me that asthma case." It's just how it works.

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