Conversation: The conversation between human and AI assistant.
[|Human|] I had a lap choli the end of August. I am on Coumadin, for previous portal vein thrombosis. I slipped and fell down our stairs. Socks and bare hardwood steps. Of course I was bruised, but now I am having pain near my incision over my belly button. I dont know if I should be concerned or not.
[|AI|]  Hi.noted history of laparoscopic cholecystectomy and recent postoperative site pain associated with trauma. Are you experiencing any other sign or symptom (such as fever, nausea, vomiting, bleeding)? If there's none, observation will do for now. Cold compress over the area might also help decrease the inflammation or swelling. there's presence/progressions of symptoms, a follow-up consult with your surgeon is best for physical examination and clinical evaluation. Even those who have been operated on several years ago, occasionally experience, discomfort or mild-moderate pain over the operative site area, but is tolerable and resolves spontaneously. Dignostics (such as imaging) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.