Post Inpatient Surgery

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What To Expect

  • At the time of discharge you should be on a regular diet and be able to get around.
  • Some wound pain is to be expected, you will be given medication to control your pain.
  • If you get constipated and your stools are hard, you may take 1 - 2 ounces of Milk of Magnesia® or a stool softener such as Colace® every day until healing is well underway.

Activity

  • Go home directly.
  • You should avoid being on your feet for prolonged periods of time. This will result in increased swelling in the operative area and more discomfort.
  • No strenuous exercises or heavy lifting should be performed for 2 weeks. Climbing stairs or walking may be done in moderation. You should avoid driving an automobile as long as you are taking the pain medicine.

Diet

  • You may resume your normal diet.
  • Eat lightly at first — like a breakfast or lunch, and then advance to your diet as tolerated.
  • You should supplement your diet with the regular use of a bulking agent such as Konsyl®, Metamucil®, or Citrucel®.
  • Try to drink at least 6 - 8 glasses of water a day.
  • We do not recommend a "liquid diet".

Medications

  • You may resume your normal medications, unless directed otherwise by physician.
  • Before you leave the facility make sure you understand when to resume blood thinners or your long-term pain medications.
  • You will usually be prescribed a narcotic pain medication to help with the postoperative pain.
  • To reduce the chances of serious bleeding, you should avoid aspirin containing compounds, blood thinners, or arthritis medicines for a period of 2 weeks. Tylenol is acceptable.
Wound Care
  • To minimize swelling, ice packs may be placed on the perianal region the evening of surgery.
  • From the following day sit in a hot tub of water for about 10 minutes at least 3 — 4 times a day. This is for comfort and to aid in keeping the area clean. The temperature of the water should be "comfortably hot". Do not add anything to the water.
  • Keep the operative site clean and dry, the postoperative dressing can be changed if it gets wet, do not leave the dressing on for more than 24 hours. If you were told about a pack in the wound you would also be given additional instructions regarding when to remove the pack. After a few days you may use a panty liner or sanitary pad to keep the wound dry.

Biopsy Results

  • Biopsy results are generally not available prior to discharge. Your physician will go over the results at your first postoperative visit.

What To Watch Out For

  • Increasing redness at the IV site. You might notice a mild redness or soreness at the site of your IV injection. Should this occur, apply warm compresses 4 times a day. Contact your physician if this does not improve.
  • Increasing pain - mild fullness and discomfort is to be expected, however if you have increasing pain you need to contact you physician.
  • Rectal Bleeding - Minor rectal bleeding is to be expected. If you are passing large amounts of blood or clots you need to contact your physician.
  • Fever, with a temperature greater than 1000 F.

IF YOU HAVE ANY PROBLEMS CALL YOUR DOCTOR

  • We will call you, the next working day following your discharge from the hospital, to make sure you are not experiencing any problems. If you have not heard from us by late afternoon please call our office and let us know.