Post Outpatient Surgery

What To Expect

  • Following your surgery, you will be observed for a few hours in the outpatient department.
  • You may still experience some effects of the sedative and anesthetic agents for up to 12 hours after the surgery.
  • If hospital admission has been planned, you will be taken to your room following a period of observation, in the recovery room.
  • A bloody discharge, especially following bowel movements, is to be expected.
  • It is common not to have a bowel movement for a few days following ano-rectal surgery. However, if you have not had a bowel movement within 48 hours of your surgery, you should take 3 Dulcolax® tablets or Sennakot® tablets as directed. These may be purchased at any drug store. lf this is not successful, you may take 1 or 2 Fleet® enemas. Please notify us if you have not had a bowel movement within 3 days of your surgery. lf 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.
  • For the first 2 - 3 days 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. It is best to limit yourself to small light meals that day.
  • 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".
  • Do not drink alcohol that day, after you have had surgery

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. In addition a low dose of Valium® may also be given to relieve spasm in the anal region.
  • 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

  • If biopsies were obtained for laboratory analysis, you will need to call our office to schedule an appointment to go over the results. Further treatment plans and follow-up will be discussed at that 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 day following your procedure, 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.