Post Op Instructions

Abdominal Operations

Discharge Instructions – Abdominal Operations

Care of wound:

  • Keep the wound clean and dry
  • You may then shower the wound daily, but do not scrub it
  • Pat the wound dry gently with a soft towel

Bowel habit and diet:

  • For approximately 6 weeks after the surgery (patients with stomas or anastomoses):
  • Do not eat foods such as raw vegetables, fruit skins or piths, mushrooms,

peanuts, popcorn

  • Cook all vegetables well until soft (should be able to be cut with a fork)
  • Cook and chew all meat well
  • Drink at least 8 glasses of water or other fluid each day

After 6 weeks:

  • Ensure a regular bowel habit
  • If required, take 1 teaspoon of Metamucil twice a day

If the stoma output is very watery and is large in amount, make sure that you drink at least as much as you are losing, and preferably more. Imodium and/or Lomotil can help slow the stoma output down. You can take up to 6 a day of each. Please contact the rooms if you have any doubts.

Analgesia:

  • Take Paracetomol, Digesic or Panadeine Forte – 2 tablets at a time up to every 6 hours as required
  • Notify me if you are requiring stronger pain-killers
  • Note that Codeine is constipating
  • Do not drive or operate machinery if you are taking Codeine

Activity:

  • Do not lift objects greater than 15 kg or engage in vigorous exercise for 6 weeks
  • Slowly increase your activity during this period of time

Follow-up:

Please make an appointment to see Dr Simpson in the rooms in_________weeks.

  • Notify the rooms on 43676444 if you:
  • Experience a fever or are becoming generally unwell
  • Cannot pass urine
  • Have excessive bleeding from the operative site
  • Experience any problems with the wound, including abnormal discharge or pus
  • Experience any symptoms that you feel are not normal

 

Anorectal Procedures

Discharge Instructions – Anorectal Procedures eg: Fissure Operation Fistulotomy

Please note that within 24 hours of having your procedure you must not:

  • Drive a car
  • Operate machinery
  • Drink alcohol
  • Undertake responsible business or sign documents

Bowel habit: ensure regularity and ease:

  • High fibre diet
  • Eight glasses of water or other fluid per day
  • Normacol/Metamucil/Fybogel – 2 teaspoons/day to maintain a soft motion until seen in rooms

Care of wound:

  • Warm baths three times a day, 20 minutes each
  • Dry area gently, pat dry with a soft towel or dry with hair dryer
  • Keep area dry with a cotton ball/sanitary pad
  • After opening bowels either clean with water or use moist baby wipes

Analgesia:

  • Take paracetomol or Digesic – 2 tablets at a time up to every 6 hours as required
  • Notify me if you are requiring stronger pain-killers
  • Avoid codeine as it is constipating
  • Ice packs applied 20 minutes at a time, and/or warm baths may help in the first 1 to 2 days

Follow-up:

Please make an appointment to see Dr Simpson in the rooms in________weeks.

  • Notify the rooms on 43676444 if you:
  • Experience a fever or are becoming generally unwell
  • Cannot pass urine
  • Have excessive bleeding from the operative site
  • Experience any problems with the wound, including abnormal discharge or pus
  • Experience any symptoms that you feel are not normal

 

Colonoscopy

Discharge Instructions – Colonoscopy

Please note that within 24 hours of having your procedure you must not:

  • Drive a car
  • Operate machinery
  • Drink alcohol
  • Undertake responsible business or sign documents

Expect:

  • To have some abdominal bloating, cramping pain or "wind" after this procedure. This sensation is normal, is due to the air put into your bowel during the procedure, and should settle gradually as you are able to pass wind.

Follow-up:

Please make an appointment to see Dr Simpson in the rooms in________weeks.

  • Notify the rooms on 4367 6444 if you:
  • Experience a fever or are becoming generally unwell
  • Begin bleeding from the anus, either bright, dark or blackish blood, unless the bleeding is trivial in amount
  • Have pain that doesn’t continue to settle
  • Experience increasing abdominal pain, especially if associated with local tenderness
  • Experience any symptoms that you feel are not normal

 

Fissure Operation

Discharge Instructions – Fissure Operation

Please note that within 24 hours of having your procedure you must not:

  • Drive a car
  • Operate machinery
  • Drink alcohol
  • Undertake responsible business or sign documents

Bowel habit: ensure regularity and ease:

  • High fibre diet
  • Eight glasses of water or other fluid per day
  • Normacol/Metamucil/Fybogel – 2 teaspoons/day to maintain a soft motion until seen in rooms

Care of wound:

  • Warm baths three times a day, 20 minutes each
  • Dry area gently, pat dry with a soft towel or dry with hair dryer
  • Keep area dry with a cotton ball/sanitary pad
  • After opening bowels either clean with water or use moist baby wipes

Analgesia:

  • Take paracetomol or Digesic – 2 tablets at a time up to every 6 hours as required
  • Notify me if you are requiring stronger pain-killers
  • Avoid codeine as it is constipating
  • Ice packs applied 20 minutes at a time, and/or warm baths may help in the first 1 to 2 days

Follow-up:

Please make an appointment to see Dr Simpson in the rooms in_________weeks.

  • Notify the rooms on 43676444 if you:
  • Experience a fever or are becoming generally unwell
  • Cannot pass urine
  • Have excessive bleeding from the operative site
  • Experience any problems with the wound, including abnormal discharge or pus
  • Experience any symptoms that you feel are not normal

 

Gastroscopy

Discharge Instructions – Gastroscopy

Please note that within 24 hours of having your procedure you must not

  • Drive a car
  • Operate machinery
  • Drink alcohol
  • Undertake responsible business or sign documents

Expect:

  • That you may have some cramping discomfort or "wind" after this procedure. This sensation is normal, is due to the air put into your stomach during the procedure, and should settle gradually over several hours.
  • That you may have a slightly sore throat because of the endoscope passing through the upper gullet

Follow-up:

Please make an appointment to see Dr Simpson in the rooms in________weeks.

  • Notify the rooms on 43676444 if you:
  • Experience a fever or are becoming generally unwell
  • Experience increasing pain, especially if it is severe and goes through to the back
  • Experience any symptoms that you feel are not normal

 

Haemorrhoid Banding

Discharge Instructions Haemorrhoid Banding

Please note that within 24 hours of having your procedure you must not:

  • Drive a car
  • Operate machinery
  • Drink alcohol
  • Undertake responsible business or sign documents

Bowel habit: ensure regularity and ease:

  • High fibre diet
  • Eight glasses of water or other fluid per day
  • Normacol/Metamucil/Fybogel – 2 teaspoons/day to maintain a soft motion

Analgesia:

  • Take paracetomol or Digesic – 2 tablets at a time up to every 6 hours as required
  • Notify me if you are requiring stronger pain-killers
  • Avoid codeine as it is constipating
  • Ice packs applied 20 minutes at a time, and/or warm baths may help in the first 1 to 2 days

Expect:

  • To have the urge to empty your bowels after this procedure. This sensation is normal, but does not necessarily mean that your bowels need to be emptied. Sit on the toilet but do not strain. This sensation will slowly disappear over the next 24 to 48 hours.
  • Some bleeding will occur after 7 to 14 days. This is the result of the banded tissue falling off. This bleeding should be minimal and stop within a short period of time.
  • A dull discomfort within the anus. This is normal and will wear off over the next 24 to 48 hours.

Follow-up:

Please make an appointment to see Dr Simpson in the rooms in_________weeks.

  • Notify the rooms on 4367644411 if you:
  • Experience a fever or are becoming generally unwell
  • Cannot pass urine
  • Have excessive bleeding from the anus
  • Experience increasing anal pain after the second post-banding day
  • Experience any symptoms that you feel are not normal

 

Haemorrhoidectomy

Discharge Instructions Haemorrhoidectomy

Please note that within 24 hours of having your procedure you must not:

  • Drive a car
  • Operate machinery
  • Drink alcohol
  • Undertake responsible business or sign documents

Bowel habit: ensure regularity and ease:

  • High fibre diet
  • Eight glasses of water or other fluid per day
  • Normacol/Metamucil/Fybogel – 2 teaspoons/day to maintain a soft motion

Analgesia:

  • Take paracetomol or Digesic – 2 tablets at a time up to every 6 hours as required
  • Take painkillers as prescribed at hospital.
  • Avoid codeine as it is constipating
  • Ice packs applied 20 minutes at a time, and/or warm baths may help in the first 1 to 2 days.

Salt baths:

Warm baths are very soothing when you are in pain. A handful of cooking salt may be added to the bathwater in order to help keep the wound clean. It is recommended you bathe 2-3 times per day and after bowel movements.

Expect:

  • Some bleeding will occur for the first few bowel motions and may continue for a week or so.
  • Anal surgery is painful. It is normal to experience pain with bowel movements for the first fortnight or so after surgery.
  • Sport and vigorous physical activities should be avoided for two to three weeks.

Follow-up:

Please make an appointment to see Dr Simpson in the rooms in___________weeks if he or the nurses ask you to on discharge.

  • Notify the rooms on 4367 6444 if you:
  • Experience a fever or are becoming generally unwell
  • Cannot pass urine
  • Have excessive bleeding from the anus
  • Experience increasing anal pain after one week