Postoperative Problems
Postoperative ProblemsSkip to the navigationTopic OverviewMany people do not feel well after surgery.
Pain, nausea, and a lack of energy may occur even after a minor surgery.
Usually, getting some rest and following the instructions your
surgeon gave you will help postoperative problems
diminish over time. Different types of surgery require different
home care instructions. Your surgeon will give you specific instructions to
follow after your surgery. This includes learning about your medicines, diet
restrictions, wound care, showering or bathing, and finding out when you can
return to your regular activities. Your surgeon may think that you understand
more than you really do about what you should or should not do when you return
home. If you have any questions about your discharge instructions, be sure to
ask your surgeon. Your surgeon will want to talk to you if
you: - Have questions about your home care instructions,
such as wound care, diet, or activity level, or when to schedule a follow-up
appointment.
- Develop a symptom or problem that you do not know how
to handle.
- Develop an unexpected symptom or
problem.
- Have problems with your prescription medicines. These
problems may include a rash, hives, nausea, vomiting, or stomach problems.
Check your symptoms to decide if and when you
should see a doctor. Check Your SymptomsHave you had surgery in the past month? Yes Surgery in the past month No Surgery in the past month How old are you? Less than 12 years Less than 12 years 12 years or older 12 years or older Do you have symptoms of shock? Since having the surgery, have you had new or worse trouble breathing? Yes New or worse trouble breathing No New or worse trouble breathing Would you describe the breathing problem as severe, moderate, or mild? Severe Severe difficulty breathing Moderate Moderate difficulty breathing Mild Mild difficulty breathing Does it hurt when you breathe? This can be a warning sign of a blood clot in the lung, called a pulmonary embolism. Yes Symptoms of pulmonary embolism No Symptoms of pulmonary embolism Yes At risk for pulmonary embolism No At risk for pulmonary embolism How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine? 8 to 10: Severe pain Severe pain 5 to 7: Moderate pain Moderate pain 1 to 4: Mild pain Mild pain Is your belly painful, hard, or swollen? Yes Painful, rigid, or distended abdomen No Painful, rigid, or distended abdomen Does pain medicine relieve the pain? Do you have pain or swelling in one calf? Pain and swelling in the lower leg can be symptoms of a blood clot. Yes Pain or swelling in one calf No Pain or swelling in one calf Have you had surgery on your arm or leg? Is the limb blue, very pale, or cold and different from the other limb? If the limb is in a cast, splint, or brace, follow the instructions you got about how to loosen it. Yes Limb is blue, very pale, or cold and different from other limb. No Limb is blue, very pale, or cold and different from other limb. Is the incision opening up or are the stitches coming out? An incision is any cut that was made for the purpose of the surgery. It may have been closed with stitches, staples, or a bandage. Yes Incision opening or stitches coming out No Incision opening or stitches coming out Has more than one-third of the incision opened up? Yes More than one-third of incision has opened No More than one-third of incision has opened Do you think you may have a fever? Are you nauseated or vomiting? Nauseated means you feel sick to your stomach, like you are going to vomit. Have you felt nauseated or been vomiting for more than 4 hours? Yes Nausea or vomiting for more than 4 hours No Nausea or vomiting for more than 4 hours Do you have problems with urination? Yes Problems with urination No Problems with urination Are you able to urinate at all? Yes Symptoms of urinary tract infection No Symptoms of urinary tract infection Are you having any problems with your bowel movements, such as constipation or diarrhea? Are you constipated? Constipation means your stools are hard and you have trouble passing them. If your stools are soft and pass easily, you are not constipated. Have you had a bowel movement in the past 3 days? Yes Bowel movement in past 3 days No Bowel movement in past 3 days Do you have severe diarrhea? Severe means more than 10 loose, watery stools in a single day (24 hours). Are you having any new or unexpected symptoms? Yes New or unexpected symptoms No New or unexpected symptoms Would you describe these symptoms as serious or minor? Serious Serious new or unexpected symptoms Minor Minor new or unexpected symptoms Do you think that a medicine may be causing your symptoms? Think about whether the symptoms started after you began using a new medicine or a higher dose of a medicine. Yes Medicine may be causing symptoms No Medicine may be causing symptoms Many things can affect how your body responds to a symptom and what kind
of care you may need. These include: - Your age. Babies and older
adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart
disease, you may need to pay closer attention to certain symptoms and seek care
sooner.
- Medicines you take. Certain
medicines, herbal remedies, and supplements can cause symptoms or make them
worse.
- Recent health events, such as surgery
or injury. These kinds of events can cause symptoms afterwards or make them
more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug
use, sexual history, and travel.
Try Home TreatmentYou have answered all the questions. Based on your answers, you may be
able to take care of this problem at home. - Try home treatment to relieve the
symptoms.
- Call your doctor if symptoms get worse or you have any
concerns (for example, if symptoms are not getting better as you would expect).
You may need care sooner.
Pain in adults and older children - Severe pain (8 to 10): The pain
is so bad that you can't stand it for more than a few hours, can't sleep, and
can't do anything else except focus on the pain.
- Moderate pain (5 to 7): The pain is bad enough to disrupt your
normal activities and your sleep, but you can tolerate it for hours or days.
Moderate can also mean pain that comes and goes even if it's severe when it's
there.
- Mild pain (1 to 4): You notice the pain,
but it is not bad enough to disrupt your sleep or activities.
Pain in children under 3 years It can be hard to tell how much pain a baby or toddler is in. - Severe pain (8 to 10): The
pain is so bad that the baby cannot sleep, cannot get comfortable, and cries
constantly no matter what you do. The baby may kick, make fists, or
grimace.
- Moderate pain (5 to 7): The baby is
very fussy, clings to you a lot, and may have trouble sleeping but responds
when you try to comfort him or her.
- Mild pain (1 to 4): The baby is a little fussy and clings to you a little but responds
when you try to comfort him or her.
Symptoms of a heart attack may
include: - Chest pain or pressure, or a strange feeling in the chest.
- Sweating.
- Shortness of
breath.
- Nausea or vomiting.
- Pain, pressure, or a
strange feeling in the back, neck, jaw, or upper belly, or in one or both
shoulders or arms.
- Lightheadedness or sudden
weakness.
- A fast or irregular heartbeat.
The more of these symptoms you have, the more likely it is that
you're having a heart attack. Chest pain or pressure is the most common
symptom, but some people, especially women, may not notice it as much as other
symptoms. You may not have chest pain at all but instead have shortness of breath, nausea, or a strange feeling in your chest or other areas. Shock is a life-threatening condition that may quickly occur
after a sudden illness or injury. Symptoms of shock (most of which will be present) include: - Passing out (losing consciousness).
- Feeling very dizzy or
lightheaded, like you may pass out.
- Feeling very weak or having
trouble standing.
- Not feeling alert or able to think clearly. You
may be confused, restless, fearful, or unable to respond to questions.
Shock is a life-threatening condition that may occur quickly
after a sudden illness or injury. Symptoms of shock in a child may include: - Passing out (losing consciousness).
- Being very sleepy or hard
to wake up.
- Not responding when being touched or talked to.
- Breathing much faster than usual.
- Acting confused.
The child may not know where he or she is.
Severe trouble breathing means:
- You cannot talk at all.
- You have to
work very hard to breathe.
- You feel like you can't get enough
air.
- You do not feel alert or cannot think clearly.
Moderate trouble breathing means: - It's hard to talk in full
sentences.
- It's hard to breathe with activity.
Mild trouble breathing means: - You feel a little out of breath but can still talk.
- It's becoming hard to breathe with activity.
Severe trouble breathing means: - The child cannot eat or talk because he or she is
breathing so hard.
- The child's nostrils are flaring and the belly
is moving in and out with every breath.
- The child seems to be
tiring out.
- The child seems very sleepy or confused.
Moderate trouble breathing means: - The child is breathing a lot faster than
usual.
- The child has to take breaks from eating or talking to
breathe.
- The nostrils flare or the belly moves in and out at times
when the child breathes.
Mild trouble breathing means: - The child is breathing a little faster than usual.
- The child seems a little out of breath but can still eat or talk.
With severe bleeding, any of these may
be true: - Blood is pumping from the wound.
- The
bleeding does not stop or slow down with pressure.
- Blood is quickly soaking through bandage after bandage.
With moderate bleeding, any of these may
be true: - The bleeding slows or stops with pressure but
starts again if you remove the pressure.
- The blood may soak through
a few bandages, but it is not fast or out of control.
With mild bleeding, any of these may be
true: - The bleeding stops on its own or with
pressure.
- The bleeding stops or slows to an ooze or trickle after
15 minutes of pressure. It may ooze or trickle for up to 45 minutes.
Neurological symptoms—which may be
signs of a problem with the nervous system—can affect many body functions.
Symptoms may include: - Numbness, weakness, or lack of movement in your
face, arm, or leg, especially on only one side of your body.
- Trouble seeing in one or both eyes.
- Trouble speaking.
- Confusion or trouble understanding simple statements.
- Problems with balance or coordination (for example, falling down
or dropping things).
- Seizures.
Symptoms of infection may
include: - Increased pain, swelling, warmth, or redness in or
around the area.
- Red streaks leading from the area.
- Pus draining from the area.
- A fever.
Urinary tract infections may occur in
the bladder or kidneys. Symptoms may include: - Pain or burning when you urinate.
- A frequent need to
urinate without being able to pass much urine.
- Pain in the flank, which is either side of the back just below the
rib cage and above the waist.
- Blood in the
urine.
- Fever.
Symptoms of a pulmonary embolism may
include: - Sudden shortness of breath.
- Sudden,
sharp chest pain that may get worse when you breathe deeply or
cough.
- Coughing up blood or pink, foamy mucus.
- Fast
heart rate.
- Severe anxiety.
- Fainting.
If you have pain when you are breathing, you may be at
immediate risk for a pulmonary embolism if you also
have: - Pain deep in one leg for no clear reason. This can
be a sign of a blood clot in the leg (deep vein thrombosis) that could travel
to the lungs.
- A history of problems with blood clots, such as deep
vein thrombosis or a previous pulmonary embolism.
Severe vomiting can mean that: - You vomit more than 10 times in 24
hours.
- For at least 24 hours, you vomit every time you try to drink
something.
- The vomit shoots out in large amounts and with great
force.
Seek Care NowBased on your answers, you may need care right away. The problem is likely to get worse without medical care. - Call your doctor now to discuss the symptoms and
arrange for care.
- If you cannot reach your doctor or you don't have
one, seek care in the next hour.
- You do not need to call an
ambulance unless:
- You cannot travel safely either by driving
yourself or by having someone else drive you.
- You are in an area
where heavy traffic or other problems may slow you down.
Call 911 NowBased on your answers, you need
emergency care. Call911or other emergency services now. After you call
911 , the operator may tell you to chew 1 adult-strength (325 mg) or 2
to 4 low-dose (81 mg) aspirin. Wait for an ambulance. Do not try to drive yourself. Seek Care TodayBased on your answers, you may need care soon. The
problem probably will not get better without medical care. - Call your doctor today to discuss the symptoms
and arrange for care.
- If you cannot reach your doctor or you don't
have one, seek care today.
- If it is evening, watch the symptoms and
seek care in the morning.
- If the symptoms get worse, seek care
sooner.
Call 911 NowBased on your answers, you need
emergency care. Call911or other emergency services now. Call 911 NowBased on your answers, you need
emergency care. Call911or other emergency services now. Put direct, steady pressure on the
wound until help arrives. Keep the area raised if you can. Home TreatmentIf you have had surgery:- You will be given some general instructions about what to do after surgery. Your surgeon may also give you some special instructions on how to care for the surgery area. Be sure to follow those instructions carefully.
- If the instructions from your surgeon are not clear or do
not cover your particular problem, contact your surgeon.
- If your
symptom or problem starts after the office or health facility is closed, call
your surgeon's office and leave a message with the answering service (or follow
instructions given on the answering machine). If you leave a message, be sure
to include your name and phone number so that your surgeon (or the on-call
surgeon) can contact you.
Do not smoke or use other tobacco products. Smoking slows healing because it decreases blood supply and delays tissue repair. For more information, see the topic Quitting Smoking. Write down your symptom or problem. It may help you become
more aware of your specific symptom or problem or give you ideas about its
cause. It will also help prepare you to talk to your surgeon about what you are
experiencing. Symptoms to watch for during home treatment Call your doctor if any of the following occur during home
treatment: - A new symptom develops that is different than
what your surgeon told you to expect.
- Symptoms become more severe
or frequent.
PreventionYou may be able to prevent problems after
surgery by taking steps beforehand to improve your health. - Do not smoke or use other tobacco products.
Complications involving the lungs are
more likely to occur in people who smoke. Infections are more common in people who use
tobacco products, because of reduced blood flow and from having more
mucus stuck in the airways. For more information, see
the topic
Quitting Smoking.
- Maintain a healthy body
weight. Problems with increased abdominal pressure, complications involving the
lungs, and infection occur more often in people who are overweight. For
more information, see the topic
Weight Management.
- Practice deep
breathing exercises before surgery.
- If possible, be active before
your surgery to increase your fitness level. For more information, see the
topic
Fitness.
- Eat a balanced diet. Make an
appointment with a dietitian if you need help with menu planning. For more
information, see the topic
Healthy Eating.
Be sure to follow all of your surgeon's instructions after
surgery to prevent problems. You may be instructed to: - Drink plenty of fluids. This can help prevent
problems such as
dehydration and constipation.
- Sit up,
cough, and breathe deeply to expand your lungs and help prevent breathing
problems, such as
pneumonia.
- Walk as soon and as often as
your surgeon recommends. Early activity helps prevent complications. Ask your
surgeon how soon you can expect to get out of bed, sit in a chair, and walk.
Walking increases circulation to your legs and helps prevent problems, such as
blood clots. Walking also helps prevent constipation.
Preparing For Your AppointmentTo prepare for your appointment, see the topic Making the Most of Your Appointment. You can help your
health professional diagnose and treat your condition by being prepared to
answer the following questions: - What kind of surgery did you
have?
- What type of anesthesia was used?
- How long ago
was your surgery?
- When did the symptom or problem
start?
- Has anything made the symptom or problem better or
worse?
- What home treatment measures have you tried? Did they help?
- What prescription and nonprescription medicines or dietary
supplements do you take?
- Do you have any
health risks?
CreditsByHealthwise Staff Primary Medical ReviewerWilliam H. Blahd, Jr., MD, FACEP - Emergency Medicine Adam Husney, MD - Family Medicine Kathleen Romito, MD - Family Medicine Current as ofMarch 20, 2017 Current as of:
March 20, 2017 Last modified on: 8 September 2017
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