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| Office Surgery Instructions |
INSTRUCTIONS FOLLOWING OFFICE SURGERY
You will have pain of varying degrees depending on your subjective response.
Medication:
- If prescribed, take your pain medication ONLY AS NEEDED. Do not drink alcohol.
- Tylenol may be taken.
- Take stool softener Colace, etc., DAILY.
- Resume all your other medications, EXCEPT for blood thinning drugs such as Coumadin, Aspirin, Persantine, Motrin, Indocin, etc. for the next 5 7 days.
Activity:
- You may do whatever does not cause you discomfort.
- DO NOT do any heavy lifting or strenuous activity.
- You may drive whenever you feel comfortable.
- You may have sex whenever you feel comfortable.
- Return to work is usually possible the next day. If you are unable to return after 3 days, you must contact the office.
Diet:
- You may eat whatever does not bother you; but in addition, you MUST INCREASE the fiber content of your diet. This means you should eat more raw vegetables, fresh fruit and bran cereals.
- Drink a MINIMUM of 10 glasses of fluids, daily.
Anal Care:
- Remove the initial bandage within 24 hours of the procedure. If removed dry, it may cause more bleeding. DO NOT use Vaseline, ointments, creams or Tucks.
- Keep the anal area clean and dry by placing a small piece of dry cotton against the anal opening at all times. Change the cotton several times per day.
- Take warm sitz baths 3 4 times a day, especially after each bowel movement, 15 minutes at a time. The water temperature should be as hot as you can tolerate. Check the temperature of the water with your elbow.
- You will find the sitz bath soothing and relaxing
- Avoid using soap over the anal area.
- Consider buying a sitz bath kit at your local pharmacy.
Bowel Movements:
- DO NOT STRAIN during a bowel movement. It is best to wait for the urge.
- DO NOT SIT on the toilet for more than 5 minutes
- Following each bowel movement, DO NOT wipe or rub your anal area, try to take a shower or sitz bath. If you cannot do either of these, then wet the toilet paper and DAB the anal region clean. Pat dry afterwards.
- If after 2 days you do not have a bowel movement, take 3 tablespoons of Milk of Magnesia at 8 pm. If no results by 10 am the next day, take an additional dose of Milk of Magnesia. If no results by 5pm take 8 ounces of Magnesium Citrate (purchase at your pharmacy over the counter).
Call the office if you have any questions or concerns, or if you have any of the following symptoms:
- a lot of bleeding
- fever or chills
- difficulty urinating
- extreme pain
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