| 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 monthNo Surgery in the past monthHow old are you? Less than 12 years Less than 12 years12 years or older 12 years or olderDo you have symptoms of shock?Since having the surgery, have you had new or worse trouble breathing? Yes New or worse trouble breathingNo New or worse trouble breathingWould you describe the breathing problem as severe, moderate, or mild? Severe Severe difficulty breathingModerate Moderate difficulty breathingMild Mild difficulty breathingDoes 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 embolismNo Symptoms of pulmonary embolismYes At risk for pulmonary embolismNo At risk for pulmonary embolismHow 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 pain5 to 7: Moderate pain Moderate pain1 to 4: Mild pain Mild painIs your belly painful, hard, or swollen? Yes Painful, rigid, or distended abdomenNo Painful, rigid, or distended abdomenDoes 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 calfNo Pain or swelling in one calfHave 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 outNo Incision opening or stitches coming outHas more than one-third of the incision opened up? Yes More than one-third of incision has openedNo More than one-third of incision has openedDo 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 hoursNo Nausea or vomiting for more than 4 hoursDo you have problems with urination? Yes Problems with urinationNo Problems with urinationAre you able to urinate at all?Yes Symptoms of urinary tract infectionNo Symptoms of urinary tract infectionAre 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 daysNo Bowel movement in past 3 daysDo 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 symptomsNo New or unexpected symptomsWould you describe these symptoms as serious or minor? Serious Serious new or unexpected symptomsMinor Minor new or unexpected symptomsDo 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 symptomsNo Medicine may be causing symptomsMany 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 StaffPrimary Medical ReviewerWilliam H. Blahd, Jr., MD, FACEP - Emergency Medicine
 Adam Husney, MD - Family Medicine
 Kathleen Romito, MD - Family Medicine
Current as ofMarch 20, 2017Current as of:
                March 20, 2017 Last modified on: 8 September 2017  |  |