Postop Pain

WHAT YOU SHOULD KNOW:

Postop Pain (Aftercare Instructions) Care Guide

  • Postop pain is pain that you have after surgery. It is also called postsurgical or postoperative pain. Everyone feels pain differently and responds differently to pain control treatments. We used to think that severe pain after surgery was normal and to be expected. But, today there are treatments to prevent or control postop pain. It is important to keep your pain level low so that you are comfortable. This will help you to start moving sooner which helps you heal faster.

  • Pain after surgery is caused by injury to your skin, muscles, and nerves during the operation. How much surgery was done may affect how much pain you have afterwards. Another thing that makes postop pain worse is having gas in your bowel (gut or intestine). Being anxious or worrying can also make postop pain worse. Tell caregivers about your pain so that they can help you manage it. Caregivers want to lessen your suffering. Following are some of the other reasons why it is important to control pain after surgery.

    • Pain affects how well you sleep which makes you feel like you do not have any energy. And, if you have too much pain you may not be able to do the things that help you heal faster, like sitting in a chair or walking.

    • Pain can also cause you to breathe too shallow and may keep you from coughing. This can lead to pneumonia.

    • Pain can affect your appetite (desire to eat) and can keep your bowels from working normally. This may make you not eat after surgery. Good nutrition is very important in helping you heal well.

    • Pain can also affect your mood (how you feel about things) and your relationships with others.

INSTRUCTIONS:

  • Ask for information about where and when to go for follow-up visits: For continuing care, treatments, or home services, ask for more information.

  • Both cold and heat can help lessen some types of postop pain. Some types of pain improve best using cold while other types of pain improve most with heat. Caregivers will tell you if cold and/or hot packs will help your pain. It is important to use cold and heat correctly. Ask caregivers how to use cold and/or hot packs safely.

  • Keep the incision (if it is on your arm or leg) raised above the level of your heart whenever possible for the next 2 days. This will help lessen the pain and swelling. Move your legs often while resting in bed to avoid blood clots.

  • How can you take pain medicine safely and make it work the best for you?

    • Some pain medicines can make you breathe less deeply and less often. The medicine may also make you sleepy, dizzy, and unsafe to drive a car or use heavy equipment. For these reasons, it is very important to follow your caregiver's advice on how to use this medicine. Be sure to take your pain medication as directed to stay comfortable and heal more quickly. But, if you are taking medicine that makes you drowsy, do not drive or use heavy equipment.

    • Do not drink alcohol while you are taking narcotic pain medication.

    • Some foods, alcohol, and other medicines may cause unpleasant side effects when you take pain medicine. Follow your caregiver's advice about how to prevent these problems. Ask your caregiver before taking other medications.

    • Sometimes the pain is worse when you first wake up in the morning. This may happen if you did not have enough pain medicine in your blood stream to last through the night. Caregivers may tell you to take a dose of pain medicine during the night.

    • Do not stop taking pain medicine suddenly if you have been taking it longer than 2 weeks. Your body may have become used to the medicine. Stopping the medicine all at once may cause unpleasant or dangerous side effects.

    • Pain medicine can make you constipated (hard BMs). Straining with a BM can make your pain worse. Do not try to push the BM out if it's too hard. Eat more foods high in fiber, such as raw fruits and vegetables, whole-grain breads and cereals, dried fruits, popcorn, and nuts. But, avoid hard cheeses and refined grains, such as rice and macaroni. Ask caregivers if you should take fiber or stool softener medicine to help make your BMs softer and more regular. Drinking warm or hot liquids or prune juice can help make your bowels more active. Walking is a very good way to get your bowels moving.

    • With time, you may feel that the pain medicine is not working as well as it did before. Call your caregiver if this happens. Together you can find new ways to control the pain.

  • Your pain may never go totally away but it may be less after surgery. Caregivers may suggest you go to a pain clinic if you have chronic (long-term) pain. A pain clinic can help you learn new ways to work with your pain. People at the clinic can teach you different ways to control the pain along with medicines. Some of these methods are relaxation therapy, hypnosis, and acupuncture.

CONTACT A CAREGIVER IF:

  • You have pain an hour after taking your pain medication (it may not be strong enough).

  • You feel too sleepy or groggy (your pain medication may be too strong).

  • You have problems such as nausea, vomiting, or a rash which may be a side effect of the medicine you are taking.

  • You have increased redness, swelling, bleeding, or pus-like drainage coming from the wound.

  • You have tingling, numbness, swelling, or bluish fingers or toes.

  • Your incision opens up.

  • You have a lot of pain or discomfort after normal activities.

  • You have are worried or have questions about your pain.

© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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