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Post-Op Care

It is important to follow all your doctor’s advice. Keep the surgery site clean and follow any instructions given to you, including how to take your medications.

Low Residue Diet

A low residue diet is recommended for some patients with diverticulosis and other problems with the colon. Your physician will instruct you when to follow this diet.

Colectomy

Once you are back home, you will need to take it easy for a few days. Follow all of your doctor’s instructions.

It is normal for you to have pain after surgery. Your doctor will prescribe pain medication. Take the medication as instructed. Take all you medications, including laxative and fiber supplements, as instructed by your doctor. Further instructions will be given regarding your diet at that visit. This will allow time for the surgery site inside the colon to heal.

Proper care for the wound will help with healing. The patient will receive instructions for wound care when discharged from the hospital. Keep the external wound clean with mild soap and water. The steri strips on the wound are waterproof. If there are staples on the surgery site, these will be removed in the office. It is important to avoid lifting anything that weighs more than 10 pounds for 4-6 weeks following your surgery. Most patients will return to work after 6 weeks. An appointment to return to the clinic for follow up in 10 to 14 days will be given at discharge.

Colectomy with Colostomy

Once you are back home, you will need to take it easy for a few days. Follow all of your doctor’s instructions.

It is normal for you to have pain after surgery. Your doctor will prescribe pain medication. Take the medication as instructed. Take all of your medications, including laxative and fiber supplements, as instructed by your doctor. You will be instructed to follow a low residue diet until you see your physician in the office.   Further instructions will be given regarding your diet at that visit. This will allow time for the surgery site inside the colon to heal.

Teaching the patient how to care for colostomy will be done in the hospital.   Some patients will receive additional care and teaching at home provided by Home Health Care.

Proper care for the wound will help with healing. The patient will receive instructions for wound care when discharged from the hospital. Keep the external wound clean with mild soap and water. The steri strips on the wound are waterproof. If there are staples on the surgery site, these will be removed in the office. It is important to avoid lifting anything that weighs more than 10 pounds for 4-6 weeks following your surgery. Most patients will return to work after 6 weeks. An appointment to return to the clinic for follow up in 10 to 14 days will be given at discharge.

Fistulotomy or Fistulectomy

It is normal to have some bleeding and discharge after the surgery. We recommend using gauze or a sanitary napkin for this drainage. Soaking in a bathtub filled with warm water for comfort and following a bowel movement is recommended. It is important to avoid lifting anything that weighs more than 10 pounds for 2 weeks following your surgery. Most patients will return to work after 2 weeks. An appointment to return to the clinic for follow up in 10 to 14 days will be given at discharge.

Hemorrhoidectomy

Once you are back home, you will need to take it easy for a few days. Follow all of your doctor’s instructions.

It is normal for you to have pain after surgery. Your doctor will prescribe pain medication. Take the medication as instructed. Take all of your medications, including laxative and fiber supplements, as instructed by your doctor.

Proper care for your wound will help speed healing. Your bandage can be removed the day after your surgery. We suggest sitting in the bathtub with warm water prior to removing the bandage to make removal easier. Soft gauze or sanitary napkins can be used to control any fluid drainage. Change the pads and underwear frequently. Wash the area with mild soap to help the wound stay clean. Sitting in a tub after a bowel movement can more comfortable than wiping with tissue.

Avoid straining on the toilet. You may be nervous about having a bowel movement. DO NOT IGNORE YOUR URGE TO GO! This can lead to constipation and straining on the toilet. For the first days, you may have minor bleeding or muscle spasms during bowel movements. You can have swelling that feels like unpassed stool. Call your doctor if you have not had a bowel movement within three days after surgery.

It is important to avoid lifting anything that weighs more than 10 pounds for 2 weeks following your surgery. Most patients will return to work after 2-3 weeks. An appointment to return to the clinic for follow up in 10 to 14 days will be given at discharge.

Hemorrhoid Rubberband Treatment in the Office

This procedure is performed in the office. 5-days prior to the procedure, discontinue Aspirin and over the counter blood thinners. Please ask your doctor before discontinuing any prescription medication, including blood thinners. No anesthesia is used for this procedure. You will be able to drive yourself home after the procedure in complete. There are no restrictions following this procedure.

Hemorrhoid Treatment Using the IRC
(Infrared Coagulation. Sometimes referred to as “laser treatment”)

This procedure is performed in the office. 5-days prior to the procedure, discontinue Aspirin and over the counter blood thinners. Please ask your doctor before discontinuing any prescription medication, including blood thinners. No anesthesia is used for this procedure. You will be able to drive yourself home after the procedure in complete. There are no restrictions following this procedure.

Excision of External Hemorrhoid Performed in the Office

This procedure is performed in the office. 5-days prior to the procedure, discontinue Aspirin and over the counter blood thinners. Please ask your doctor before discontinuing any prescription medication, including blood thinners. No anesthesia is used for this procedure. You will be able to drive yourself home after the procedure in complete. This procedure is performed during our Friday after schedule. Most patients feel good enough to return to work on Monday.

Patients experience discomfort after the procedure and will be given medication to control the pain.

  • Take a warm bath at least three times per day and after each bowel movement for 1 week.
  • Apply Calmonseptine ointment to your wound every morning and after each bowel movement.
  • Take Konsyl fiber therapy as directed.
  • Take Colace stool softener as directed.
  • Do not take any Aspirin, Aleve, Ibuprofen, Excedrin and other medications considered a blood thinner for two weeks.

Phase I Procedure for Fecal Incontinence

Protect the device from getting wet or being pulled out. It is important to avoid lifting anything that weighs more than 10 pounds for 2 weeks following your surgery. Most patients will return to work after 2-3 weeks. An appointment to return to the clinic for follow up in one week will be given at discharge.

Phase II Procedure for Fecal Incontinence

It is important to avoid lifting anything that weighs more than 10 pounds for 6 weeks following your surgery. Most patients will return to work after 2-3 weeks. An appointment to return to the clinic for follow up in 10 to 14 days will be given at discharge.

Rectocele Repair

Once you are back home, you will need to take it easy for a few days. Follow all of your doctor’s instructions.

It is normal for you to have pain after surgery. Your doctor will prescribe pain medication. Take the medication as instructed. Take all of your medications, including laxative and fiber supplements, as instructed by your doctor.

Proper care for the wound will help with healing. The patient will receive instructions for wound care when discharged from the hospital. It is important to avoid lifting anything that weighs more than 10 pounds for 4 to 6 weeks following your surgery. Most patients will return to work after 2-3 weeks. An appointment to return to the clinic for follow up in 10 to 14 days will be given at discharge.


Why Central Texas Colorectal and General Surgery?

As a part of Hillcrest Baptist Medical Center, Scott & White Healthcare, Central Texas Colorectal and General Surgery strives to provide excellence in patient care through providing comprehensive Colorectal and General Surgery services in the Central Texas Area.