Sphincteroplasty

Discharge Instructions Following Sphincteroplasty
The following instructions are intended as a brief guide to help you in your recovery.

ACTIVITY

  • Your activity may progress as tolerated.
  • Do not lift anything over 20 pounds for 10 days.
  • You may shower only.  (Do not take tub baths). You may rinse in the shower 2-3 times a day.
  • A hand held shower wand on low pressure is often helpful.
  • Do not drive while taking narcotic pain medications.
  • Avoid sitting directly on the surgical area for more than a few minutes at a time for first 10 days.
  • Do not sit on a donut ring. You may stand, lie on your side or recline.

DIET

  • Resume your regular diet.
  • Drink water to quench thirst, do not over do.
  • Do not drink alcoholic beverages for 24 hours after surgery or if taking narcotic pain medications.

MEDICATIONS

  • You may resume your previous medications.
  • If you are on a blood thinner or aspirin, ask your doctor when you should resume taking it.
  • A pain medication will be prescribed for you to use the first few days.  You may take Ibuprofen 400mg every 6 hours instead of, or in addition to, your prescribed pain medication.  For less severe pain, you may take Extra-strength Tylenol every six hours, rather than your prescribed pain medication.
  • If you find that your pain medication may not be working for you, call our office and we will try to make
  • a change in your medication.  Please have your pharmacy number available when you call.
  • Please give 24 hours notice for any prescription refill requests.

COMMON DIFFICULTIES

Pain: If you have post-operative pain, make sure you take the pain medication as prescribed.  Some people get pain because they try to hold out and not take it for a while.  Take it right away when the pain just begins – that is when pain medication works best.

Constipation: A side effect of narcotic pain medication is constipation. Call the office if this becomes a problem, or you may take stool softeners as needed.

Swelling: Use Ibuprofen to reduce swelling.  Also apply ice packs and hot packs alternately.

Itching: Use Neosporin ointment  –do not use Neosporin + Pain Relief

Drainage:
Slight drainage following surgery is normal.  It will subside as healing occurs.

Bleeding: It is normal to have a small amount of bleeding with bowel movements for several days
after surgery.

FOLLOW-UP INSTRUCTIONS

  • Follow-up with your surgeon 2 weeks after your surgery. (call the office to schedule an appointment).
  • You may return to work about 2 weeks after surgery (discuss this with your surgeon).

WHEN TO NOTIFY THE PHYSICIAN

  • If you experience a large amount of bleeding with or without bowel movement.
  • Increased drainage from the incision/wound.
  • Severe pain not relieved by pain medication.
  • Fever greater than 100.5ºF or chills.
  • Inability to urinate.

Please do not hesitate to call the office with any questions or concerns at any time.  If you call after our regular hours, our answering service will page the doctor or nurse, who will promptly return your call.  (405) 948-0640.