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Education
Instructions
and Information:
Post-Operative Instructions for Colon,
Small Bowel and Excisions of the Rectum
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Removal
of a portion of the colon, small bowel
or rectum is a major operation. After
a period of hospitalization that varies
depending greatly on emergency or elective
circumstances, and the presence or absence
of complications, you will be ready for
discharge to home or to an alternative
care facility. Discharge from the hospital
requires adequate nutritional intake
(usually orally), adequate demonstration
of normalization (bowel movements per
anus or stoma), and ability to tolerate
oral pain medications (as pertains to
wound discomfort). There is a tremendous
variability of "normal" in
all of these areas. Hospital stays from
4 days, which is very short, to 14 days,
which is a little on the long side, are
in the "range." The average,
however, generally is about 7 days.
When
to call your doctor
The
most common post-operative
"problems" associated with
small bowel, colonic or rectal resections
relate to:
- Wound
or incisional problems (increased
pain, discolorations or concerns
regarding infection).
- Control
of bowel function -- after removal
of a small or extended portion
of the bowel, regaining of normal
bowel function varies with the
individual. We try to control
functions and prevent either
constipation or diarrhea.
- Dietary
considerations ("What can
I eat?," is a very common
post-discharge question.) Normalization
of the diet and bowel movements
may take up to several weeks
postoperatively. As necessary,
dietary restrictions will be
discussed by your doctor prior
to your discharge from the hospital.
- Abdominal
distress (nausea, vomiting, bloating,
gas cramps and hiccoughs) Increase
in any of these symptoms to the
point of pain, particularly if
it is worsening as time goes
on, is cause for concern, and
your colon and rectal surgeon
should be consulted.
- What
medications will I take home
from the hospital? When may I
resume my "regular"
medicines? Medications and supplies
upon discharge generally center
around pain control, bowel function
regulation (anti-diarrheal agents
or stool softeners), prednisone
where applicable, antacids, antibiotics,
supplies concerned with wound care,
gauze dressings, occasional drainage
tubes or irrigating supplies.
- Activity
constraints such as walking,
climbing stairs, driving a car,
sexual activities, running, golfing,
and "When can I go back
to work?,"
where applicable.
- Unusual
bleeding from wound, rectum,
stoma or other.
- When
to see you back in the office:
Any further follow-up tests anticipated
in near or distant future such
as scans or endoscopy procedures,
blood tests or x-rays. Your physician
should cover all of these areas
with you prior to your discharge.
If this has not been done or
you are uncertain about any of
these items, call your physician
to get updated information soon
after you are discharged to home.
If you are concerned about any
possible complications, please
call your physician immediately.
If your own doctor is unavailable,
the on call doctor is available
24 hours a day, every day of
the year, including holidays.
If after hours, you may reach
any of our physicians by calling
any of our offices. The answering
service will locate our doctors
on call. In an emergency try
to contact your colon and rectal
surgeon for advice before you
go to the hospital. A telephone
call may save you a lot of time,
discomfort and expense.
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Berks
Colorectal Surgical Associates
Frank M. Carter, M.D.
Wayne C. DeVos, M.D., PHD.
301 South 7th Ave, Suite 100 :: West Reading, PA 19611
Telephone: 610.375.6001 :: Fax: 610.374.0678
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