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Bronchoscopy

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					                           Bronchoscopy
GENERAL:
Depending on the circumstances of your surgery, you may or may not
spend the night in the hospital. If you spend the night in the hospital you
will be under a nurses care. During the first day or so, it is common
for you to feel nauseous and even vomit several times. You will be given a prescription for
nausea medication to help control this at home. Also, keep in mind that it is common to run
a low grade fever (99-101F), especially in the evening, for a few days after surgery. This will
usually resolve on its own. Please follow the instructions provided to you by the hospital or
surgicenter regarding the 1st 24hr period after surgery. Most patients may return to work or
school within 2 - 5 days after this type of surgery.

PAIN:
Pain following this type of surgery is usually quite manageable. Your throat and neck may be
sore for the 1st day or two. Lozengers and cool liquids may be soothing (see information sheet
entitled 'Cool Semi-liquid Diet Options'). You may take Tylenol, or your prescription pain medication,
every 4-6 hours as needed. Do not be afraid to take pain medicine for discomfort, especially
before going to bed at night. Avoid aspirin, ibuprofen or Aleve for 3 wks after surgery, since they
increase your risk for bleeding. Staying well-hydrated will lower pain so DRINK LOTS OF LIQUIDS.

FOLLOW-UP:
You will need at least 1 postoperative visit ~1 week after surgery to review your biopsy results.

DIET & DAILY ACTIVITY:
Initially, you may feel nauseous as you regain alertness in the recovery room. This will be controlled
with medication given to you intravenously (through a vein). As any nausea subsides, and your
ability to swallow returns (usually within the 1st hr after surgery), you will slowly be given clear
liquids to drink. When your ability to swallow meets acceptable criteria, dietary restrictions will be
eased and, if you are not scheduled to stay overnight, you will be permitted to go home. At home,
there are no dietary restrictions but start off gradually and in small amounts. Use common sense -
if you start to feel nauseous that is a warning to stop oral intake until the feeling abates and then
revert back to water or clear liquids for several hours. Remember - food intake is not important for
the 1st 48hrs but staying well-hydrated definitely is, as it will lessen pain, help lower a fever and
aid in the healing process. Try to drink 8 oz every 1-2 hours during waking hours. Popsicles and jello
can also be used to hydrate and may go down a little easier. If your urine is light yellow and you're
urinating every 3-4 hours, then you are staying well-hydrated. Avoid activity that raises your pulse
or reddens your face during the first 3 days. Thereafter, you may steadily resume normal activity as
you feel up to it. Refrain from alcohol, smoking and avoid acid reflux (see 'Acid Reflux' instruction
sheets) for at least 1 week after surgery.

QUESTIONS:
Please feel free to call the office or go to our web site if any questions arise. If you develop a high
fever (>102.5F), difficulty breathing, bleeding from the mouth or nose, persistent vomiting, or
worsening pain despite use of prescription pain killers, call the office or seek immediate medical help.

				
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posted:12/20/2011
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