VIEWS: 8 PAGES: 1 POSTED ON: 12/20/2011
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.