Your recent adrenal surgery requires little special post-hospital care. In some cases your hormone balance may be affected, particularly if the adrenal problem was affecting the hormone levels before your surgery. If so, please ask us what problems to look for.
Diet
When you are discharged to home you may return to your normal diet immediately. Because of the stress and anxiety, you might start with lighter foods (non-fried) but you have no restrictions. To avoid constipation, drink plenty of fluids during the day (eight to 10 glasses).
Wound
Your incision is usually sealed from outside bacteria within two days of surgery. Nonetheless, you should protect it from dirt and soiling for the first 10 days or so. The incision will be tender for the first week and the edges should NOT be pulled apart. The steri-strips should be left on for at least 10 to 14 days, if possible. If a NEW area of redness or swelling occurs, please let us know.
Activity
Your physical activity is to be restricted, especially during the first two weeks. During this time use the following guidelines:
a. No lifting heavy objects (anything greater than 10 pounds).
b. No driving a car and limit long car rides.
c. No strenuous exercise. Limit stair climbing to minimum. No severe straining during bowel movements -- take a laxative, if necessary.
Bowels
It is important to keep your bowels regular during the postoperative period. Use a mild laxative, if needed (two to three tablespoons of Milk of Magnesia or two Dulcolax tablets, for example), and call if you are having problems.
Medication
You should resume your pre-surgery medication unless told otherwise. In addition, you will often be given stool softeners. These should be taken as prescribed until they are finished, unless you are having loose stools.
Problems you should report to us
a. Fevers over 100.5 Fahrenheit
b. Inability to urinate; severe burning or pain with urination that does not improve
c. Drug reactions (hives, rash, nausea, vomiting, diarrhea)
d. The reasons for removing the adrenal are varied. If yours was because of a hormonal problem, your body might have difficulty getting used to the new hormonal balances. Ask us about what to expect and what concerns there are.
Follow-up
You will need a follow-up appointment to monitor your progress. Call for this appointment at the above number when you get home or from the phone in your hospital room before leaving. The first appointment will usually be about seven to 14 days after your surgery.
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