Post-Operative Instructions
Listed below are instructions for Post-Operative Care. The doctor will review these instructions with you before your procedure. If you have any questions, please discuss them with your doctor before your procedure.
Nasal Surgery
For the first two (2) weeks after surgery:
The Do's
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The Do Not's
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Sleep with your head up using 3 to 4 pillows. |
Do not blow your nose. Sniff up and spit out if necessary |
Avoid all products containing aspirin or ibuprofen. |
Do not use your nose to sneeze. Open your mouth and sneeze. |
Do not do extreme exercise or exertion. |
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Do not bend over for long periods of time. |
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Do not drink alcohol. |
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Do not eat or drink very hot foods and/or beverages. |
Irrigation:
Make sure to follow these steps in the order specified.
- Irrigate your nasal passages with a saline solution with bulb syringe 3 to 4 times a day. (Saline solution can be made by mixing 2 to 3 teaspoons of salt in a quart of water).
Medications:
- Be sure to take your antibiotics as prescribed.
- Take your pain medication as necessary. (Usually NO more than 3 to 4 times a day.)
Note:
- Some bloody oozing from the nose is not unusual. This will get less each day.
- Any loss of smell or taste should return in a few weeks.
Pre-Operative Instructions
Listed below are instructions for Pre-Operative Care. The doctor will review these instructions with you before your procedure. If you have any questions, please discuss them with Dr. Smolarz before your procedure.
Tympanostomy
Having tubes placed in the ears is one of the most commonly performed surgical procedures. The operation is usually quick, relatively painless, and rarely associated with complications. Here are some suggestions to help make things go smoothly.
Before Surgery:
In general, you should not eat or drink within 8 hours of your scheduled surgery. This may be relaxed a little for certain procedures but you should double check with your doctor especially if you have a medical condition that requires food every few hours.
It is important to note that you can still have the surgery even if you have an ear infection. (Remember - If you did not have a problem with infections you would not need the surgery.)
Parents are allowed in the pre-operative holding area to help their child feel safe while they are waiting to fall asleep. If a parent is allowed to remain with the child, please one parent only.
Usually a child does not need any pain medication. If your child is complaining of discomfort feel free to give Tylenol as needed.
It is important that following surgery you keep your child's ear DRY!!! Please use earplugs while showering or bathing. Custom earplugs are recommended for swimming. Please speak with our Audiologist prior to surgery so a mold of your child's ear can be made and the plugs made before they will be needed. Please allow at least 2 weeks for the molds to be made and returned to you.
Eardrops will be given to you. Place 3 to 4 drops in the ear with the tubes (or both if surgery was performed on both) each ear at night for three nights. If your child complains of pain after you use them the first night, don't use any more.
Call our office if you have any questions or problems.
Sinus Surgery
Sinus surgery is used to open blocked sinuses, drain the sinus passages and allow the infection to gradually resolve. There are new techniques available for sinus surgery, which cause less swelling, bruising, bleeding, and pain than before. Please review the following carefully to ensure that you do your part towards a recovery that is as uncomplicated as possible.
DON'T EAT OR DRINK AFTER MIDNIGHT
THE NIGHT BEFORE SURGERY
DON'T - take aspirin, ibuprofen, or any other nonsteroidal anti-inflammatory drugs. Please check with your doctor to find out how much time needs to pass between the surgery and the last time you had an aspirin or any other anti-inflammatory medication.
The morning of your surgery PLEASE make sure you take all scheduled medication, including high blood pressure or heart medication. HOWEVER only have a SIP of water. DO NOT drink a lot of water. Your stomach is to be empty for the surgery.
DO - Discuss with your primary care doctor what to do about insulin or other diabetes medication.
Again if you have any questions, please speak with our office.
Precautions
Dr. Smolarz at Virgin Islands Ear, Nose & Throat would like to provide you with these precautions for your education and review. Should you have any questions, please contact us.
Anti-Reflux Precautions
- No large meals
- No meals or snacks close to bedtime
- No hot ox spicy foods
- No alcohol
- No tobacco products
- No caffeine (coffee, tea, sodas and chocolate)
- No gum chewing
- No tomato products
- No carbonation
- No citric products
- No peppermints or spearmints
- Sleep with upper body elevated 30° - 45°
Nasal Precautions
- No lifting greater than five pounds
- No straining
- No bending
- Sneeze with your mouth open
- No nose blowing
- Sleep with your upper body elevated
- Do not bend over to tie your shoes - Use slippers or loafers
- Cool diet - Liquids or food at room temperature or cooler
- Use a cool mist humidifier with a filter
- Saline mist nasal spray - two sprays to each nostril four times each day
Medications To Avoid
You should avoid all aspirin containing medications and non-steroidal anti-inflammatory medications such as Alka-Seltzer®, Advil®, Motrin®, Ibuprofen®, Nuprin®, Naprosyn®, Aleve® and any others you can read on the below list. Tylenol® is OK. Please contact us with any questions regarding whether a medication is acceptable.
Nonprescription Products Containing Aspirin and/or Aspirin-like Compounds |
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Alka-Seltzer Antacid/Pain Reliever Effervescent Tablets Alka-Seltzer Plus Cold Medicine Tablets Anacin Caplets/Tablets Anacin Maximum Strength Tablets Arthritis Pain Formula Tablets Arthritis Strength Bufferin Tablets Ascriptin Caplets/Tablets Ascriptin A/D Caplets Aspergum Bayer Aspirin Caplets/Tablets Bayer Children's Chewable Tablets Bayer Plus Tablets Maximum Bayer Caplets/Tablets 8-Hour Bayer Extended-Release Tablets BC Powder BC Cold Powder Buffaprin Caplets/Tablets |
Bufferin Arthritis Strength Caplets Bufferin Caplets/Tablets Cama Arthritis Pain Reliever Tablets Doan's Pills Caplets Ecotrin Caplets/Tablets Empirin Tablets Excedrin Extra-Strength Caplets/Tablets Midol Caplets Mobigesic Analgesic Tablets Norwich Tablets P-A-C Analgesic Tablets Sine-Off Tablets, Aspirin Formula St. Joseph Adult Chewable Aspirin Therapy Bayer Caplets Trigesic Ursinus Inlay-Tabs Vanquish Analgesic Caplets |
Nonprescription Products Containing Ibuprofen | Nonprescription Products Containing Naproxen Sodium |
Advil Caplets/Tablets Advil Cold/Sinus Caplets Bayer Select Ibuprofen Pain Relief Formula Caplets Dristan Sinus Caplets Haltran Tablets Ibuprofen Caplets/Tablets Midol IB Tablets Motrin IB Caplets/Tablets Nuprin Ibuprofen Caplets/Tablets Sine-Aid IB |
Aleve Caplets/Tablets |
Prescription Products Containing Aspirin or Aspirin-like Compounds
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Darwin Compound-65 Disalcid Capsules/Tablets Easprin Tablets Empirin w/Codeine Tablets Equagesic Tablets Fiorinal Capsules/Tablets Fiorinal w/Codeine Capsules/Tablets Lortab ASA TAblets Magsal Tablets Mono-Gesic Tablets |
Norgesic & Norgesic Forte Tablets Percodan & Percodan-Demi Tablets Robaxisal Tablets Salflex Tablets Soma Compund Tablets Soma Compound w/Codein Tablets Synalgos-DC Capsules Talwin Compound Tablets Traisate Tablets/Liquid |
Prescription Products Containing Ibuprofen | Prescription Products Containing Naproxen/Naproxen Sodium |
Motrin Tablets Children's Advil Suspension Children's Motrin Suspension |
Naprosyn Suspension Tablets Anaprox/Anaprox DS Tablets |