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Recent Hysterectomy - Not Feeling Well

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Recent hysterectomy and not feeling well
It's been 6 days since hysterectomy surgery and my throat is sore and swollen. I'm feeling feverish and my incision hurts. I got out of bed and felt like I was going to pass out. Is this normal?


It is normal to not feel well in the days following a hysterectomy. A hysterectomy, no matter how it is done, is a major surgery that causes some trauma to your body. However, you shouldn’t feel completely unwell after the initial first few days, and you should start to feel better each and every day.

If you don’t feel well or you notice that your symptoms are either worsening or not improving, you need to speak to your doctor. To help your surgeon be able to help you quickly, it is important to give specific details. Rather than call and say, “I don’t feel well,” be specific: “My throat feels swollen and it hurts to swallow,” or “When I stood up, my heart pounded and my vision went black.”

It's important to know when to call the doctor after a hysterectomy. If you experience any of the following symptoms, you need to seek medical attention immediately:
  • Fever above 100.4°F (38°F).
  • Chills.
  • Bright red vaginal bleeding or vaginal bleeding that soaks more than 1 pad per hour.
  • A smelly discharge from the vagina.
  • Trouble urinating or burning when you urinate.
  • Severe pain or bloating in your abdomen.
  • Redness, swelling, or drainage at your incision site.
Here are some other symptoms you may experience following a hysterectomy which may or may not warrant a call to your surgeon. At times these symptoms are a normal part of healing, but you should monitor them so you know if and when it's time to call your doctor.

Sore throat

Depending on the type of anesthesia, a breathing tube may have been placed in your throat. Even under normal circumstances, there can be some bruising or irritation from mild trauma which might cause a sore throat or hoarseness. You may also suffer from some dehydration which can cause a bit of a sore throat.

If, however, your throat is sore beyond a couple days, you find it difficult to swallow, your throat feels swollen, your symptoms are increasing, and/or you have a fever, you may have something going on unrelated to your surgery or it may be a more serious complication of the intubation. For these symptoms, you need to contact your doctor immediately.

Incision pain

You may experience pain and tenderness in and around your incisions for a few weeks. There may even be some bruising in the area. As healing progresses, your pain and discomfort should decrease, though you may still experience tingling and even itchiness. Using a cold compress against your incision can tame the discomfort. Incision pain that increases or last more than a couple weeks needs to be discussed with your doctor. You should also call the doctor if there are signs of infection: redness, hot to the touch, or oozing that is more than just a tiny bit of blood or clear fluid. Always follow your doctor's orders when caring for hysterectomy incisions.

Dizzy and lightheaded

There are a number of reasons you could feel dizzy or lightheaded after your hysterectomy. For one, you could be weak from having surgery. You may also be suffering from some dehydration and blood sugar issues from the bowel prep and change in diet. Some of the medications and hormonal changes can cause dizziness, too. Anemia or an infection may also be the cause, and those need treated by your doctor.

If you feel dizzy or lightheaded, take note of when it occurred. If you had just stood up, it could be a drop in blood pressure from jumping up too fast in your weaker state. Next time, go from sitting to standing more slowly while holding onto something steady. If it occurs immediately after a hot shower, again it could be related to a change in blood pressure. Until you are stronger, turn the temperature down and take a warm shower instead of a hot one. If you have other symptoms of dehydration or low blood sugar, increase your fluid intake and watch your diet moer closely. If you are on new medications or hormone replacement therapy (HRT), ask your doctor if the dose is right for you.

Dizziness that is accompanied by pain, shortness of breath, abdominal swelling, rapid heartbeat, weakness (not related to surgery), or confusion needs to be reported to your doctor immediately. You should also call your doctor if it occurs frequently and if it leads to passing out or fainting.

Feverish

Though a slightly higher temperature can be normal following any surgery, a fever during recovery can also indicate you have an infection. While a low grade fever may be expected, if it persists over several days it is a good idea to touch base with your doctor. If you develop a temperature of 100.4 or higher, you need to call your surgeon. It is especially important to seek medical attention if you also have vomiting nausea, confusion, new pain, awful vaginal odor, incision odor, or redness around incisions.


This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

06-21-2015 - 05:13 PM


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