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Upcoming hysterectomy 3/10: preferred methods for pain and nausea management post-op Upcoming hysterectomy 3/10: preferred methods for pain and nausea management post-op

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  #1  
Unread 03-03-2016, 05:33 PM
Upcoming hysterectomy 3/10: preferred methods for pain and nausea management post-op

I am preparing for surgery that will take place next week in another state. I have purchased my granny panties and pocket pillow and am packed and ready to get through this. Because of the long distance, I have met my surgeon just once but I was very impressed. There have been numerous phone conversations with both he and his helpful staff. I am posting on this forum to learn what are the preferred methods for pain and nausea management coming out of surgery and going forward.
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  #2  
Unread 03-03-2016, 06:53 PM
Re: Questions From a First Time Poster

I don't know if there's a "preferred" method - each doctor and hospital seems to be different. Myself, I woke up after surgery connected to a large bag of dilaudid. I felt neither pain nor nausea. I mostly felt stoned. That feeling lasted throughout the next day, although the day after (the second day after surgery) I felt more alert.

I had abdominal surgery with a three-day hospital stay. The bag of dilaudid departed first thing in the morning on the third day. By the time I was released that afternoon, I still wasn't feeling any real pain, just a bit of soreness and twingey-ness. I was told to take OTC ibuprofen and acetaminophen for minor pain, call the hospital for major pain.

I never had to call the hospital. :-) I took ibuprofen regularly the first week, occasionally the second week.
  #3  
Unread 03-03-2016, 08:04 PM
Re: Questions From a First Time Poster

Hi otterj to HysterSisters!

Pain after surgery is different for everyone. Some women experience little to no pain, while others have high level of pain. When you wake up from surgery, they will ask you how much pain you are in and give you pain meds to match. Your doctor may already prescribe something for you, generally a narcotic.

I had moderately high pain when I woke up from surgery. I was put on morphine pump via my epidural tubing (I had both an epidural and general anesthetic). That was taken out the next day, and then I was put on percocet/dilauded and Motrin. I was on that combo for about 4 days. Then I switched to Motrin only. I came off the Motrin after about 2 more weeks.

Here are articles that address pain issues:
Communicating Pain after Hysterectomy
Pain Management after Hysterectomy

I did not have nausea issues with the anesthetic (I was given anti-nausea meds). I did have some with the percocet and was switched to dilauded (this was in the hospital).

I did not have any other nausea issues.

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  #4  
Unread 03-04-2016, 05:17 AM
Re: Upcoming hysterectomy 3/10: preferred methods for pain and nausea management post-op

I woke up feeling surprisingly good. I had only Tylenol and toradol in my iv, no narcotics. I was pretty much pain free. The next day I woke up slightly nauseated, but I think it was from the meds on an empty stomach, because once I forced myself to eat a little, I felt fine. I think I avoided the nausea partly because I didn't take any narcotics, which in themselves can cause nausea, and also constipation, which can cause nausea. My recommendation, try not to take meds on an empty stomach, if you are on narcotics, stop taking them as soon as you don't need them to control the pain, walk as soon and as much as you can, drink lots of water.
  #5  
Unread 03-04-2016, 05:42 PM
Re: Upcoming hysterectomy 3/10: preferred methods for pain and nausea management post-op

Thank you to all who responded to my pre-op questions. It is great to know that that this is such a supportive forum.
  #6  
Unread 03-04-2016, 06:39 PM
Re: Upcoming hysterectomy 3/10: preferred methods for pain and nausea management post-op

The anesthesiologist can dose you up good with anti-nausea meds during surgery.

There is also a patch they can put behind your ear that lasts about 3-4 days.
  #7  
Unread 03-04-2016, 08:41 PM
Re: Upcoming hysterectomy 3/10: preferred methods for pain and nausea management post-op

In pre-op, I got the anti-nausea patch in addition to oral and IV meds--I never had any problems. Once released, I was given narcotics and ibuprofen for post-op pain. My doctor had me taking 800mg ibuprofen every 8 hours and Vicodin every 6 hours (or as needed). I never needed to take the Vicodin more than 2-3 times daily during initial recovery but I took ondansetron (zofran) with every dose (of Vicodin) to control nausea. Every surgeon is different in terms of what they will prescribe for pain control but this was my experience with a doctor I have been seeing for a while.
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