At home after surgery
- It's not uncommon for some children to feel fussy, uncomfortable and disoriented after surgery, in most part, from the general anesthesia.
- Many children also may not have appetite until the morning after surgery.
- There are four options for medications to control your child's pain from surgery - acetaminophen, ibuprofen, lidocaine and narcotics such as Hycet (hydrocodone-acetaminophen) that your surgeon has prescribed.
- We recommend that you first try acetaminophen and ibuprofen before trying any narcotics. Of note, some narcotics such as Norco and Hycet contain acetaminophen and thus should not be given within 4 hours after giving acetaminophen. You may leave the lidocaine patch on at all times as default until your child's pain improves.
- When is pain concerning? If those medications do not control the pain even after you have given them sufficient amount of time to work (1 to 2 hours), please give us a call or call the hospital to page the physician on call. During regular hours, our number is 804-828-3500 and after hours, please call 804-828-9000. Postoperative pain may worsen 4 to 6 hours after surgery as the local numbing medication and intravenous medicines wear off. Pain may worsen after physical activities. However, the pain should improve as time goes on.
- Your child will be prescribed Zofran (ondansetron) to go home with. Please give it to your child when your child is nauseated and/or vomits. If the nausea or vomiting persists despite the medicine, please hold the tube feed for 2 hours and restart it once it improves. If vomiting persists, please call the care partner on call.
- Please only take sponge baths for 2 days after surgery and then they can take full baths.
- For the first 48 hours, please change the split gauze under the G-tube as many times as necessary to keep the skin dry. Please refer to G-tube care for step by step instruction on how to do this.
- Please resume light activity for 2 days after surgery.