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How to Stop Feeling Sick After an Operation: A Comprehensive Guide

4 min read

Postoperative nausea and vomiting (PONV) affects up to 30% of patients following surgery under general anesthesia. If you're looking for solutions on how to stop feeling sick after an operation, a combination of dietary strategies, medication, and behavioral adjustments can make a significant difference in your comfort and recovery.

Quick Summary

Manage post-operative nausea by starting with clear liquids and bland foods, staying well-hydrated, and taking prescribed antiemetics. Avoid strong odors and ensure plenty of rest to facilitate a smoother recovery after surgery.

Key Points

  • Start Slow with Diet: After surgery, begin with clear liquids like water and broth, then gradually introduce bland foods such as crackers, rice, and applesauce.

  • Stay Hydrated: Prevent dehydration, a common cause of nausea, by sipping clear fluids throughout the day. Electrolyte beverages can also be helpful.

  • Take Medication as Directed: Use prescribed anti-nausea medications and take pain relievers with food if they cause stomach upset. Discuss your medication plan with your doctor.

  • Control Your Environment: Avoid strong odors from perfumes or food, and rest in a cool, well-ventilated area to minimize triggers.

  • Know When to Call Your Doctor: Seek immediate medical care if nausea worsens, you cannot keep liquids down, or you exhibit signs of dehydration or severe pain.

  • Consider Acupressure: Some studies suggest that applying pressure to the P6 point on the wrist can be an effective non-drug method to reduce nausea.

In This Article

Understanding Post-Operative Nausea and Vomiting (PONV)

Post-operative nausea and vomiting (PONV) is a common experience caused by a combination of factors related to the surgical process. General anesthesia is a primary culprit, as the agents used can stimulate the brain's 'vomiting center'. Other factors can significantly increase your risk, including the duration of the surgery and the specific type of procedure performed, such as abdominal or gynecological surgery.

Key Causes of Post-Operative Sickness

  • Anesthesia: Many anesthetic medications can irritate the stomach and trigger nausea as they wear off.
  • Pain Management: Narcotic pain relievers (opioids), which are often prescribed post-surgery, are a well-known cause of nausea.
  • Dehydration: Fluid restriction before surgery and fluid loss during the procedure can lead to dehydration, which can cause or worsen nausea.
  • Type of Surgery: Procedures involving the abdomen, inner ear, or those that are longer in duration carry a higher risk.
  • Patient Factors: A personal or family history of motion sickness, previous PONV, and being a non-smoker are all risk factors.

Dietary and Hydration Strategies to Ease Sickness

One of the most effective ways to combat sickness after an operation is to carefully manage your diet and hydration. The key is to start slow and listen to your body.

Step-by-Step Dietary Plan

  1. Start with clear liquids: Immediately after surgery, stick to clear fluids that are easy to digest. Sip slowly on water, apple juice, or clear broth. Ice chips or popsicles can also be soothing and hydrating.
  2. Progress to bland foods: Once clear liquids are tolerated, move to small, frequent portions of bland, low-fat foods. The BRAT diet (bananas, rice, applesauce, toast) is a good starting point. Other options include crackers, cooked cereal, or gelatin.
  3. Advance slowly: Gradually reintroduce solid foods, but avoid fatty, spicy, and greasy foods for the first few days. Large meals can overwhelm your digestive system, so stick to smaller, more frequent meals.

Hydration is Crucial

  • Sip, don't gulp: Take small sips of fluid throughout the day rather than drinking large amounts at once.
  • Include electrolytes: Electrolyte-containing beverages, like sports drinks, can help rehydrate your body more quickly.
  • Avoid certain drinks: Stay away from acidic juices, caffeinated beverages, and carbonated drinks, as these can irritate the stomach.

Medical Interventions for Persistent Nausea

If dietary adjustments are not enough, medical treatments are available. Your care team can implement strategies before and after your procedure to prevent or treat nausea.

Anti-Nausea Medication (Antiemetics)

  • Prophylactic Medication: If you have known risk factors for PONV, your anesthesiologist may administer anti-nausea medication before your surgery to prevent sickness.
  • Rescue Medication: For nausea that develops after surgery, your doctor can prescribe or administer antiemetics like ondansetron (Zofran) or metoclopramide (Reglan).

Managing Pain Medication

  • Take with food: If your pain medication is making you nauseous, taking it with a small amount of food can sometimes reduce this side effect.
  • Communicate with your doctor: If narcotics are causing significant nausea, your doctor may be able to adjust your dose or switch you to a different painkiller.

Lifestyle and Environmental Adjustments

Simple changes to your environment and routine can also help manage nausea.

  • Rest and relaxation: Allow your body to rest quietly. Lying on your side (if possible) for a while can help calm your stomach.
  • Avoid strong smells: Strong food odors, perfumes, or cleaning products can trigger nausea. Ask visitors to avoid wearing strong scents and ensure your room is well-ventilated.
  • Acupressure: Applying pressure to the P6 acupressure point on your wrist has been shown to reduce nausea. Specialized wristbands or manual pressure can be used.

Management Comparison: Home vs. Medical Techniques

Feature Dietary Adjustments & Hydration Prescribed Anti-Nausea Medications Acupressure Environmental Controls
Effectiveness Highly effective for mild to moderate nausea, and as a supportive measure. Very effective, especially for severe or high-risk cases. Moderately effective; can be a good adjunctive therapy. Useful for preventing triggers and managing symptoms.
Speed of Relief Gradual; relief improves as diet progresses. Fast-acting, especially with intravenous (IV) administration. Variable; some report immediate relief, while others find it helps over time. Immediate effect by removing trigger; overall effect is gradual.
Required Input Careful eating habits, consistent fluid intake. Must be prescribed by a doctor; adherence to dosage. Special wristband or knowing the correct pressure point. Requires attention to surroundings and communication with others.
Common Side Effects None, if managed correctly. Can cause constipation or digestive issues if not careful. Can include headaches, dizziness, or other drug-specific effects. None reported. None.

When to Contact Your Doctor

While post-op nausea is common, certain symptoms warrant immediate medical attention. Always follow your surgeon's specific instructions for when to call their office.

Call your doctor or seek immediate medical care if you experience any of the following:

  • Nausea or vomiting that gets worse or does not improve.
  • Inability to keep fluids down for more than 12-48 hours.
  • Signs of dehydration, such as dry mouth, dizziness, or infrequent urination.
  • Severe pain, especially if it’s worsening.
  • Fever of 101°F or higher.
  • A general feeling of being much worse than when you were discharged.

Conclusion

Feeling sick after an operation is an expected, but manageable, part of the recovery process. By following a staged approach to diet and hydration, utilizing prescribed medications, and making simple environmental adjustments, you can significantly reduce your discomfort. Proactive communication with your medical team—before and after surgery—can ensure you receive the most effective treatment plan, helping you navigate your recovery with greater ease. For more details on managing postoperative symptoms, you can refer to information from reputable health organizations like Verywell Health [https://www.verywellhealth.com/postoperative-nausea-tips-3156893].

Frequently Asked Questions

The primary cause of post-operative sickness is often the effect of general anesthesia on the brain's vomiting center, but it can be exacerbated by pain medications like narcotics, dehydration, and the specific type of surgery.

It is recommended to start with clear liquids and slowly progress to bland, easily digestible foods. You can gradually reintroduce solid food as your nausea subsides and your appetite returns, usually over the course of a few days.

Yes, bland, easy-to-digest foods like crackers, toast, rice, and applesauce are often recommended. Ginger ale or ginger tea can also help calm the stomach. Conversely, you should avoid fatty, spicy, and acidic foods.

You should contact your doctor if your nausea worsens, you cannot keep fluids down, you experience symptoms of dehydration (dizziness, dry mouth), or your pain is unmanaged.

If your pain medication is causing nausea, it is often better to take it with a small amount of food to help reduce the stomach-related side effects.

Non-medicinal methods include sipping cold, clear liquids, avoiding strong smells, resting in a quiet, cool room, and trying acupressure on the P6 point of the wrist.

Post-operative nausea can last for a few hours to a couple of days, depending on the individual, the type of surgery, and the anesthesia used. If it persists beyond 48 hours or worsens, it's best to consult your doctor.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.