Will Severe Vomiting 2 Weeks Post-Op Damage Results?

Question

It's 12 Days After my Rhinoplasty and Two Days Ago I Developed Severe Nausea Which has caused severe vomiting in the last 2 days. I can feel the blood rushing and pressure build up in my nose as soon as I 'have to go'. I'm scared yhis may distort the final outcome of the rhinoplasty. Is this possible?

Jeffrey J. Roth, MD, FACS · Answer

Plastic Surgeons have worked hard with Anesthesiologists to try and decrease the incidence of post operative nausea and vomiting. Most people would rather be in pain than be nauseous. The nausea probably did not hurt your nose. The vomiting, with increased blood flow and pressure, might. Best to call you doctor, right away, so that together you can figure out what might be causing the nausea and then treat it. Also, important to make sure you stay hydrated and your electrolytes are in balance. He may also want to see you to make sure noting bad had happened to your nose.

Michelle Spring, MD, FACS · Answer

Any severe vomiting should be evaluated by your physician - you also may need to consider dehydration, depending on how much you are vomiting and able to keep down. Pain medications can cause nasea on an empty stomach, but this sounds like something you need to call your surgeon about right away.

Remus Repta, MD · Answer

Hello,

	Thank you for the question.  Vomiting increases the blood pressure in the nose so the concern is that fluid buildup would occur.  This is fairly hard thing to do at 2 weeks and should be noticeable to you.  The best thing to do is to have your plastic surgeon evaluate you and make sure, but if you do not see any change in the appearance or function of your nose then it is likely fine.

	All the best,

	Dr. Remus Repta

Steven Wallach, MD · Answer

Severe nausea in and of itself probably would not do specific harm to the rhinoplasty . It could cause bleeding. I would call your doctor immediately and see him for the nausea to figure out the etiology and to make sure that your symptoms improve.

Michael Elam, MD (retired) · Answer

First of all you need to go in and see your surgeon immediately and probably have an intravenous dose of zofran and some zofran tablets. If you are taking pain medications or any other medications that may be causing the nausea these need to be stopped. The vomiting itself will not hurt your result in the end however it may cause increased swelling and cause your recovery to be prolonged. Best to treat the nausea immediately. Best regards!

Will Severe Vomiting 2 Weeks Post-Op Damage Results?

Answers (5)