Pre op cold meds recommendations?

Thank you for your question regarding your upcoming tummy tuck and liposuction. It’s great that you’re being mindful of your health as your surgery date approaches. With a hoarse voice and mild cough, it’s important to take some precautions. Over-the-counter cold medications like acetaminophen (Tylenol) can be used for mild symptoms, and a saline nasal spray can help if you’re experiencing congestion. However, avoid medications containing NSAIDs, such as ibuprofen or aspirin, as they can increase your risk of bleeding. Stick to options that have been approved by your surgeon or primary care physician.

It’s also important to avoid herbal remedies like echinacea or high-dose vitamin E, as these can interfere with healing or increase bleeding risk. Focus on staying hydrated, drinking plenty of fluids, avoiding alcohol, and prioritizing rest to help your body recover from any lingering symptoms. As for the likelihood of your surgery being canceled, the anesthesiologist’s primary concern is your airway and ability to safely undergo surgery. A mild, non-productive cough with no other symptoms may not lead to cancellation, especially if your lungs are clear, and you’re free of fever or significant congestion. However, if your symptoms worsen, such as increased coughing, fever, or chest tightness, your surgery may be postponed for your safety.

Be sure to inform your surgeon’s office immediately about your symptoms so they can guide you on the next steps. They may recommend pre-operative clearance or evaluation by your primary care physician if necessary. In the meantime, rest as much as possible, avoid strenuous activities, and follow your surgeon’s instructions. If your symptoms improve over the next few days and you’re symptom-free by your surgery date, it’s likely you’ll be able to proceed as planned. Wishing you a smooth recovery and a successful surgery!

Sincerely,
J. Timothy Katzen, MD, FACS

Hello and thank you for your question.
Reach out to your surgeon for guidance on what medications are okay to take and if any other precautions need yo be taken. Best wishes!

An abdominoplasty is a major surgery that will involve correcting diastasis in your abdomen, the muscle separation many woman experience after pregnancy. You will find that coughing after surgery can be really uncomfortable and result in a pulling sensation in your abdomen. It would be prudent to speak with your surgeon and anesthesia team to discuss what medications you can take preop that will not cause blood thinning, and discuss an alternate plan if you are not feeling well. Anesthesia would consider rescheduling if you have an active cough or sound hoarse.

Hello prestigiousnikki!
Call your surgeon's office and inform them of your health status. You want their input on what you should and should not be taking immediately pre op. They don't want to cancel your surgery either, so they will help you and will be appreciative of knowing your concerns and being able to handle them personally. Good luck!!

Before undergoing any surgery, it's crucial to follow your surgeon's pre-operative instructions carefully. However, in general, there are some considerations for over-the-counter cold medications that you might find helpful:

Consult Your Surgeon:

Always consult your surgeon or medical professional before taking any medication, especially in the days leading up to surgery. They may have specific recommendations or restrictions based on your individual health and the planned procedure.
Avoid Blood Thinners:

Some cold medications, particularly those containing aspirin or NSAIDs (non-steroidal anti-inflammatory drugs), can thin the blood and increase the risk of bleeding during surgery. It's often recommended to avoid these medications in the days before surgery.
Choose Acetaminophen (Tylenol):

If you need pain relief or to reduce fever before surgery, acetaminophen (Tylenol) is often considered a safer option than NSAIDs. However, it's essential to use it as directed and not exceed the recommended dosage.
Stay Hydrated:

Staying hydrated is important for overall health, and it can also help alleviate some cold symptoms. Drink plenty of water unless otherwise advised by your surgeon.
Rest and Sleep:

Prioritize rest and sleep in the days leading up to surgery. Adequate rest can help your body recover and be better prepared for the upcoming procedure.
Inform Your Surgeon:

Be sure to inform your surgeon about any medications, including over-the-counter cold medications, that you plan to take before surgery. They can provide guidance based on your specific situation.
Remember that individual recommendations can vary, and your surgeon's instructions take precedence. Always communicate openly with your healthcare team, disclose all medications you are taking, and follow their advice to ensure a safe and successful surgical experience.

I would call your surgeon immediately and let them know. It sounds viral so over the counter cold remedies will help with the symptoms. They may prescribe a z pack as well. If you are sick, they will cancel the surgery.

Please ask your surgeon for their recommendations, as their opinion may differ from ours based on the specific information they already know about you.

I encourage you to contact your surgeon to discuss this situation. Your surgeon is the one to determine if it is safe for you to proceed with surgery as planned, as well as inform you of which medications are acceptable, as opinions may vary.

I suggest you contact your plastic surgeon to get the answers you are looking for and to let them know so they can assess before the day of surgery. It would be irresponsible to not let your surgeon know if your case needs to be rescheduled.
Each provider will have their own guidelines.
Best,
Mats Hagstrom, MD

Dear Ms. Prestigiousnikki,

Thank you for your question.

Cosmetic Plastic surgery is totally elective and should be done only when you are in optimal condition.

I would ask your plastic surgeon to put you in contact with the anesthesiologist who will be putting you asleep and get his/her opinion.

Alternatively make an appointment ASAP with your primary care provider who can perform a physical exam and order basic lab work.

Over the counter medications can help with symptoms but will not decrease time of recovery. Suggest drinking lots of fluids and getting plenty of rest.

I realize a significant amount of planning, taking time off to recuperate and desiring to have the procedure performed… however we all want a successful surgery and reduce the odds of complications…

I trust your chosen Plastic Surgeons is a experienced and Certified by the American Board of Plastic and ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).



My best wishes,

R. A. Hardesty, MD, FACS
Diplomate and Certified by the Am. Bd. of Plastic Surgery
wwwimagineplasticsurgery.com
Awardee: RealSelf Top 100
4646 Brockton Ave
Riverside, Ca 92506
(951) 686-7600