Pre op cold meds recommendations?

Question

I have a hoarse voice and mild cough 9 days pre TT and lipo. No other cold symptoms. Can I take anything so I'm cleared by my surgery date? What's the likelihood that the anesthesiologist will cancel my surgery?

J. Timothy Katzen, MD, FACS · Answer

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

Scott C. Lindsay, DO · Answer

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!

Andrew Smith, MD, FACS · Answer

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.

Charles Chalekson, MD · Answer

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!!

Emmanuel De La Cruz, MD · Answer

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.

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