Wound Check After Surgery: Bleeding

Home care

Different types of surgery need different types of care and dressing changes. It's important to follow all instructions and advice from your surgeon, as well as other members of your care team.

Wound care

• If you smoke, get help to quit. Smoking interferes with wound healing. Ask your doctor about ways to quit.

• Keep the wound clean. Follow directions from your doctor.

• Change the dressing as directed. Change the dressing sooner if it becomes wet or stained with blood or fluid from the wound.

• Be careful when bathing. Clean yourself with a sponge (no shower or tub baths) for the first few days after surgery. Or until there is no more drainage from the wound. Unless you received different instructions from your surgeon, you can then shower. Don't soak the area in water (no baths or swimming) until the tape, sutures, or staples are removed and any wound opening has dried out and healed.

Changing the dressing

• Scrub your hands with soap and clean, running water for at least 20 seconds before and after changing the dressings. Clean the backs of your hands, under your nails, and between your fingers.

• Carefully remove the dressing and tape; don’t just yank it off. If it sticks to the wound, you may need to wet it a little to remove it, unless your doctor told you not to wet it.

• Wash your hands again before putting on a new, clean dressing.

• Gently clean the wound with clean water (or saline) using gauze or a clean washcloth. Don't rub it or pick at it.

• Don't use soap, alcohol, hydrogen peroxide, or any other cleanser on the wound.

• If you were told to dry the wound before putting on a new dressing, gently pat it dry. Don't rub.

• Put the old dressing in a sealed plastic bag and throw it in the trash. Don't reuse it!

• Scrub your hands with soap and water again for at least 20 seconds when you are done.

Types of dressings

Your care team will tell you what type of dressing to put on your wound. Follow your care team’s instructions carefully, and contact them if you have any questions. Two common types of dressings are described below. You may have one of these or another type.

• Dry dressing. Use dry gauze or a pad.

• Wet-to-dry dressing. Wet the gauze, and squeeze out the excess water (or saline), before putting it on. Then, cover this with a dry pad.

Medicines

• If you were given antibiotics, take them until they are used up or your doctor tells you to stop. It's important to finish the antibiotics even though you may feel better.

• You can take acetaminophen or ibuprofen for pain, unless you were given a different pain medicine to use. If you have chronic liver or kidney disease, or have ever had a stomach ulcer or gastrointestinal bleeding, or are taking blood thinner medicines, talk with your doctor before using these medicines.

Follow-up care

Follow up with your doctor, or as advised, for your next wound check or removal of stitches, staples, or tape.

• If a wound culture was done, you will be told if the results will affect your treatment. You can call as directed for the results.

• If imaging tests, such as X-rays, an ultrasound, or CT scan were done, they will be reviewed by a specialist. You will be told of the results, especially if they affect treatment.

Call 911

Call 911 if you:

• Have trouble breathing or swallowing.

• Are wheezing.

• Have a hoarse voice or trouble speaking.

• Have extreme confusion.

• Have extreme drowsiness or trouble waking up.

• Faint or lose of consciousness.

• Have a rapid heart rate or very slow heart rate.

• Are vomiting blood, or have large amounts of blood in stool.

• Have discomfort in the center of the chest that feels like pressure, squeezing, a sense of fullness, or pain.

• Have discomfort or pain in other upper body areas, such as the back, one or both arms, neck, jaw, or stomach.

• Have stroke symptoms. B.E. F.A.S.T. is an easy way to remember the signs of a stroke. When you see the signs, you will know what you need to call 911 fast.

  • B is for balance. Sudden loss of balance or coordination.

  • E is for eyes.Vision changes in one or both eyes.

  • F is for face drooping. One side of the face is drooping or numb. When the person smiles, the smile is uneven.

  • A is for arm weakness. One arm is weak or numb. When the person lifts both arms and the same time, one arm may drift downward.

  • S is for speech difficulty. You may notice slurred speech or trouble speaking. The person can't repeat a simple sentence correctly when asked.

  • T is for time to call 911 . If someone shows any of these symptoms, even if they go away, call 911 right away. Make note of the time the symptoms first appeared.

When to get medical advice

Contact your doctor right away if you have:

• Fluid or blood that soaks 5 or more bandages a day during the first 3 days after surgery.

• Fluid or blood that is still draining from the wound more than 3 days after surgery.

• Increasing pain at the site of surgery.

• A fever of 100.4º F (38º C) or higher, or as directed by your doctor.

• Redness around the wound.

• Pus coming from the wound.

• Vomiting, constipation, or diarrhea.

• New symptoms or symptoms that get worse.