After Surgery

Please read the instructions outlined below and refer to them for the next few weeks. These discharge instructions provide you with general information on caring for yourself after surgery. While your treatment has been planned according to the most current medical practices available, unavoidable complications occasionally occur. If you have any problems or questions after discharge, please call your surgeon.

DIET: Soft foods. No salads or raw/steamed fruit/vegetables for the first two weeks.  Eat six smaller  meals, rather than three main meals for the first week or two. It commonly takes 2-3 weeks for  the bowel pattern to normalize. During that time, take nothing stronger than prune juice (4-6 oz.  warmed) to encourage a bowel movement.

ACTIVITY: It is also normal to feel tired and take naps in the afternoon. Avoid lifting over 10 pounds. You may shower, but no tub bathing. Stairs are okay. No driving for 2 weeks. You may ride in a car. Walking is encouraged.

MEDICATIONS: (Please refer to the hospital discharge medication form)

  • Resume all your usual pre-surgery medicines.
  • It is normal to be sore for 2-4 weeks following surgery. Call your surgeon if this seems to be getting worse rather than better. Only take over-the-counter or prescription medicines for pain, discomfort, or fever as directed by your surgeon.
  • No Aspirin for one week. If you take blood thinners such as Plavix, Coumadin, Warfarin, or Pradaxa, check with your surgeon when to begin them.
  • Tylenol, Ibuprofen (Advil, Motrin OTC), or Tramadol 1 or 2 tablets of either every 4 hours if pain is not too severe.
  • Dilaudid (2 mg)  1/2 to 1 tablet every four hours as needed for severe pain. Dilaudid  will be   constipating. You may stagger the dosing of Tylenol, Advil/Motrin, Tramadol or Dilaudid for  more effective pain relief.
  • Probiotic supplement (Activia, Align, Florastor, Culturelle) as directed by your surgeon
  • Multivitamin (Centrum Silver) one daily.


  • An wound which becomes red, swollen, increasingly painful or begins to bleed/drain.
  • An unexplained temperature over 101° F (38.3° C).
  • Experience worsening abdominal pain, nausea, or vomiting.
  • Bleeding with bowel movements

Notes the date for your after surgery appointment. Your postoperative course and pathology report will be reviewed. All questions will be answered, and continued care instructions given.  Any outstanding balances will be collected at that time.


CRSA is one of the largest specialized groups of its kind in the state of Maryland. We’re committed to delivering superior, compassionate care to patients in the Baltimore area, including Howard County and Anne Arundel County. Dr. James Zalucki, Dr. Vincent Cifello, and our staff use the best and most up-to-date techniques available in our field; we place particular focus on educating our patients and on communicating effectively with healthcare providers, in order to facilitate the best outcomes.


4801 Dorsey Hall Drive
Suite 216
Ellicott City, MD 21042
Phone: 410-730-1712
Fax: 410-730-1713

1404 S. Crain Highway
Suite 111
Glen Burnie, MD 21061
Phone: 410-760-9996
Fax: 410-582-9314