Post-Surgical Instructions for Biopsy Procedures

Medications

Take your medications as instructed.  Make sure you do not take these on an empty stomach as this will likely cause nausea, possibly vomiting.

Bleeding

A certain amount of bleeding is to be expected following the surgical procedure.  Blood-tinged saliva may occur for approximately 36 hours.  The initial bleeding is controlled by changing moist gauze packs every 30 minutes until bleeding dissipates.  Press the gauze onto the extraction site with constant biting pressure.  If bleeding continues, hold a dampened tea bag over the site with a constant pressure for 30 minutes.  Change the gauze two or three times, and if bleeding persists, phone our office immediately.

Limit Your Activity

Stimulation of blood circulation can cause prolonged bleeding, therefore:

**A SEMI-RECLINING POSITION AND REST FOR THE FIRST FEW DAYS IS RECOMMENDED**

During the first 48 hours after surgery DO NOT

  • SMOKE
  • USE A STRAW
  • DRINK CARBONATED OR HIGHLY ACIDIC BEVERAGES
  • FORCEABLY SPIT ANYTHING FROM THE MOUTH
  • ENGAGE IN EXCESSIVE PHYSICAL ACTIVITY SUCH AS BENDING, LIFTING HEAVY OBJECTS, CLIMBING STAIRS, ETC.

Do Not Disturb the Surgical Area

The greyish or yellowish appearance of the surgical site, or a slight odor, does not necessarily indicate the presence of infection.  Keep your tongue, fingers, toothpicks or any other matter away from the surgical site.

Rinsing

After the first 24 hours it is important to keep the surgical area free from food debris.  It is very important to use a warm salt water rinse, using ½ teaspoon of salt to an 8 ounce glass of warm water.  Start rinses 24 hours after surgery.  Continue these rinses 4 to 6 times per day, especially after meals and before bedtime.  DO NOT use any commercial mouthwashes.  It is advisable to resume daily oral hygiene by brushing your teeth gently.  It is important to continue the salt water rinses until your suture removal or check-up appointment which is usually scheduled approximately two weeks after surgery.  THIS IS THE MOST IMPORTANT REGIMEN OF YOUR POST-OPERATIVE CARE.

Diet

It is important to maintain a good diet post-operatively.  FIRST DAY:  Avoid use of straws, carbonated beverages, spicy foods, and acidic liquid or food.  You may have cold liquid to soft foods such as ice cream, jello, yogurt, puddings, or cottage cheese.  SECOND DAY:  Warm soft foods such as pastas, soups, scrambled eggs, mashed potatoes, or oatmeal.  THIRD DAY:  You may resume your normal diet, as tolerated, avoiding such foods as potato chips, pretzels, popcorn, peanuts or any other sharp-edged, crunchy foods that may cause injury to the surgical site.

Pain and Swelling

If pain or swelling occurs after the surgical site has apparently healed, please call the office.

Post-Operative Treatments

Please return to the office as instructed for your post-operative evaluation and to receive your pathology results. While our office most often uses dissolvable sutures any non-dissolvable sutures will be removed at this time.

Do not hesitate to contact our office if there are any questions as to your progress and/or recovery.
South County Office St. Louis Office Phone Number (314) 842-4699
Festus Office Festus Office Phone Number (636) 931-4699
**After Hours Medical Exchange 314-388-5260**

For emergency care after office hours, call the Medical Exchange and the doctor will promptly get back in touch with you.

Because of new Federal DEA regulations, some medications which were previously refillable now require a new handwritten controlled prescription.  These can only be obtained in person during regular office hours.  If you require changes or refills to these medications, they must be handled in person during regular office hours.