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Having Surgery?


Having Surgery?

Dr. Anil K. Gupta Surgery Department
PH: 248.549.0133
FX: 248.549.5373

Surgery Department: (located in Royal Oak)
Monday: 9:00am – 4:00pm
Wednesdays: 9:00am – 4:00pm
Thursdays: 9:00am – 12:00 noon

Feel free to leave a voice mail message and we will respond within 48 hours.

Things You Need to Know Before Your Surgery.

Dr. Gupta performs surgery at Great Lakes Surgery CenterWilliam Beaumont Hospital.

Required Surgery Insurance Documentation

Assignment of Insurance Benefits | Identification of Primary and Secondary InsurancePatient Financial Surgery Obligations

Pre Operative Surgery Instructions

Beaumont Hospital Instructions

Pre-Op Guidelines | Food Guidelines for Pre-Op Procedures | Center for Children's Surgery Goes Wild for Surgical Safari

Great Lakes Surgical Center Instructions

Surgery Guidelines | Billing Guidelines

Post Operative Issues

Ear Tubes

  1. Ear drainage and blood are not unusual in the first few days after the tubes are placed.
  2. You may be prescribed ear drops after the surgery. Gently clean any drainage you can see prior to administering the drops.
  3. If your child has significant pain after the drops are administered, then stop the drops and call the office.
  4. If there is thick drainage coming from the ears and you were not prescribed drops, please call the office.
  5. If your child is fussy or complaining of pain after the surgery, Tylenol or Motrin can be used as needed.
  6. Your child does not need earplugs for bathing or splashing around in the pool; however if your child is going to be swimming underwater, a well-fitting pair of earplugs should then be used
  7. Dr. Gupta’s office sells Doc’s Proplugs ear plugs that can be fitted for your ear in our office. We carry sizes from x-small to adult large and colors pink or blue!! Each pair is $8.00. Just ask our staff and we’d be happy to assist you.

The first post operative appointment is very important. Dr. Gupta needs to check the status of the ears and tubes.

Dr. Gupta would like to obtain a post-op hearing test on all patients. When you call to make your first post-op appointment, you can schedule a hearing test at the same time. We will check the hearing during the same visit, as long as the ears are not infected.

The patients usually are back to normal activities in 1-2 days. There are no restrictions on activity or diet. The patients usually feel as if they have a cold. There may be a mild sore throat and low grade fever for a few days. Nasal drainage and congestion are common for the first few days also. Light blood can be visible for the first 24 hours. Bad breath is not uncommon, beginning around day three after the operation and lasting one week. Complications after adenoidectomy are exceedingly rare. Reasons to go to the emergency room are very high persistent fever, severe pain, or significant bleeding.

At least one week of missing school, work, and activities is not unusual after the procedure. An ice pack around the neck may help the sore throat, as well as taking the medication as directed. Ear pain and bad breath are common beginning around day 3 after the procedure and lasting 5-7 days. Voice change is common for the first few weeks. If you look into the throat in the first one week, you may see grayish areas as well as swelling of the uvula. These are part of the normal recovery. Bleeding from the throat can occur in the first week after the operation. If it is minor try gargling with a cup of ice water, with a teaspoon of salt. If the bleeding is heavy or persistent go to the nearest emergency room. Signs of dehydration are extreme lethargy and decreased urination. If these occur, go to the emergency room for IV fluids or call the doctor.

There will be a light rubber packing placed in the nose after the procedure. This most commonly is removed by the patient after 24 hours, and comes out in a few seconds without pain. Nasal saline spray and Neosporin ointment should be used regularly multiple times per day after packing removal. We ask that patients refrain from any exertional activity or nose blowing for the first 10 days after the procedure. The nose will take about one month to heal on the inside. Go to the emergency room or call the doctor for any excessive, persistent bleeding.