1.Pain.
If you feel that the surgical incision has pinprick-like pain and numbness, and the surgery cut the nerves of the chest wall, you have to be patient, several months later, this discomfort will slowly subside, if the incision pain is more serious affecting your rest, you can take some painkillers, such as Duling (with the suppository removed, moistened with a small amount of warm water, gently inserted into the anus 2cm, adults once half a tablet or a tablet) or Taylanin (take 1 tablet every 6 hours, the dose can be adjusted according to the degree of pain and the reaction after administration), it is best to be examined by a doctor before taking pain medication.
2. Chest tightness and shortness of breath after eating.
(1) Chest tightness, shortness of breath, dyspnea, panic, inability to lie down and other symptoms of chest compression after eating, without nausea, vomiting, pantothenia and other gastrointestinal symptoms, such as rest 1-2 hours if not treated patients, the symptoms can be relieved by themselves after gastric emptying. Treatment.
Eat small and frequent meals, avoid overeating, maintain a semi-recumbent or standing position after meals, and move appropriately to accelerate gastric emptying by gravity.
(2) If you still have symptoms, you can apply gastrointestinal motility drugs such as Gastrodin (one tablet three times a day) or morpholine (one tablet three times a day). If the symptoms are still not relieved, you can come to the hospital for further consultation and treatment.
3. Cough, coughing and phlegm.
If you have recently caught a cold, you can take some cold medicine, such as Jinye septic granules (one packet three times a day). If the phlegm is sticky, you can take some expectorant drugs such as Mucosolvan; if the cough is more serious and affects your rest, and there is no phlegm, you can take some cough suppressants such as compound licorice combination, federal cough syrup, etc. If it is accompanied by an increase in body temperature, go to the hospital to take a chest X-ray to check for pneumonia, etc.
4. Diarrhea.
We have observed from the clinic that postoperative diarrhea occurs more often, which seriously affects the mental status and nutritional recovery of postoperative patients and brings difficulties to the later treatment. Some internal conservative treatment methods are mainly adopted as follows.
(1) Adjust the diet structure: a reasonable postoperative diet should be low-fat, high-sugar and high-protein diet, with intravenous supplementation when necessary.
(2) Gastric enzyme combination, pancreatic enzyme combination and multi-enzyme preparations to help digestion of nutrients, such as Dexedrine (two tablets three times a day) or Daji capsules (one capsule three times a day).
(3) The use of antidiarrheal drugs: such as Simethicone (one bag three times a day), etc. After regular medical treatment, most patients’ symptoms improved.
5. Abdominal distension.
Some patients may feel bloated after surgery, at this time you can take some gastric power drugs and drugs to promote digestion. Gastric power drugs such as Gastrodin (one tablet three times a day) or morpholine (three times a day, one tablet); drugs to promote digestion such as Dextran (three times a day, one tablet) or Daji capsule (three times a day, one tablet); regulate the intestinal flora such as Pefikon (three times a day, one tablet).
6. Reflux.
This symptom is easy to occur, especially when the esophagogastric anastomosis is located high, because the cardia has been removed and lost the mechanism of anti-reflux. You can first adjust the diet, especially dinner, reduce the amount of liquid food and water, and appropriate slow walking activities before bedtime, and then take oral medications to increase mucosal protection, gastrodynamic drugs and drugs that inhibit gastric acid secretion, mucosal protection such as Daxi (one or two tablets three times a day) or bismuth potassium citrate (twice a day, two tablets once); gastrodynamic drugs such as Gastrodin (one tablet three times a day) or morpholine (three times a day, one tablet (one tablet three times a day); and drugs that inhibit the secretion of stomach acid, such as Oxycodone (one tablet once a day) or Nexium (one tablet once a day). The above drugs can be taken alone or in combination with multiple drugs, but only one type of drug can be used.
7.Black stool.
If your stool color changes from yellow to black and you have not eaten food containing animal blood recently, there is a high possibility of anastomotic bleeding or local recurrence of tumor, then you can go to the hospital for gastroscopy and the doctor will give you further treatment.
8. Poor swallowing when eating.
The common reason can be anastomotic stenosis or local recurrence of tumor, if it is the former, you can come to the hospital for expansion or stent placement to improve the symptoms; if it is the latter, you need radiotherapy or chemotherapy treatment. Gastroscopy can be done in the hospital to exclude tumor recurrence on the one hand and to estimate the dilatation treatment on the other hand. After each dilatation, you should insist on eating rice and steamed buns to keep the results of dilatation. Usually, the main attention should be paid to the adjustment of dietary habits.
(1) eating less and more meals every day.
(2) after meals, sleep can not lie flat, to take a semi-recumbent position.
(3) can not always eat liquid food, to return to normal universal food, to prevent anastomotic stenosis.
9.Neck lump.
If a lump is found in the neck, it is recommended to come to our hospital for detailed consultation and treatment at this time. The diagnosis can be clarified by puncture biopsy and whether there is metastasis.
10.Weight loss.
If there are symptoms of weight loss and wasting, it is recommended to go to the outpatient clinic to check whether there is post-operative recurrence or metastasis, and it is time to bring your discharge summary to our clinic.
11.Heartiness of voice.
If your voice is normal at the time of discharge and hoarseness appears after a period of time, it is suspected that there are metastases in the upper mediastinum and cervical lymph nodes compressing the laryngeal retrolateral nerve causing hoarseness. It is recommended to have an enhanced CT examination of the neck and chest immediately, and if there are metastases, we will select the most suitable treatment plan for you according to your condition.