Today we performed a neuter. Although we expect no complications from the surgery, we ask that you follow these instructions:
1. When you get home, please give your pet a tiny amount of food (just a taste) and a small amount of water (a couple of swallows). Then wait about one hour while observing you pet for nauseousness (upset stomach or vomiting). The majority of patients do not experience nausea after a neuter but some do, especially if they consume a large amount of food or water immediately afterward.
2. Then, after waiting about an hour, give the patient light (small) amounts of food during the remainder of the day along with water free choice. If the patient shows little or no interest in food today, this is usually no cause for concern.
3. Beginning tomorrow, go back to the pet's regular feeding schedule. If inappitence or nausea persist, please contact us at (480) 895-7633.
4. If any problems or questions should arise after hours, please call our emergency clinic, First Regional Animal Hospital, at (480) 732-0018.
5. Some patients, (I estimate about one or two out of every twenty) will experience some intermittent coughing after the surgery. This is due to minor irritation of the trachea from our endotracheal tube we used with our gas anesthesia and is usually no cause for alarm.
If coughing persits, please give 1/2 the recommended children's dose of Robitussin cough suppressant once during the evening, unless you have been instructed otherwise.
If coughing persists into the next day, please contact us at (480) 895-7633. If coughing becomes exaggerated or severe, please call our emergency clinic, First Regional Animal Hospital, at (480) 732-0018.
6. Please watch for any licking or chewing of the incision line. I estimate about 1 or 2 out of every 100 (about 1 to 2%) surgery patients will lick or chew their sutures so this is rare. However, on those rare occassions when the patient does lick or chew the incision, they can do a lot of damage to my surgery site in a very short period of time so if you see this please call us immediately.
7. Reduce activity for the next 7 days. Jumping, climbing, "rough-housing", extended walks and all other vigorous activity should be kept to a minimum.
8. Please visually check the incision line once daily for the next 7 days. Please do not touch or otherwise handle the incision. Again, problems with the incision are rare but if you see any problems or have any questions please call us.
9. Do not get the incision line wet for next 10 days. This includes bathing (no baths for the next 10 days). If you dog gets dirty you can perform a "sponge bath" but please avoid getting the incision line wet.
10. When you first get home, you may notice a small amount of "goopy" discharge from the eyes. This is from the bland ophthalmic ointment we use during anesthesia and is normal. You may use a clean cloth or paper towel to wipe away any excess ointment that may be on the face but please avoid wiping the eyes directly with the cloth.
About the incision...
- You will notice that the incision is made just in front of the scrotum. This is the normal location.
- Unless we specify otherwise, the incision was closed using absorbable sutures which will dissolve. Since these sutures are absorbable and are buried under the skin, we won't need to remove the sutures later. (NOTE: In those few instances when the dog does have skin sutures visible, we will need to remove them in 10 to 14 days).
- You may notice a small amount of dried blood near the incision line. This is normal and is nothing to worry about.
- You may notice a small amout of bruising near the incision line. This is due to the sutures under the skin and nothing to worry about. This bruising will disappear in a few days.
- If you notice redness with swelling, discharge, or splitting apart of the incision line, then this is abnormal and you should call us. This could mean we have chewing or licking (some patients can be very sneaky about this) or some other problem going on. Again, problems with the incision line are fairly rare, but if any question comes up, please don't hesitate to call us.
- If your dog and skin sutures (visible on the outside of the skin) then we need to remove them in 10 to 14 days.
- Again, if there are any questions please call us at (480) 895-7633.