Question:
How bad is the pain after open WLS?

I have a freind who had open surgery and says that when she woke up she was in so much pain that she couldn't move.She was kinda sreaming and stuff.I would love some other stories about post-op pain,I'm trying to prepare myself for this and it sounds awful when she talks to me about her experience!!!!!    — natalie J. (posted on September 27, 2003)


September 27, 2003
I had open RNY on 9-3-02/ -130 lbs / I remember having a pulling sensation were the staples were, but no great amount of pain. I was on morphine pump for first 48 hours, then dropped down to oxcotion oral and went home on that I took it about 3 days at home and discontinued all pain meds by 9-11-02. I was told by my dr and nurse staff that I was the poster child for OPEN RNY procedure (keep in mind I am a female in a VA hospital which populates 98% men) my point is men don't tolerate pain as well at least that's my opinion. So as far as your friend is concerned it's hard to say, each of us tolerate pain at different levels. I slept through most of my contractions when I was giving birth, the woke me up to tell me to push. Which totally annoyed my sister. So review your own past pain threshold and make your own determination. We all tolerate diffrently. Good Luck....
   — Jeana S.

September 27, 2003
check out my profile. good luck to you
   — franbvan

September 27, 2003
The pain was the biggest concern for me as well too when I was pre-op. Now that I am post op I can honestly say that it wasn't too bad considering what was done. It really felt like I had pulled all my stomach muscles from doing like 1,000 situps. Now writhing and screaming just general soreness. The pain meds are really adequate, and soon after you get home you wont even bother. Don't sweat it, just accept that there will be some pain, and it isn't THAT bad, and move on. It really isn't as big of a deal on the post op side as it is pre-op. Looking back, I don't know why I was worried. The doctors and nurses at the hospital will bend over backwards to get you comfortable. All you have to is say something and they will take care of it. Trust your surgeon, he doesn't want you to be in pain. You'll do fine!! Open RNY 11-11-02 Down 150lbs
   — dkinson

September 27, 2003
I'm almost 5 wks post-op & agree it depends on the person. The pain meds really worked & took nothing after 3 days. Just remember to "head off" the pain by using the meds. My pain evolved more into discomfort, which led to extreme frustration because I was constantly thirsty/dry mouth & weak. I was stuck in the hospital bed because in my room there was NO chair for me to simply sit in! So like I say I think the frustration through this process is worse than any of the pain!! But it does get better. Best of luck.......
   — Vicki V.

September 27, 2003
I am 14 months post op and I can remember some pain, but after the second day I stopped pain meds... I know when I woke up I was in a great amount of pain, but the nurses took care of that, I was a zombie and could move right, my mom had to fight to get nurses in there to help me get moved up right on the bed, but after that I think things were pretty well under control. I'd say as the other poster, that it's not too bad considering what they've done...
   — MF

September 27, 2003
When I woke in recovery it was bad but they started the pain meds right away. My surgeon requires we get up 2 hours after surgery. The pain of having to move was very bad. Getting out of bed in itself was bad, but I knew I needed to do it for my health and to avoid blood clots. That first time it probably took me close to 10 minutes to turn on my side and get out. <p>The bottom line is no matter how bad the pain is it is worth it to have an opportunity at this new healthy life. I'd do it over again in a heartbeat. Each day the pain improved and I actually used pretty minimal amounts as if I did it just knocked me out. I would press the button before getting out of bed, but that's about it. I had surgery on Monday morning and pushed my cart of stuff out of the hospital on Thursday morning. So obviously it improved quickly. I had some soreness for like 2 weeks but literally it just kept improving. I only took extra strength tylenol from 5 days PO. I hardly used any of the liquid percoset I was given. Trust me you will survive and the pain will be manageable. If you are in severe pain and not getting any relief tell the nurses so they can do something about it. Some people have very little pain, so it does vary. Don't focus on the pain. Focus on your new life! Good Luck!
   — zoedogcbr

September 27, 2003
I thought it was a cake walk. Pain was fine and my doc doesn't use Morphine. The key is speak up and to make sure you're getting pain medication on time and before the pain gets out of hand. Everyone is different so don't be scared by her experience.
   — ZZ S.

September 27, 2003
I think your friend may have had one of those uncommon experiences - like maybe her anesthesia wasn't right or something, because my friend had his done open and had much less pain than mine which was done lap. With an open you can have an epidrual for a few days which means no pain through the worst part of it. I would disregard her experience as a fluke - anytime you wake up from surgery you need lots of pain control, maybe she didn't get hers?
   — bethybb

September 27, 2003
NOT a cake walk by ANY stretch of the imagination. Waking up screaming in pain not it either. However, I must echo the other posters here. Everyone has a different tolerance for pain. Also, a lap procedure is a bit 'easier' to recoup from than the open.
   — Ginger M.

September 27, 2003
I have had several surgerys, and the open RNY was honestly the easiest. I would say my hysterectomy with rectal and bladder repair was the worst, them TT 15 years ago, then gall bladder, then open RNY in that order. On a scale of 1 to 10 it was about a 3 as far as pain and recovery.
   — Tawnda C.

September 27, 2003
Oh yeah...they kept asking me to rate my pain the first few days of my 5 day stay in the hospital. At first, I told them on a 1-10 scale (1 being hardly any pain and 10 being truly severe)that I was a 6 or 7. It went steadily down with each day. By the time I left the hospital, I was a 4-5. By 3-4 days at home, I was 2. Rate a Pain...I love it!
   — Ginger M.

September 27, 2003
I had the Open RNY on 5-8-01. I swear the first thought I had when I opened my eyes was "My God what have I done!" Yes, it was bad. True everyone has a different pain tollerance. Bur I've had 14 surgeries (so far) and this was the third most painful. No picnic. These people who say they'd do the RNY all over again in a moment (if they had to) must have short memories. lol No, I certainly did not wake up screaming. My pain was not a screaming pain, but it was a pretty damn good strong pain nevertheless! I did'nt have morphine or any of that stuff. Actually I don't know what they gave me. I just know there was (and probally still is) a shortage of nurses and you needed to call 90 minutes in advance of needing pain meds. So order them BEFORE you are in much pain. I do think it would have been alot less painful had I thought about getting an abdomial binder to take with me to the hospital. (Of course have a nurse put it on). I would have gotten up to walk much sooner and walked more, had I been able to get up without my guts feelikng like they would come pouring out. Yes, I know everyone has a difference pain tollerance. But I'm certainly no sissy when it comes to pain with 14 surgeries and more to come! So I have many surgeries to compair pain with. Again, this one is about the third worse... 4th worse at the very best. But do be aware that no two surgeries are exactly alike, even the RNY. What hurts one person very badly, may not another. So you may waltz right through it without much discomfort. ;)
   — Danmark

September 27, 2003
I had no pain, just discomfort. I hardly used the pain meds at all. Now, my abdominoplasty, that was another story, but percoset came to the rescue.
   — Leslie F.

September 27, 2003
Natalie....I remember waking up from surgery and being really hot and uncomfortable. I was put on a morphine drip, so that took much of my pain away. You will be very sleepy and will sleep much of the first two days after surgery. I've had three abdominal surgeries and each one was pretty much the same. Good luck to you!!
   — Terri G.

September 27, 2003
In regards to pain after surgery. I was on a morphine button after surgery and didn't really experience too much discomfort or pain. I actually moved around in bed after surgery the first day. The second day after surgery I got out of bed and sat in a chair for a couple of hours upright. Third day after surgery I actually got up and walked around in the hospital hallways. So, I believe the pain depends on each individual person. I heard some struggled with it and others like myself were fine with the pain and didn't struggle to badly. Hopefully this answers your question about pain. Good luck with your weight loss journey and remember to stay motivated, listen to the surgeon's orders, and sincerely lose your weight.
   — Brian G. H.

September 27, 2003
Natalie, Don't spend your time worrying about those first few minutes waking from surgery. A LAP would be less severe than an OPEN but you will have people there to get it under control in a hurry and you're back out. Each time you wake the pain has lessened. If you've ever experienced any pain in your life, and what woman hasn't with her periods, child birth etc. you know we all handle it different. I've just had my surgery Monday, 5 days ago. It was LAP and I can tell you they were constantly asking if I needed something for pain the moment I opened my eyes. After the first dose of Demoral I walked the ICU with 2 nurses help. After the 2nd dose I slept through the night in ICU in chair. They then put me on Morphine and then Loratab Liquid as the pain continued to decrease. By the way, when I had a hysterectomy and years later Exploratory surgery for Appendicitis I woke up both times screaming when took to my room and in pain. I was immediately got med and in minutes was asleep again. I was prepared if I awoke from this the same way. Thankfully I didn't. Don't waste time worrying about it. Talk to your Dr. if you are still concerned. Margaret
   — Margaret T.

September 27, 2003
Natalie, When I started to come to in the recovery room, I was in horrible pain, but the nurses were right on top of it and kept increasing my meds until I was comfortable. Once the initial pain was under control, I felt really good for the rest of my hospital stay. Once I got to my room, there was never a point where I can say I was in pain. By the time I got home I was completely off pain meds. I had two previous C-sections plus a hysterectomy and WLS was much easier than ANY of them.
   — Barbara C.

September 27, 2003
I just had an Open RNY almost 3 weeks ago. The only excruciating thing i remember was when they moved me from the surgery table to my bed. Other than that... it was fine. i had moments when i had instant cramps that lasted for a minute but seemed like forever. i was on a morphine drip and the nurses and doctors kept telling me to press the button for the pain but i kept telling them i only pressed it when i needed it. after a day and a half, they took it away b/c they said i didn't use it nearly enough. I guess i dealt with it well. I was in the hospital for 5 days. After i got home was when the pain started for me. My bypassed stomach was full of gas which caused PAIN and later nausea and severe vomiting. I just got over all of that. That experience put me in tears for days. Good luck.
   — mrsirizarry

September 27, 2003
I had open and i did not have pain was just a lil sore. When i went home Dr gave me a prescription for liquid lortab 7.5 i never even got it filled . Alot of it just depends on the person and how they can deal with pain . I have a high tolarence to it. Good luck
   — wildbrat

September 28, 2003
Natalie, I agree with the rest of them. Talk with your dr. I'm sure, like mine, he will make sure you are kept comfortable. I had a binder on when I woke from recovery. It was a little rough getting up and down, put pain pump took care of that. Only used it a few times. They took it off after 2 days as I wasn't using it. Took Lortab a couple of times. Like you, I had a friend who said it was the worst pain she ever had, but she admitted she was a wuss. So don't let those scary tales deter you from your journey. The other side is wonderful.
   — lharbison

September 28, 2003
I am 12 days post op from open DS. I have to say that after my year of research it did honestly hurt worse than I thought it would. Yes I did have drugs, and I do usually have a high tolorance for pain, but even after leaving the hospital there has been some pain involved. It is getting better. I think the gas pain was pretty hard to deal with, and there is nothing that the pain pill or meds can do about it. Now I DO NOT REGRET this, but it wasnt easy as pie. It is natural to be afraid but know that all of the people here are here to support one another. If you need to talk about it at all email me! best of luck!
   — Kim M.

September 28, 2003
Unlike a previous poster, on the 3rd day, I actually went home! I was up, walking, within 2 hours of waking up from anesthesia, and did 6 walks the next day. Third day, I walked about 8 times, tried out stairs, checked out and stopped at my SIL's house, then went home to climb stairs into my house. I believe it's vital to move as much as you can, as soon as you can, to prevent clotting, keep the lungs clear, help heal. And I also believe in pain meds! :o)
   — RWH G.

September 28, 2003
Hi Natalie- I am still pre-op for WLS but have had 2 major surgeries at 2 different hospitals in my lifetime. The first surgery, the nurses seemed uncaring and downright mean (oh don't get me started...) and my pain level was of no importance to them. The pain was excrutiating. The second surgery, the demerol (?) IV button thing was started immediately and the nurses were caring and constantly asking me how my pain level was. While the pain was bad right after surgery, it didn't last too long. I believe the care and attention I received made a big difference. If you have any choice in the matter, try and make sure your hospital (and surgeon) are BIG on pain management! Good Luck :o) Mea
   — Mea A.

September 29, 2003
Hi there. For me, the post-op pain of Open RNY was honestly not that bad. I was expecting much worse. First, my surgeon injected my incision with anesthesia before he closed me. In fact, when I woke up in recovery and the nurse said "on a scale of 1-10..." and I remember telling her my pain was a 4. I don't remember having pain while I was laying there other than mild discomfort, like I had done alot of situps. I was off the morphine in 2 days, took liquid Lortab for 2 more days, and then by day 5 was taking no pain meds at all. Yes, it hurts to get up and down the first few days and I needed help getting out of bed, but that subsided after about a week.
   — beeda




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