Pull your toes toward the head of your bed, then relax.While lying on your back in bed, push your toes toward the end of the bed, as if you're pressing a gas pedal.Hold a pillow against your abdomen for support. Cough from your abdomen, not your throat.Inhale as deeply as you can, letting your belly – not just your chest – expand.Deep breathing also increases circulation and helps your body eliminate the anesthetics that were used for surgery. Coughing and deep breathing loosen secretions that may accumulate in your throat or lungs and can help prevent pneumonia.
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Your nurse will teach you how to cough and breathe deeply, and you'll be shown how to use an incentive spirometer to help expand your lungs.You may not feel well enough to go for a walk, but try to do as much as possible. After that, walk at least three times per day and perform leg and breathing exercises hourly. The day after surgery, you'll be asked to get out of bed and walk.Your strength will return and your pain will lessen every day. This may hurt but will become easier each time. Beginning the first night after surgery, sit up and dangle your feet, then stand at your bedside with the help of your nurse or physical therapist.It's also a good idea to practice these movements before surgery to promote lung function and agility. Perform the following exercises at least once every hour after surgery. Good blood flow enhances healing and discourages the formation of blood clots. Simply walking short distances and even changing positions in bed promotes circulation. The single most effective way to shorten recovery time is to get active right away. In cases where oral opioids are prescribed, it will be only for the first few days after surgery. To reduce the need for opioids, the pain management plan involves multiple treatment modes. Don't wait for your pain to become intolerable before asking for another dose maintaining a steady level of the medication in the bloodstream keeps pain manageable. Pain is addressed with oral medications, which work best when used regularly. Notify your care team if your pain prevents you from moving. Some patients also experience neck and shoulder pain, which occurs when the body reabsorbs the gas used during surgery. You may feel pain at the incision site or as a result of how your body was positioned during surgery. Patients experience these to varying degrees, so discuss any particular concerns you have with your bariatric surgery team. In the early days and weeks after surgery, it's normal to experience fatigue, nausea and vomiting, difficulty sleeping, postsurgical pain, weakness, light-headedness, loss of appetite, flatulence and gas pain, loose stools, and emotional ups and downs. Patients generally spend one to two days in the hospital following minimally invasive bariatric surgery.