

If you are planning for an upcoming scheduled surgery, you might not realize that there are things you can do in the days or weeks before to increase your chances of a successful outcome.
Don’t simply wait for the scheduled date. Take these actions to be as healthy and strong as you can be, says general surgeon Diya Alaedeen, MD. He offers these tips to help prepare.
Eat a cleaner diet
In the days before your surgery, eat foods that are rich in vitamins and minerals. “I use the term, ‘cleaner diet,’ focused heavily on fruits and vegetables,” Dr. Alaedeen says. “We know that overall inflammation goes down when you eat foods from these food groups.”
Also, avoid processed foods, red meat and other foods which are more difficult to break down. ”As your body prepares for a shock that’s coming up, avoiding those things will decrease inflammatory markers,” he says.
Exercise regularly
Among other benefits, getting more exercise in the weeks before a surgery will increase your chances of walking sooner after the surgery.
“Even if you’re not an athlete, patients can train their bodies during the weeks leading up to surgery,” says Dr. Alaedeen. Even something as simple as parking farther away from the door where you work or shop can help.
“Shoot for 5,000 to 10,000 steps a day to increase your stamina. The main thing is that, undoubtedly, one of the discharge criteria you’re going to have to meet before you go home is getting close to your preoperative level of activity,” he says.
Kick bad habits
Use the time before surgery to quit smoking, stop drinking or using “any mood-altering substances that can affect your sleep or anxiety levels leading up to surgery,” Dr. Alaedeen says.
“Certainly in the few days leading up to surgery, alcohol and smoking can really affect the anesthesia.”
On the positive side, patients absolutely should engage in “meditation, prayer and things that are important to help them through the trauma that they’re about to undergo,” Dr. Alaedeen says.
See your internist
If you have two weeks or more before surgery, it’s especially important to check in and let your doctor know what’s coming up.
“Your primary care physician might want to make changes in your medications to optimize surgery,” Dr. Alaedeen says. “Your blood pressure and blood sugar need to be well-controlled. From a wound-healing standpoint, the better the sugars are controlled, especially for diabetics, the better recovery you’re going to have.”
Find out about supplements, vitamins
Be sure to ask your doctor about vitamins and supplements, because some of them can interact with other medications, particularly anticoagulants.
Medications that impact bleeding, such as aspirin, anti-inflammatory drugs (like Advil®), Plavix® and Coumadin® probably should be stopped, Dr. Alaedeen says.
“But these questions are addressed in the pre-op medical clearance appointment,” he says. “It really is the provider’s role to counsel patients on medication/supplement usage as this varies from patient-to-patient.”
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