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Recovery

Discharge Instructions for Open Appendectomy (Appendix Removal)

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You have had an open appendectomy to remove your appendix. The appendix is a worm-shaped hollow pouch attached to the beginning of your large intestine. During an open appendectomy, a cut (an incision about  2 to  4 inches long) was made in your lower right side. A longer incision may have been used if the appendix burst. Here are guidelines to follow at home.


Incision care

Here are some tips for taking care of your incision:

  • Wear loose-fitting clothes. This will help you be more comfortable and cause less irritation around your incision.

  • Shower as instructed by your health care provider.

  • Gently wash around your incision with soap and water.

  • Don’t bathe or soak in a tub or swim in a pool until your incisions are well healed and your provider says it's OK.

  • If your incision was closed with small, white strips of tape, don't pull them. They will fall off on their own in about a week.


Diet 

Here are some tips for eating after your appendix was removed:

  • Drink 6 to 8 glasses of water a day, unless directed otherwise.

  • Take a fiber-based laxative if you are constipated. You may also use a stool softener to prevent constipation.

  • Eat a bland, low-fat diet at first. Slowly progress to a regular diet as instructed. Foods include:

    • Mashed potatoes.

    • Plain toast or bread, crackers.

    • Soup.

    • Plain spaghetti.

    • Rice.

    • Macaroni (plain or with cheese).

    • Cottage cheese.

    • Pudding.

    • Low-fat yogurt.

    • Low-fat milk.

    • Canned fruit (except pineapple).

    • Very ripe bananas.


Activity

Follow these tips for activities:

  • If you had general anesthesia, don’t operate machinery or power tools, drink alcohol, or make major decisions for at least the first 24 hours.

  • Slowly increase your activity level to help with your recovery. Start by doing light activities around your home once you feel able to do so.

  • Don’t drive until you are no longer taking prescription pain medicine and your health care provider says that it is okay.

  • Don’t lift anything heavier than  10 pounds until your provider says it’s OK.

  • Limit sports and strenuous activities for  1 or  2 weeks. or as directed by your provider.


When should you call your doctor

Contact your health care provider or get medical care right away if you have:

  • Swelling, oozing, more pain, or abnormal redness around the incision.

  • A fever of  100.4°F ( 38°C) or higher, or as advised by your provider.

  • Chills.

  • Increasing belly pain.

  • Severe diarrhea, bloating, or constipation.

  • An upset stomach (nausea) or vomiting.

  • Trouble breathing or shortness of breath.

  • Leg swelling.

Online Medical Reviewer: Jen Lehrer MD

Online Medical Reviewer: Melinda Murray Ratini DO

Online Medical Reviewer: Rita Sather RN

Date Last Reviewed: 02/01/2025

© 2000-2025 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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