Ask the Hippie: Surviving a Hysterectomy without Opioids

Q. A hysterectomy is major surgery. How did you get through yours without opioids, and what are the advantages and disadvantages?

A. Opioids are magnificent painkillers, but I can’t keep them down, and the last thing I wanted was to have my stomach acting up immediately after abdominal surgery, so my doctor prescribed 800 mg of ibuprofen every 8 hours instead.

The medicine worked pretty well when I remembered to take it. More helpful than the ibuprofen, I think, were two tips I picked up from HysterSisters, which is a pretty good resource.

Tip 1: Use an abdominal binder to support the incisions and keep your internal organs from squirming around too much. I didn’t have a binder, but the extra-wide Ace bandage I’d used to support a ribcage injury years ago made a serviceable substitute.

Tip 2: Get a couple of those flat ice packs that are designed to go in lunchboxes. Keep one in the freezer, tuck the other between the top and bottom layers of your bandage, and rotate them out as needed. Instant relief.

At its worst, my pain really wasn’t any worse than moderate cramps, and by skipping the opioids, I avoided the constipation and mental fog that come with prescription painkillers. The former does not play well with abdominal incisions, and the latter makes me nervous, so I was just as happy to dodge those bullets.

I was a little concerned about the risk of inflammation, so the week before my surgery, I made myself a big batch of those frozen fruit bars I use to cool down after a workout. To make them, you just puree frozen berries, which have anti-inflammatory properties, with enough cranberry juice to make a pourable liquid, pour it into molds, and freeze it. I figured the cranberry juice would also reduce my risk of catheter-induced bladder infections. Bonus: The frozen treats made a pleasant antidote to hot flashes.

Hope that’s useful to somebody.

Emily

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