Post – Operative Care After Kidney Transplant

By Dr. Sagar Gupta in Nephrology & Renal Transplant Kidney Transplant

Jul 4, 2022

Congratulations on receiving a kidney transplant! This life-changing gift not only frees you from dialysis but also comes with new responsibilities. Following the guidance of your healthcare team is essential to ensure the long-term success of your transplant. Here’s how you can help maintain the health of your new kidney:

Key Responsibilities for Kidney Health

• Adhere to Medication Schedule: Take all prescribed medications, particularly immunosuppressants, exactly as directed.
• Regular Testing: Schedule and complete all recommended blood and urine tests.
• Keep Appointments: Attend all follow-up visits with your transplant nephrologist at Metro Hospital Faridabad, as they are crucial for monitoring your health.
• Manage Blood Pressure and Blood Sugar: Keep these levels under control to support kidney function.
• Follow a Healthy Diet: Opt for a well-balanced diet to nourish your body.
• Exercise Regularly: Engage in physical activity to promote overall well-being.
• Maintain a Healthy Weight: Avoid significant weight gain.
• Avoid Smoking: This will help protect your kidney and overall health.

General Post-Operative Care

Activity Level

• Daily Walking: Incorporate walking into your routine, gradually increasing distance as you feel comfortable.
• Limit Lifting: Avoid lifting over 5 kg (about 10 lbs) for the first six weeks to prevent wound complications.
• Driving: You may resume driving approximately two months post-surgery, provided you are no longer taking pain medications.

Returning to Work or School

• Most patients can expect to return to work or school around two months after the transplant, depending on recovery progress and the nature of their job.

Infection Risk Management

Immunosuppressant medications increase your risk of infections, especially in the early months following your transplant. It’s crucial to monitor for any signs of infection and report them immediately:

• Fever: Notify your doctor if your temperature exceeds 100°F (37.8°C) for over 24 hours or if it suddenly rises above 101°F (38.5°C).
• Urinary Symptoms: Report burning sensations when urinating, decreased urine output, or any changes in urine color.
• Gastrointestinal Symptoms: Notify your healthcare provider if you experience nausea or vomiting that prevents you from taking medications or fluids.
• Mouth Sores: Look out for white patches.
• Bowel Changes: Watch for unusual stool color, diarrhea, or blood in the stool.
• Surgical Site Concerns: Report extreme pain or discharge from the incision area.
• Respiratory Symptoms: If you develop cold-like symptoms or severe headaches.
• Exposure to Contagious Illnesses: Inform your doctor if you come into contact with anyone with chickenpox, shingles, strep throat, or other contagious diseases.

Infection Prevention Tips

• Personal Hygiene: Regularly wash your hands.
• Limit Close Contact: Avoid people who are sick.
• Use Masks: Wear a mask in crowded places.

Nutrition Guidelines

Post-transplant, many dietary restrictions from dialysis may be lifted. Follow these general nutrition guidelines to maintain kidney health:

• Balanced Diet: Enjoy a nutritious, well-rounded diet; the expert team at Metro Hospital Faridabad can provide tailored dietary recommendations.
• Food Safety:
  • Follow safety instructions on food packaging.
  • Avoid raw or undercooked meats, seafood, or eggs.
  • Ensure food is cooked thoroughly and served hot.
  • Check food labels for freshness.
  • Only consume pasteurized milk, cheese, and juices.
  • Wash hands before and after preparing food.
  • Rinse all raw fruits and vegetables before consumption.

Hydration

Stay well-hydrated, aiming for over 3-3.5 liters of fluid intake daily initially.

• Water Quality: Use bottled water or install a purification system at home. If you must use tap or well water, ensure it is boiled thoroughly before drinking.

By adhering to these guidelines and staying in close communication with your healthcare team, you can help ensure the longevity and health of your new kidney.