CION Cancer Clinics
Falling ill back home after discharge | CION Cancer Clinics
If a patient falls ill at home after cancer surgery and it feels serious, go to the nearest hospital that can admit them, the same day, and call the operating team on the way. If it can wait a few hours, call the operating team first. This page covers the warning signs, what to carry to a district hospital and how the two teams work together. CION Cancer Clinics’ surgical oncologists in Hyderabad can talk this through with you.
On this page
- What should you do if you fall ill at home after cancer surgery?
- Which problems are most common after going home?
- What happens when you reach a district hospital?
- What do the doctors mean by these words?
- What beliefs delay care after discharge?
- What can this page not tell you?
- Common questions about falling ill after discharge
The short answer
What should you do if you fall ill at home after cancer surgery?
If it feels serious, go to the nearest hospital that can admit you, the same day, and call the team that operated on the way. If it can wait a few hours, call the operating team first and let them decide where you should be seen.
Why the operating team comes into it either way
The surgeon in Hyderabad knows exactly what was done, what was joined and what was left in place. A district hospital doctor sees you for the first time and has only what you carry in. A short call between the two often changes the plan. Sometimes the local team can manage the problem well. Sometimes the right answer is to stabilise you and send you back.
Why families wait too long
The journey to Hyderabad is long and costly, so families often hope a problem will settle overnight. Many do settle. The ones that do not tend to be harder to manage the longer they are left. A problem caught early at a nearby hospital is almost always easier than the same problem after two days of waiting.
This page is general guidance for families. It cannot tell you whether a particular symptom is serious. When in doubt, be seen.Go the same day if there is a high fever or shivering, new breathlessness or chest pain, bleeding that soaks the dressing, a wound that opens or leaks pus, one leg suddenly swollen and painful, vomiting that will not stop, or no urine for most of the day. Do not wait to travel back to Hyderabad first. Carry the discharge summary and call the operating team from the hospital.
Not sure whether this applies to you?
Ask an oncologistWhat families call about
Which problems are most common after going home?
These are the reasons families most often call after discharge. Some settle with advice. Some need a hospital.
A wound that looks wrong
Spreading redness, heat, a bad smell, pus or edges that come apart can mean infection. A little clear fluid in the first days is often normal, but let the team decide.
Have ready
- A clear photograph of the wound
- The patient's temperature
Fever
Fever after an operation can come from the wound, the chest, the urine or a leak inside. It needs to be seen, not only treated with a tablet at home.
Paracetamol can hide a fever. Tell the doctor if it was taken.Not eating or passing stool
Bloating, vomiting, or no wind or stool for longer than the team said to expect can mean the bowel has not woken up, or is blocked. This matters most after operations on the stomach or bowel.
Drain or tube trouble
A drain that falls out, stops draining suddenly or changes colour, or a feeding tube that blocks, should be reported the same day.
Do not
- Push a fallen tube back in
- Cut or clamp a drain yourself
Step by step
What happens when you reach a district hospital?
-
Say "recent cancer surgery" at the door
Name the operation and the date. This changes how quickly you are seen and what the doctor looks for first.
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Hand over the discharge summary
Give a photocopy and keep the original. Add the medicine list and any blood reports from your stay.
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Call the operating team from the hospital
Pass the phone to the doctor who is examining you if you can. A conversation between doctors is far more useful than a message relayed by the family.
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Tests and first treatment
Usually blood tests, sometimes a scan, and fluids or antibiotics if needed. Many problems are managed well here.
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A decision on where to continue
The two teams agree whether you stay, return to Hyderabad or go home with a plan. If you are moved, ask for a written note of everything done, so the next doctor does not start again.
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Words you may hear
What do the doctors mean by these words?
- Wound infection
- Germs have settled in the cut. It is usually treated with antibiotics, and sometimes by opening part of the wound to let it drain.
- Anastomotic leak
- A join made inside the body, such as between two ends of bowel, has not sealed fully. It is serious and usually needs the operating team.
- Seroma
- A pocket of clear fluid under the wound. It is common after breast and armpit surgery and is often harmless, though it may need draining.
- Clot in the leg or lung
- A blood clot that forms after surgery, often in the calf. If it moves to the lung it causes sudden breathlessness and needs same-day care.
- Ileus
- The bowel is slow to start moving again after an operation, causing bloating and vomiting. It usually settles with rest and fluids.
Commonly believed
What beliefs delay care after discharge?
A nearby hospital can start treatment, stabilise you and speak to the operating team. Waiting to travel back first is how a problem that could have been managed early becomes an emergency.
A mild temperature in the first day or two in hospital is common. A fever that starts after you are home is different and needs a doctor to find the cause.
Surgical teams expect these calls and would rather hear early. Use the number on the discharge summary, and say clearly what the problem is and when it started.
Stopping medicines on your own can cause new problems, especially blood thinners, heart tablets or diabetes medicines. Keep taking them unless a doctor tells you otherwise, and carry the full list with you.
Being straight with you
What can this page not tell you?
It cannot tell you whether the problem you are facing tonight is serious. Only someone who examines the patient can do that. The lists here are a guide to when to act, not a way to rule anything out.
It cannot tell you which hospital near you is right
Choose one that can admit patients, has a doctor on duty at night and can do blood tests and basic scans. A small clinic may be closer but can only refer you on. If you live in a district, find that hospital before you need it, while the patient is still well.
Who should prepare before travelling home
Families who live far from Hyderabad, patients who went home with a drain, stoma or feeding tube, and anyone who had a complication in hospital should plan more carefully. Ask the team whether staying in the city a few extra days before the long journey makes sense.
Save the operating team's number and the helpline in more than one phone before you leave the ward.Questions we are asked
Common questions about falling ill after discharge
Will a district hospital treat a patient operated in Hyderabad?
Yes. Any hospital with an emergency department should see you, whatever hospital did the operation. They may start treatment and then speak to the operating team, or arrange a transfer if specialist care is needed. Carry the discharge summary so they are not working blind.
Should we go straight back to Hyderabad instead?
For anything that feels serious, no. Get seen at the nearest suitable hospital first. A long journey while unwell can make things worse, and there is no care on the road. Once you are stable, the doctors can decide together whether the patient needs to travel back.
Will Aarogyasri or insurance cover treatment at another hospital?
Often it can, but the rules differ. Aarogyasri, CGHS, ECHS, EHS and cashless insurers each have their own conditions on emergency care and on hospitals outside the original package. Tell the scheme desk or insurer as soon as possible, and keep every bill and report.
The wound has a little clear fluid. Is that an emergency?
A small amount of clear or slightly pink fluid can be normal in the first days. Pus, a bad smell, spreading redness, fever or the wound opening are not. Take a clear photograph and send it to the operating team, and be seen if any of those signs appear.
What should we carry to the hospital?
The discharge summary, the operation notes if you have them, the list of medicines with the tablets themselves, recent blood reports, the scheme or insurance card, and the operating team's phone number. Put them in one folder that stays with the patient.
Can the local doctor change the medicines?
In an emergency, the treating doctor will do what is needed. For anything else, ask them to speak to the operating team first. Never stop or restart a medicine on your own, especially blood thinners, steroids or diabetes medicines, because timing around surgery matters.
The patient is very tired and not eating. Is that normal?
Tiredness and a poor appetite are common for some weeks after a large operation. What is not normal is getting steadily worse, not keeping fluids down, confusion or passing very little urine. Those need a doctor the same day, not a wait for the next visit.
Who do we call at night?
If it is serious, go to the nearest hospital first. Otherwise use the number on the discharge summary, which should reach a doctor on the surgical team at any hour. If you cannot find it, call the hospital's main number and ask for the surgical team on duty.
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Trained at AIIMS, Tata Memorial, and leading international centres. Combined 150+ years of experience. Every complex case is reviewed by 3+ of them — together.
Dr. C. Raghavendra Reddy
MBBS(Gold Medal), DNB(General Medicine), DM(Medical Oncology)(Gold Medal)
Dr. Bharati Devi Gorantla
MBBS, MD(General Medicine), DM(Medical Oncology)(Adyar,Chennai), ECMO, MRCP SCE(UK)
Dr. Owais Mohammed
MBBS, MD (General Medicine), DrNB (Medical Oncology), ECMO, MRCP SCE (Medical Oncology) (UK)
Dr. Muralidhar Muddusetty
MBBS (AIIMS), MS (Surgery) (AIIMS), DNB (Surgical Oncology), MRCS (Edinburgh)
Dr. Vinay Mamidala
MBBS, MS(General Surgery), M.Ch(Surgical Oncology), FMAS, FARIS(Ongoing)
Dr. Vajja Sandeep Kumar
MBBS, MS (General Surgery), DrNB (Surgical Oncology), FALS Oncology
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Accreditation and empanelment
- NABH
- NABL
- ISO 9001:2015
- ArogyaSri empanelled
- CGHS accepted
- ECHS accepted
- EHS accepted
- Major cashless insurers
Paying for it
Insurance, schemes and payment
What you actually pay usually differs a great deal from the sticker figure.
Where to find us
Our centres in and around Hyderabad
Addressed by landmark, because that is how this city navigates. A surgical consultation can be booked at any of these centres through one helpline, and your team will tell you where the operation itself takes place.
Sources
- NHS — Having an operation (surgery)
- Cancer Research UK — Surgery for cancer
- National Cancer Institute — Surgery to treat cancer
- Macmillan Cancer Support — Cancer information and support
This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.
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Tell us what operation was done and what is happening now, and we will help you reach the right specialist. In an emergency, go to the nearest hospital first.