Author Topic: Fasting for oral surgery  (Read 3650 times)

wfaulk

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Fasting for oral surgery
« on: June 17, 2008, 02:41:04 PM »
My wife has Sjogren's.  She was scheduled to have her wisdom teeth extracted, but the oral surgeon told her that she was not allowed to eat or drink for many hours before the surgery.  She can't seem to go for thirty minutes without drinking anything.  I've seen her go for a few hours without, and I thought she was going to pass out she got so dehydrated.

She pushed back, but he told her that it was against the law for him to perform surgery unless she had been fasting.  Apparently the concern is that she could aspirate the water in her stomach.

Someone must have encountered this problem before.  Does anyone have any advice?

Linda196

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Re: Fasting for oral surgery
« Reply #1 on: June 17, 2008, 03:09:10 PM »
Hello Wfaulk, welcome to Sjogren's World and thank you for being your wife's advocate in this situation.

If your wife can't go more than a few hours without becoming dehydrated, she may have more medical issues than SjS...dehydration means a chemical and fluid imbalance that can be life threatening, and she should be monitored for electrolyte, sugar and fluid balance in a controlled situation.

If she finds that after a few hours she becomes very uncomfortable because her mouth and throat are extremely dry, that's not technically dehydration, and can be managed, hopefully in a way that satisfies the oral surgeon that she won't aspirate. I don't know where you live or what the laws are like there, but I know that where I live, pre op fasting can be limited to nothing by mouth for 8 hours except clear liquids, which may be ingested up to 4 hours pre op, if medical concerns make it necessary. There is no legal requirement here for prolonged fasting, because that would make emergency surgery impossible. Within that 4 hour period, water can be "swished and spit" and some gels that moisturize (like Oral Balance) may be permitted with the doctor's knowledge. 
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wfaulk

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Re: Fasting for oral surgery
« Reply #2 on: June 17, 2008, 03:50:52 PM »
Thanks for the response.

Maybe dehydrated is too strong a word.  Her symptoms still mystify me, so I'm most likely not conveying the situation appropriately.

It did occur to me that she might be able to get by with swishing and by using her Aquoral (which she tries to avoid because of the aspartame).  Once she calms down, I'll talk to her about some options.

Cheryl

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Re: Fasting for oral surgery
« Reply #3 on: June 17, 2008, 04:39:20 PM »
Wfaulk,
   I will be having a colonoscopy on Thurs., and I'll be in a similar situation to that of your wife.   After doing the "prep" on Wed., I can't have anything to eat or drink after midnight, and the procedure will be early Thurs. afternoon.   I plan to use my Oasis spray for mouth dryness, but it will still be a long day.
   Pease give your wife my sympathy and best wishes.  Hang in there.   I know it's hard for you, too!
Cheryl
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Scottietottie

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Re: Fasting for oral surgery
« Reply #4 on: June 17, 2008, 04:47:23 PM »
Hi  :)

I had knee surgery a couple of years ago and persuaded the nurses to let me sloosh water round my mouth and then spit it out again. I promised not to swallow because I am omly too aware how sick an anaesthetic can make you! (Nauseous) I wasn't bothered by not being able to drink as long as I could wet my mouth.

Take care - Scottie  :)
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eyeamdry

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Re: Fasting for oral surgery
« Reply #5 on: June 17, 2008, 05:06:58 PM »
I found (with a little pressure) the nurses can give you something that looks like a lollipop.  It's a sponge on a stick.  They wet the sponge part and you put it in your mouth and it takes care of things quite nicely.  It's NOT like a good drink of water, but can get you through the tough parts.   You have to be assertive because many meds do not know what Sjogrens is.

It's also possible your wife would need to be hospitalized for a procedure if you couldn't work out all the kinks.  Lucy