
What Causes Excessive Sleepiness After Gall Bladder Removal?

He has been sleeping excessively ever since the surgery...its the 50th day now....its a graph a pattern which slowly improves, he becomes a bit aware,starts physio, eats orally a bit and then it goes down again....this has happened 3 times in these 50 days
Post-operative cognition decline.
Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:
1. He had a recent surgery, which was cancerous and is recovering from it. At this age, it was very stressful for him. It is commonly seen after major surgeries and is called as post-operative cognitive decline.
2. He is having periods of ups and downs, as he is trying to get back from the stress. His cognition is improving but is taking time.
3. He will require a routine to be maintained, so that his ups dont go to downs.
4. His clinical parameters are fine, suggesting he is physically doing well.
5. Elderly during these periods of stress, mentally get themselves blocked and also block others out.
6. Family support is essential to reduce further cognitive decline. Activities, as much as possible, should involve him. Assist him in moving around. The more he stays in bed, the more it will be difficult for him to get adjusted. Try involving him more.
7. Look for medications, especially if any is causing excessive sleep.
Not to worry, try to involve him and make him XXXXXXX as early as possible.
Hope it helps.
Any further queries, happy to help again.
Dr. Prakash HM


Yes, change in environment is essential.
Detailed Answer:
Hi,
Thanks for asking again.
Yes, he will require change of environment. Home will improve his morale.
Diet, he will require protein rich diet. As he is not taking orally, when started, start of with smaller feeds and slowly increase.
Make sure necessary sterile precautions are taken. Avoid any infections, it could complicate things. Family support is essential at home.
Hope it helps.
Any further queries, happy to help again.
Dr. Prakash HM


Fluid as much as he asks.
Detailed Answer:
Hi,
Thanks for asking again.
1. At present, avoid further infection and nutrition are the most important things.
2. As he does not have any edema anywhere or any renal problems, no fluid limit is necessary. He can take as much as required. Nothing too high enough to cause aspiration or too low to cause him dehydration. Make sure his position is proper, if giving orally.
3. Occasional bipap is good and will improve.
4. Having family around and being supportive will help him. Avoid any sort of stressful behavior around him. Allow him to be XXXXXXX and also support him, as much as he needs.
5. Without any further infections, he will recover to as much as previously, possibly within 2-3 weeks.
Hope it helps.
Any further queries, happy to help again.
Dr. Prakash HM

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