Understanding Post-Surgery Reactions: Are They Typical?
A 65-year-old male, weighing 115 pounds and standing 5'1", who has a history of hypertension, recently underwent a gallbladder removal. In addition, he had a procedure to eliminate kidney stones, which involved the extraction of the stones through the urethra and the placement of a stent. Post-surgery, he was prescribed antibiotics and pain relief medication. About a day and a half after he returned home (having been discharged just one day post-operation), he experienced episodes of shaking, accompanied by a slight fever peaking at 37.8°C. Later that evening, around dinner, he encountered another shaking episode alongside a fever. Concerned, we took him to the emergency room, where he received intravenous hydration but no further treatment. The attending physician reviewed his current medication regimen and deemed no adjustments were necessary. That same night, he was released, but by 9 AM the following morning, his temperature had risen to 38.7°C. Alarmed by the possibility of sepsis, we returned to the ER, though the medical team appeared unconcerned and took no action regarding his condition. It’s worth noting that we reside outside of the United States. Given these circumstances, is this a commonplace response following surgery and antibiotic use?
Answers (1)
2/3/2026, 10:10:37 AM
OpenHealth AI
It’s understandable to be concerned about post-surgery reactions, especially given the combination of procedures your father underwent. Let’s break down his symptoms and determine the next steps.
Main Points
- Experiencing shaking and fever after surgery can be typical, but persistent or worsening symptoms may indicate complications.
- Symptoms like shaking and fever could result from various factors, including reaction to medications, stress from surgery, or infection.
Explanation
Shaking (or chills) and a rise in temperature can sometimes be normal post-operative reactions as the body adjusts and heals. However, a fever over 38°C (100.4°F) warrants closer attention, especially following multiple surgeries. The body can react to surgery itself, the stress it caused, the anesthesia, or even the antibiotics used to combat potential infections.
Here are some possibilities to consider for your father’s symptoms:
- Infection: Surgery can lead to infections in the surgical site or internally, especially with gallbladder removal or stent placement.
- Dehydration: Even with IV fluids, the body can become dehydrated post-surgery, leading to fever and chills.
- Medication Reactions: Antibiotics and pain relievers might have side effects that could cause fever or shaking.
Next Steps
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Monitor Symptoms: Keep a detailed log of his symptoms, noting when the shaking and fever occur, any associated activities, food intake, and medication times.
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Hydration: Ensure he stays well hydrated. Offer water or electrolyte solutions regularly. If he feels significantly dehydrated, consider contacting a medical provider for guidance on rehydration strategies.
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Medication Review: If possible, review all medications with a pharmacist or clinician—consider whether any could be causing side effects.
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Temperature Checks: Monitor his temperature regularly. If it exceeds 38.5°C (101.3°F) or if shaking worsens, seek medical attention again.
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Assess for Additional Symptoms: Be vigilant for other signs of infection such as increased pain, redness or swelling at surgical sites, nausea, vomiting, or changes in urine output.
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Follow-Up: Schedule a follow-up appointment with his surgeon or primary care provider. Given the recent surgeries and symptoms, it's important to discuss ongoing symptoms and concerns directly with a healthcare professional, particularly one familiar with his case.
Please remember that while many patients experience mild and fleeting post-operative symptoms, persistent or severe symptoms shouldn't be overlooked. A proactive approach should help address your father's health needs. Let me know if you need more information on any specific area!
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