Kidney Transplant: What to Expect at Home

Rest when you feel tired. Getting enough sleep will help you recover.

Try to walk each day. Start by walking a little more than you did the day before. Bit by bit, increase the amount you walk. Walking boosts blood flow and helps prevent pneumonia and constipation.

Avoid exercises that strain your belly muscles and activities that make you work hard, such as bicycle riding, jogging, weight lifting, or aerobic exercise, for 4 to 6 weeks.

For 4 to 6 weeks, avoid lifting anything that would make you strain. This may include heavy grocery bags and milk containers, a heavy briefcase or backpack, cat litter or dog food bags, a vacuum cleaner, or a child.

Hold a pillow over your incision when you cough or take deep breaths. This will support your belly and decrease your pain.

Do breathing exercises at home as instructed by your doctor. This will help prevent pneumonia.

Ask your doctor when you can drive again.

Most people are able to return to work about 4 weeks after surgery. It depends on the type of work you do and how you feel.

You may take showers. Pat the incision dry. Do not take a bath for the first 2 weeks, or until your doctor tells you it is okay.

Ask your doctor when it is okay for you to have sex.

Follow your doctor's instructions about what to eat after your surgery. You may need to follow a special diet for your kidneys or for other health problems.

Drink plenty of fluids (unless your doctor tells you not to).

Check with your doctor before you drink alcohol. Alcohol can cause problems with some of the medicines used to prevent organ rejection.

You may notice that your bowel movements are not regular right after your surgery. This is common. Try to avoid constipation and straining with bowel movements. You may want to take a fiber supplement every day. If you have not had a bowel movement after a couple of days, ask your doctor about taking a mild laxative.

Your doctor will tell you if and when you can restart your medicines. He or she will also give you instructions about taking any new medicines.

If you stopped taking aspirin or some other blood thinner, your doctor will tell you when to start taking it again.

Take your anti-rejection medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine.

Take pain medicines exactly as directed.

• If the doctor gave you a prescription medicine for pain, take it as prescribed.

• If you are not taking a prescription pain medicine, take an over-the-counter medicine that your doctor recommends. Read and follow all instructions on the label.

• Do not take aspirin, ibuprofen (Advil, Motrin), or naproxen (Aleve), or other nonsteroidal anti-inflammatory drugs (NSAIDs) unless your doctor says it is okay.

If you think your pain medicine is making you sick to your stomach:

• Take your medicine after meals (unless your doctor has told you not to).

• Ask your doctor for a different pain medicine.

If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.

If you have strips of tape on your incision, leave the tape on for a week or until it falls off.

Wash the area daily with warm, soapy water, and pat it dry. Don't use hydrogen peroxide or alcohol, which can slow healing. You may cover the area with a gauze bandage if it weeps or rubs against clothing. Change the bandage every day.

Keep the area clean and dry.

You passed out (lost consciousness).

You have severe trouble breathing.

You have sudden chest pain and shortness of breath, or you cough up blood.

You have severe pain in your belly.

You have pain that does not get better after you take pain medicine.

You are sick to your stomach or cannot keep down fluids or your anti-rejection medicines.

You have loose stitches, or your incision comes open.

You are bleeding from the incision.

You have symptoms of a urinary infection. For example:

• You have blood or pus in your urine.

• You have pain in your back just below your rib cage. This is called flank pain.

• You have a fever, chills, or body aches.

• It hurts to urinate.

• You have groin or belly pain.

You have signs of infection, such as:

• Increased pain, swelling, warmth, or redness.

• Red streaks leading from the incision.

• Pus draining from the incision.

• Swollen lymph nodes in your neck, armpits, or groin.

• A fever.

You have trouble passing urine or stool.

You have pain or swelling in your lower belly.

You have signs of a blood clot, such as:

• Pain in your calf, back of the knee, thigh, or groin.

• Redness and swelling in your leg or groin.

You have a weight gain of more than 2 pounds in 1 day.

You have any problems with your anti-rejection medicine.

You do not have a bowel movement after taking a laxative.