instruction: hello I am a 50 year old female who would like to have a breast reduction however I am high risk for vomiting from the anesthesia I have a phobia of vomiting I am a non smoker I have had general anesthesia once before and I vomited several times I am so scared that I have rescefuled the surgery times is there anything else that can be used instead of general anesthesia what can be done to prevent the vomiting thank you
output: hi general anaesthesia has known post anesthesia effects of nausea retching vomiting etc also these may be due to direct effect of surgery and pain you seem to be very sensitive and anxious to it but usually it is seen that with each subsequent episode of administration of general anaesthesia these effects tend to decrease in severity so if last time you had vomiting postanaesthesia this time it will be less severe in terms of no of episodes etc this will reduce your discomfort also if you may have preexisting herd or gastroduodenal ulcer gastritis these may also cause nausea vomiting postoperative so I would advice discuss issues with your anaesthesiologist and surgeon nausea vomiting can be taken care of by medicines like proton pump inhibitors h2antihistaminics antiemetics which will be give by your physician in recommended doses some pre op anxiolytic medicines on night before surgery will help you reduce anxiety take a light non oily meal on day before surgery so that stomach stays relatively acid free