Perineal stitch pain can be helped with warm baths 2-3 times daily (see Bathing). The stitches are absorbed by the body and do not have to be removed. Using pillows and selecting soft places to sit may be helpful. Tylenol, Ibuprofen, or Aleve may be taken if needed. Most stitches will be completely healed within 2-3 weeks.
Pain at your incision site after a c-section will also respond to Tylenol, Ibuprofen, or Aleve but you will likely need a narcotic during the first 2 weeks. This will be prescribed by your doctor. If it contains acetaminophen (which is the same as Tylenol) make sure that you do not take this with regular Tylenol as you can exceed the recommended dose this way. You can use a heating pad at your incision and you can try to give support when you cough or sneeze by holding a pillow to your incision. You may wish to take a stool softener, such as Colace, while requiring a narcotic as this medicine can slow your GI tract. You cannot drive while requiring a narcotic for pain control.
“Afterbirth” pains are caused by contraction of the uterus as it attempts to return to its original size. If you are breastfeeding, you may experience more cramping while you are feeding. Tylenol and Ibuprofen may help. Increasing and/or constant abdominal pain may be abnormal and you should notify our office should this occur.