Liver Transplant: What to Expect at Home (2024)

Liver Transplant: What to Expect at Home (1)

Your Recovery

A liver transplant is surgery to give you a healthy liver from another person. You may have received a whole new liver or just a section of a new liver. The new liver may have come from someone you know, a stranger, or a person who has died. Your doctor will take out your diseased liver when you get a donor liver.

Your belly and side will be sore for the first 1 to 2 weeks after surgery. You also may have some numbness around the cut (incision) the doctor made. It is common to feel tired while you are healing. It may take 2 to 4 months for your energy to fully return.

After the transplant, you must take medicine to keep your body from rejecting the new liver. You will need to take anti-rejection medicine every day from now on. These medicines have side effects. One side effect is that your body may be less able to fight infections. It's important to take steps to avoid infections. Stay away from crowds of people and anyone who might have an infection or an illness such as a cold or influenza (flu).

Having an organ transplant can bring up many emotions. Seek out family, friends, and counsellors for support. If you think you are depressed, ask your doctor for help. Treatment can help you feel better.

This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace. Follow the steps below to feel better as quickly as possible.

How can you care for yourself at home?

Liver Transplant: What to Expect at Home (2)Activity

  • 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 a child, heavy grocery bags and milk containers, a heavy briefcase or backpack, cat litter or dog food bags, or a vacuum cleaner.
  • 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 2 to 3 months 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.

Liver Transplant: What to Expect at Home (3)Diet

  • Follow your doctor's instructions about what to eat after your surgery. You may need to follow a special diet for your liver or for other health problems.
  • Drink plenty of fluids (unless your doctor tells you not to).
  • Do not drink alcohol. It can damage your liver. Tell your doctor if you need help to quit. Counselling, support groups, and sometimes medicines can help you stay sober.
  • 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 fibre supplement every day. If you have not had a bowel movement after a couple of days, ask your doctor about taking a mild laxative.

Liver Transplant: What to Expect at Home (4)Medicines

  • 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 or nurse advice line 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 non-steroidal 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.

Liver Transplant: What to Expect at Home (5)Incision care

  • If you have strips of tape on the 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.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

When should you call for help?

Liver Transplant: What to Expect at Home (6)

Call 911 anytime you think you may need emergency care. For example, call if:

  • 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.

Call your doctor or nurse advice line now or seek immediate medical care if:

  • 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 a fever, chills, or body aches.
  • You have loose stitches, or your incision comes open.
  • You are bleeding from the incision.
  • You have signs of infection, such as:
    • Increased pain, swelling, warmth, or redness.
    • Red streaks leading from the incision.
    • Pus draining from the incision.
    • A fever.
  • You have trouble passing urine or stool, especially if 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 1 kilogram in 1 day.
  • Your skin or the whites of your eyes turn yellow.
  • You have any problems with your anti-rejection medicine.

Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if:

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

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter U448 in the search box to learn more about "Liver Transplant: What to Expect at Home".

Current as of: March 22, 2023

Author: Healthwise Staff

Medical Review:Adam Husney MD - Family Medicine

Liver Transplant: What to Expect at Home (2024)

FAQs

Do you need home care after liver transplant? ›

Help at Home After Liver Transplant Surgery

You must have a caregiver with you 24 hours a day for at least 6 weeks after you leave the hospital. Being a caregiver is a big responsibility. You may need more than one person to help you for the first few months after your liver transplant.

What to expect immediately after liver transplant? ›

Your belly and side will be sore for the first 1 to 2 weeks after surgery. You also may have some numbness around the cut (incision) the doctor made. It is common to feel tired while you are healing. It may take 2 to 4 months for your energy to fully return.

What is the most critical time after a liver transplant? ›

The risk of organ rejection is highest 3 to 6 months after receiving a new liver. If your body is rejecting its new liver, you might notice symptoms like: Feeling tired. Pain or tenderness in your abdomen.

How do I prepare my body for a liver transplant? ›

It's important to be as fit as possible before your liver transplant. Moderate exercise can help boost your energy levels and will lower stress. This could be walking, cycling, swimming, gentle jogging or something else you prefer. Speak to your liver care team about the right exercise plan for you.

How long are you in intensive care after liver transplant? ›

You can expect to be in hospital for 7-14 days after a liver transplant. The first few days are spent in the intensive care unit to allow the extensive monitoring that is required. If you are recovering well from the surgery, the transplant team will be happy for you to be discharged home.

What types of follow up care are required after a liver transplant? ›

During the first six weeks after liver transplantation, patients will have frequent blood tests and other exams to monitor liver function and detect any evidence of rejection or infection in the new liver. Longer term patients are asked to return for check-ups about once or twice a year.

What not to do after a liver transplant? ›

Avoid too much sugar, saturated fats and salt. A low sugar diet is particularly important for managing diabetes. A diet low in saturated fat will help to keep your cholesterol levels controlled. You will be given information on your diet from your transplant team.

How long does it take to walk after liver transplant? ›

If your recovery is going well, after 8 weeks, you will usually be encouraged to start moderate exercise. This could be walking, jogging, swimming or cycling. Most sports and activities are possible but you should avoid heavy contact sports (rugby, martial arts, boxing) as these risk damaging your liver transplant.

How painful is liver transplant surgery? ›

There is pain after liver transplant surgery, however it is generally not as severe as with other abdominal surgeries. This is because nerves are severed during the initial abdominal incision causing numbness of the skin around the abdomen. These nerves regenerate over the following six months and sensation returns.

How do you stay alive while waiting for a liver transplant? ›

While waiting on the list patients are advised to stay as healthy as possible by eating a healthy balanced diet, taking regular exercise, completely avoiding alcohol, not smoking etc. An average waiting time for a liver transplant is 149 days for adults and 86 days for children.

How to care for a liver transplant patient? ›

Maintain general health through proper nutrition, rest, exercise, and stress reduction. Avoid people who have infectious diseases especially people with active viral infections, such as chicken pox, mumps, measles, mononucleosis, tuberculosis, colds, or the flu. Take medications to prevent infection, as prescribed.

What should you eat after a liver transplant? ›

Eating lean meats, poultry and fish. Eating whole-grain breads and cereals and other grains. Having enough fiber in your daily diet. Drinking low-fat milk or eating other low-fat dairy products, to help maintain enough calcium.

How long do you need a caregiver after a liver transplant? ›

The average hospital stay for a donor and transplant recipient is about a week. Recovery at home for a transplant recipient will continue for several months and you'll need a caregiver present 24/7 at the beginning of this recovery.

What are tips in liver transplant patients? ›

In patients awaiting liver transplant, TIPS placement can be an option to manage complications associated with portal hypertension, in order to reduce morbidity and mortality.

How many hours is liver transplant surgery? ›

The operation time varies depending on complexity of the procedure. It is often between 5-8 hours. After you have been put to sleep under anaesthetic, the surgery will begin. Your damaged liver will be removed and the donor liver will be transplanted into its place.

Can a family member help with a liver transplant? ›

Sometimes a healthy living person will donate part of their liver. A living donor may be a family member. Or it may be someone who isn't related to you but whose blood type is a good match. People who donate part of their liver can have healthy lives with the liver that is left.

What are the rules after a liver transplant? ›

In general, your diet after liver transplant should be low in salt, cholesterol, fat and sugar. To prevent damaging your new liver, it's important to avoid alcohol. Do not drink alcoholic beverages or use alcohol in cooking.

What is the post operative care after liver transplant? ›

Here they are kept under observation to check for any signs of bleeding, infection or other complications. Most donors are able to get out of bed and start moving within first 2 days days with the help of physiotherapy. Initially, patients need to follow a liquid diet followed by a normal diet in 2 - 5 days.

How long is rehab after liver transplant? ›

Liver Transplant Recovery Times

In two months: You may lift up to 15 pounds. In three months: You may begin jogging. In three to six months: Your liver incisions have healed. You may also go back to work.

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