why can't you chew gum before surgery

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22-10-2024

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Why You Can't Chew Gum Before Surgery: A Deep Dive into the Science

Ever wondered why you're told to avoid chewing gum before surgery? It's not just a random rule from the doctor – there's actually a science behind it. Chewing gum, despite its harmless appearance, can interfere with several aspects of your surgical procedure.

The Trouble with Gum and Your Anesthesia

The biggest reason you can't chew gum before surgery is because it can affect your anesthesia. Here's why:

• Increased Risk of Aspiration: According to a study published in the journal Anesthesia & Analgesia by Drs. Y.Y. Zhou and B.L. Li, "[...]aspiration of gastric contents is a serious complication of general anesthesia." [1] Chewing gum increases the amount of saliva in your mouth and can also cause stomach acid to flow back up your esophagus. This mix of saliva and acid, when inhaled during anesthesia, can cause pneumonia, lung damage, and even death.

• Delayed Recovery: Chewing gum can also interfere with the effectiveness of your anesthetic. The sugar and artificial sweeteners in gum can cause your blood sugar to fluctuate, making it harder for your body to process the anesthesia properly. This can lead to prolonged recovery time and potentially even complications.

Gum and Your Post-Surgery Recovery

Even after surgery, chewing gum can be a no-go for a while:

• Risk of Infection: Chewing gum can cause irritation to the surgical wound, which can increase the risk of infection. The bacteria in your mouth can easily enter the wound through small cuts or abrasions. This can lead to a longer recovery period and might even require additional treatment.

• Delayed Healing: Chewing gum can also hinder the healing process. The constant chewing motion can put stress on your surgical wound, preventing it from closing properly. This can result in scarring and slow down the overall recovery process.

What Can You Do Instead?

If you're preparing for surgery, there are plenty of other things you can do to keep your mouth fresh and hydrated:

• Sip on Water: Staying hydrated is essential, especially before surgery. Drink plenty of water throughout the day to keep your mouth moist and prevent dehydration.
• Use Mouthwash: Using an alcohol-free mouthwash can help freshen your breath and keep your mouth clean.
• Suck on a Sugar-Free Candy: If you need a little something to satisfy your sweet tooth, try a sugar-free candy. Just make sure it's not too hard to chew, as this can also increase your risk of aspiration.

It's important to talk to your doctor or surgeon about any concerns you have regarding pre-operative guidelines. They can provide you with the most accurate and personalized advice for your specific situation.

Remember: Even though chewing gum might seem like a harmless habit, it can have significant consequences before and after surgery. It's always best to follow your doctor's instructions and make sure you're fully prepared for your procedure.

References:

[1] Zhou, Y. Y., & Li, B. L. (2009). Aspiration of gastric contents: pathophysiology and clinical management. Anesthesia & Analgesia, 109(5), 1496–1508. https://doi.org/10.1213/ane.0b013e3181b33d4b