Prepare for tear duct surgery by refraining from food or drink after midnight on the day of the surgery, advises Johns Hopkins Medicine. Smokers must stop smoking at least three to four weeks before surgery, and certain medicines, vitamins and herbal supplements should be stopped at least two weeks before.
General doctors who refer patients for tear duct surgery prescribe medications to reduce inflammation, and these must be taken according to instructions before and after the procedure, notes Johns Hopkins Medicine. Basic lab tests and sometimes a general physical exam are required before surgery to ensure safety. Aspirin and NSAIDs such as Aleve, Motrin and Advil can increase bleeding, so patients cannot take any of these within two weeks of surgery. Supplements that should be stopped prior to surgery include vitamin E and herbs such as ginseng and St. John's Wort. Individuals taking blood thinners such as Plavix or Coumadin must stop taking them before and after surgery.
Endoscopic surgery is performed under general anesthesia on an outpatient basis, so most patients go home the same day, states Johns Hopkins Medicine. Nasal saline mist is used every three to four hours after surgery to humidify and moisten the nose. Steady bleeding that doesn't stop by tilting the head can be treated with a medication called Afrin.