Aftercare Instructions — Recovering After Your Visit
These are the same instructions our physicians give at checkout. If anything feels wrong or you have questions about your recovery, message WhatsApp +977-9747726036 — post-visit follow-ups on the same condition are free for 7 days ($20 for a recheck visit).
After IV Rehydration
- Drink small, frequent sips of ORS or clean water for the rest of the day — your stomach absorbs fluid better in small amounts.
- Eat bland food once nausea settles: plain rice, dal soup, toast, banana. Avoid dairy and alcohol for 48–72h.
- Light colored urine within 6–8 hours means hydration is recovering.
- Return or WhatsApp us if vomiting restarts, urine stays dark beyond 8h, or dizziness on standing continues.
After Antibiotics (GI infections)
- Finish the entire prescribed course even if you feel better on day 2 — stopping early breeds resistant bacteria.
- No alcohol during Metronidazole/Tinidazole and for 72h after the last dose (causes severe nausea/reaction).
- Expect temporary bloating; avoid dairy 7–10 days after Giardia (temporary lactase deficiency).
- Follow-up stool review is free within 7 days if symptoms return.
After Rabies PEP (Vaccine Series)
- Keep your vaccination booklet — remaining doses are due on the exact days written (Day 3, 7, 14/28).
- Sore arm and mild fever for 24–48h are normal; Paracetamol helps.
- Continue the series even if you leave Nepal — bring the booklet to any clinic; the vaccine brands are interchangeable under WHO guidance.
- Keep the wound clean and dry; watch for redness, pus, or streaking (infection signs — come back).
After Wound Care & Dressings
- Keep the dressing dry for 48h; cover with a plastic bag in the shower.
- Redness expanding past the marked border, throbbing, pus, or fever = return immediately (free recheck).
- Change to the take-home dressing pack as instructed — typically every 24–48h.
- Tetanus cover lasts ~10 years; keep the date in your records.
After an Altitude Consultation
- Start prophylactic Diamox 24h before ascending above 2,800m — as prescribed, typically 125mg twice daily.
- Tingling fingers/lips and increased urination are normal Diamox effects, not illness.
- Keep the laminated dosing card with your passport — guides and rescue teams ask for it.
- STOP ascending with any headache + nausea; descend immediately with breathlessness at rest or unsteady walking.
After Lab Tests
- Results arrive by email as an English PDF — check spam if not received within the quoted window.
- Positive results include a WhatsApp follow-up explaining the treatment plan.
- Fever panels may need a repeat CBC in 24–48h to track platelets — we message you if needed.
Treatment Is Not Complete at the Door
The consultation that diagnoses and prescribes is the beginning, not the end. The wound needs rechecking, the medication response needs assessment, the condition needs confirmation it is resolving. Aftercare is the second part of the medical encounter — the verification that the treatment worked and the adjustment when it did not.
Aftercare services
- Scheduled follow-ups — the rechecks that confirm progress
- Wound care — dressing changes, healing assessment
- Medication adjustment — the response that requires changing course
- Specialist referral — the condition beyond our scope
- Remote follow-up — telehealth for travelers who have left
The Departure Handoff
For travelers leaving before follow-up is complete: the documentation package ensures continuity — your home provider gets the treatment summary, the medication list, and the recommended next steps. For conditions that need ongoing monitoring, we provide the specific red flags and the timeline that matters. The medical care that started in Kathmandu transitions to your home system with the records that make it seamless.
The Wound Care Continuation
Post-procedure wound care: the dressing changes as directed, the cleaning schedule, the warning signs (the infection, the dehiscence — the wound reopening), and the follow-up appointment for the assessment. For the traveler with the procedure, the aftercare instructions that are followed.
The Home Follow-Up
The care that continues at home — the records that travel (the procedure notes, the medications, the imaging), the home physician who continues the management, and the communication channel (the telemedicine or the email for the post-return questions).
The Follow-Up Visit
Post-procedure follow-up — the wound check (the suture removal, the healing assessment), the treatment response (the antibiotic course that is evaluated), and the complication detection. For the procedure, the follow-up that is scheduled.
The Travel Clearance
Fit-to-fly or the travel clearance — the medical clearance that is required for the post-illness travel (the pneumonia recovery, the recent surgery, the DVT treatment). For the patient who needs to fly, the clearance that is assessed.
The Warning Signs
Post-procedure warning signs: the fever, the increasing pain, the redness/swelling, the discharge, and the functional deterioration. For the complication that develops, the urgent evaluation.
The Communication
Post-procedure communication — the contact that is established (the follow-up appointment, the phone number for the concerns), and the instructions that are understood.
The Warning Sign
Aftercare warning signs — the fever (the infection that may be developing), the wound that worsens, the pain that increases, or the new symptom that appears. For the warning sign, the contact that is made.
The Communication
Aftercare communication — the follow-up that is scheduled, the contact method that is established (the WhatsApp, the email), and the questions that are welcomed.
The Follow-Up Cost
Aftercare follow-up cost — the reduced or the included (the treatment follow-up that is covered). For the ongoing care, the arrangement that is clarified.
The Telehealth Value
Aftercare telehealth — the remote follow-up (the home return that allows). For the post-travel care, the convenient + the economical that is provided.
The Follow-Up Cost
Aftercare follow-up — the included 7-day window (the free that is part of the visit). For the recovery, the included that is the value.
The Telehealth Option
Aftercare telehealth — the ~$20-40 (the remote that extends). For the gone-home, the reachable that is the option.
The Follow-Up Fee
Follow-up — the ~$20-40 or the included (the 7-day window that is standard). For the checked, the returned that is the service.
The Remote
Aftercare remote — the WhatsApp/telehealth (the ~$20-40 that continues). For the departed, the maintained that is the link.
What aftercare does the clinic provide?
Follow-up consultations (check-ins after initial treatment), wound care and dressing changes, medication adjustments based on response, specialist referrals for conditions beyond our scope, and documentation for ongoing care at home or insurance claims. Treatment is not complete at the first visit — aftercare is part of the service.
How do I schedule a follow-up?
At the initial visit we schedule the appropriate follow-up — the wound recheck, the illness reassessment, the altitude acclimatization check. Contact us if you need to adjust timing or add a visit. Follow-ups are typically shorter and focused on the specific issue.
What if I am leaving Nepal before follow-up?
We provide documentation and guidance for your home provider — the treatment summary, medication lists, recommended follow-up timeline, and any red flags to watch for. For conditions that need ongoing care, we coordinate the handoff. Do not leave with untreated conditions unaddressed.
What about remote aftercare?
Telehealth follow-ups for travelers who have departed Kathmandu — WhatsApp or email check-ins, photo review of wounds (send pictures for assessment), and coordination with home providers. The follow-up does not require physical presence for all conditions.
What documentation do I get for aftercare?
A summary letter for your home physician detailing diagnosis, treatment provided, medications prescribed, and recommended follow-up. For insurance, the complete claim documentation. For ongoing care, the specific instructions and red flags to watch for.
