The commonest symptom post operatively seen is ?
**Core Concept**
The question is asking about the most common symptom seen in the postoperative period, which is a critical phase of patient care. The postoperative period is characterized by various physiological and psychological changes that can affect the patient's comfort and recovery.
**Why the Correct Answer is Right**
The commonest symptom postoperatively seen is **nausea and vomiting**. This is due to the release of stress hormones such as cortisol and adrenaline, which can cause gastric stasis and lead to nausea and vomiting. Additionally, the use of opioids and other analgesics can also contribute to this symptom. The vagus nerve, which regulates gut function, can also be affected by surgical stress, leading to nausea and vomiting.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because while pain is a common postoperative symptom, it is not the most common symptom. Pain is typically managed with analgesics, which can be effective in reducing discomfort.
**Option B:** This option is incorrect because while fatigue is a common postoperative symptom, it is not as immediately apparent as nausea and vomiting. Fatigue is often a result of the body's response to surgical stress and can take several days to develop.
**Option C:** This option is incorrect because while dizziness and orthostatic hypotension can occur postoperatively, they are not as common as nausea and vomiting. These symptoms are typically related to changes in blood pressure and fluid balance.
**Clinical Pearl / High-Yield Fact**
It is essential to recognize that nausea and vomiting are common postoperative symptoms and can be managed with antiemetic medications and other interventions. Early recognition and treatment of these symptoms can help improve patient comfort and reduce the risk of complications.
**Correct Answer: D. Nausea and vomiting**