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   415 N Crescent Dr, Suite 110, Beverly Hills, CA, 90210

Patient Discharge Instructions

Pituitary Surgery and Anterior Skull Base Surgery

The following instructions are provided to guide you during your recovery at home, specifically addressing the management of diabetes insipidus and cerebrospinal fluid (CSF) leak from the nose. Please carefully read and follow these guidelines to ensure a smooth healing process:


  • Take all prescribed medications as directed by your doctor, including hormone replacement medications, pain relievers, medications for diabetes insipidus, and any other medications.
  • Follow the recommended schedule and dosage instructions provided to you.
  • If you experience any adverse reactions or have concerns about your medications, consult your healthcare provider.

Diabetes Insipidus Management:

  • Follow the specific instructions provided by your healthcare provider for managing diabetes insipidus, which may include the following:
  • Ensure an adequate intake of fluids to compensate for excessive urination. Your healthcare provider will provide specific recommendations based on your condition.
  • Monitor your fluid intake and output, keeping track of the amount of urine passed.
  • Pay attention to signs of dehydration, such as excessive thirst, dry mouth, fatigue, and dizziness.
  • Take any prescribed medications, such as desmopressin, as instructed by your doctor.

CSF Leak from Nose:

  • If you experience a cerebrospinal fluid (CSF) leak from the nose, as seen by continuous clear drainage from the nose please contact our office 
  • Avoid significant straining during bowel movements

Activity and Rest:

  • Engage in light activities and gradually increase your level of physical activity as tolerated.
  • Avoid strenuous activities, heavy lifting, and vigorous exercise for the first few weeks following surgery.
  • Maintain a balance between rest and activity. Take short walks throughout the day but ensure to get enough rest and sleep.

Diet and Nutrition: 

  • Follow a healthy and balanced diet to support your recovery and overall well-being.
  • Ensure an adequate intake of fruits, vegetables, whole grains, lean proteins, and healthy fats.
  • Stay hydrated by drinking plenty of fluids unless otherwise instructed by your doctor.

Follow-Up Appointments:

  • It is crucial to attend all scheduled follow-up appointments with your doctor to monitor your progress and address any concerns.
  • Follow any additional instructions provided by your healthcare provider during these appointments.

Signs of Issues:

  • Be aware of any signs of potential complications and seek immediate medical attention if you experience any of the following:
  • Severe headache that does not improve with pain medication
  • Changes in vision, such as blurred or double vision
  • Persistent nausea and vomiting
  • Signs of infection at the incision site, such as redness, swelling, or discharge
  • Excessive thirst and urination, along with signs of dehydration
  • Persistent or worsening CSF leak symptoms, such as clear fluid draining from the nose


  • Consult your doctor regarding when you can safely return to work, considering the nature of your job and your overall recovery.

Emotional Support and Mental Health:

  • It is common to experience a range of emotions during your recovery from pituitary surgery and managing diabetes insipidus and a CSF leak. Seek support from friends, family, or a mental health professional if needed.
  • If you experience symptoms of depression, anxiety, or any other mental health concerns, consult your healthcare provider for appropriate guidance and support.
Remember, each person’s recovery may vary, so it’s essential to listen to your body and take it easy during the healing process. Reach out to your healthcare provider if you have any concerns or questions during your recovery.

Wishing you a smooth recovery and improved health. Please do not hesitate to contact us if you need further assistance.


NeurosurgeryLA Team

Schedule your appointment

To schedule your consultation, please sign up here or by phone at (213) 262-8787. Our office works hard to get all patients an in-person or video visit within 48 hours of contacting us.
Neurosurgeon based out of Cedars-Sinai Medical Center, Dignity Health Northridge Medical Center, and PIH Health Good Samaritan in Los Angeles, California. Click here to add Dr. Zachary Barnard to your phone contacts.

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