Post-Surgery Diarrhea: Managing Pain and Healing After Hemorrhoid Surgery

Severe diarrhea after sterilization!

Hello, doctor! Last time I had a hemorrhoidectomy for an internal hemorrhoid, and everything was fine at first.
However, this week I have experienced severe diarrhea for three consecutive days...
It hurts a lot during bowel movements, and I can only relieve the pain with sitz baths.
I quickly returned for a follow-up, and the doctor advised me to stop using stool softeners and prescribed anti-diarrheal medication, which has reduced the diarrhea.
The doctor mentioned that the wound might have opened up, but did not perform an examination because they were concerned it would cause me more pain, so we are handling it this way for now.

I initially used a tube to apply ointment to the anal area, but it hurts when the tube touches it, so I’m unsure how to apply the medication.
Regarding sitz baths, will it take several weeks to heal? If I don’t apply the medication and continue with sitz baths, will the fissure heal? During this time, should my bowel movements be well-formed and not watery? It’s very painful when I have diarrhea, but if my bowel movements are well-formed, won’t that also irritate the wound? Currently, I am eating low-fiber foods to reduce bowel movements because it really hurts every time I go! Thank you, doctor!

ken, 40~49 year old female. Ask Date: 2016/04/14

Dr. Ke Fangxu reply Surgery

After a recent vasectomy, it is better not to use a tube to apply medication; instead, it is recommended to use your fingers to apply the ointment around the anal area to avoid irritating the wound.
Taking warm sitz baths can effectively alleviate pain and promote wound healing, and it is generally advised to continue sitz baths for at least two weeks.
During this period, both diarrhea and constipation should be avoided, as they can lead to significant discomfort.
It is also advisable to increase the intake of dietary fiber to ensure that the stool remains soft and easy to pass.

Reply Date: 2016/04/14

More Info

After undergoing hemorrhoid surgery, experiencing diarrhea and pain during bowel movements can be quite distressing. It's important to understand that post-surgical complications, such as diarrhea and pain, can occur due to various factors, including dietary choices, the body's healing response, and the surgical procedure itself.

Firstly, the diarrhea you are experiencing could be attributed to several factors. After surgery, your digestive system may be sensitive, and any changes in diet or medication can lead to gastrointestinal upset. The use of stool softeners or laxatives, which are often prescribed post-surgery to ease bowel movements, can sometimes result in loose stools. Additionally, if you have been consuming a diet high in fiber or certain foods that can irritate the bowel, this may also contribute to diarrhea. It’s good to hear that your doctor has prescribed anti-diarrheal medication, which can help manage this symptom.

Regarding the pain during bowel movements, this is not uncommon after hemorrhoid surgery, especially if there is a risk of the surgical site reopening or if there is irritation. The fact that you mentioned the possibility of a fissure (a small tear in the lining of the anus) is significant. Fissures can cause sharp pain during bowel movements and may require specific treatment to heal properly. It’s crucial to follow your doctor's advice regarding the use of topical medications. If applying the medication with a tube is painful, you might consider using a gentle approach, such as applying it with a cotton swab or your finger, ensuring that your hands are clean to avoid introducing bacteria.

Sitz baths are an excellent way to alleviate discomfort and promote healing. They can help relax the anal sphincter and increase blood flow to the area, which can aid in healing. It is generally recommended to take sitz baths several times a day, especially after bowel movements. While it may take a few weeks for the surgical site to heal completely, consistent sitz baths can significantly improve comfort and promote healing.

In terms of managing your bowel movements, it is essential to aim for well-formed stools. Loose stools can irritate the surgical site and lead to increased pain. A low-residue diet, which you mentioned you are following, can help reduce the frequency of bowel movements and minimize irritation. Foods that are easy to digest and low in fiber, such as white rice, bananas, applesauce, and toast, can be beneficial. However, ensure you are still getting adequate hydration, as this is crucial for overall health and can help prevent constipation.

If you find that pain persists or worsens, or if you notice any signs of infection (such as increased redness, swelling, or discharge from the surgical site), it is essential to return to your healthcare provider for further evaluation. They may need to assess the surgical site for any complications, such as an abscess or a more significant fissure that may require additional treatment.

In summary, managing pain and diarrhea after hemorrhoid surgery involves a combination of dietary adjustments, proper medication application, and supportive care like sitz baths. It is vital to maintain open communication with your healthcare provider and report any concerning symptoms promptly. Healing takes time, and with the right care, you should see improvement in your symptoms.

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