Post-Surgery Exercise Guidelines for Internal Hemorrhoid Ligation - Surgery

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What exercises can be done after hemorrhoid ligation surgery?


After hemorrhoid ligation surgery, is it safe to (1) walk on a treadmill for one hour a day (at a slow pace), (2) swim for one hour (approximately 1500 meters), and (3) do 20 push-ups at a time? Appreciate in advance.

Maike, 40~49 year old female. Ask Date: 2016/05/06

Dr. Ke Fangxu reply Surgery


Since the wound from internal hemorrhoid ligation is located inside the anus, regular exercise is generally not affected as long as it does not cause pain or discomfort.
However, it is advisable not to overexert oneself during the first week after the procedure.

Reply Date: 2016/05/06

More Info


After undergoing internal hemorrhoid ligation, it's crucial to approach exercise with caution to ensure proper healing and avoid complications. The guidelines for post-surgery exercise can vary based on individual recovery and the specific recommendations of the surgeon, but I can provide some general advice based on common practices in the medical field.

1. Walking on a Treadmill: Walking is generally considered a safe and beneficial form of exercise after hemorrhoid surgery, provided that it is done at a moderate pace. Walking for an hour on a treadmill at a slow to moderate speed should be acceptable, as it promotes circulation and helps prevent complications like blood clots. However, it’s essential to listen to your body. If you experience any discomfort or pain during or after the activity, it’s advisable to stop and consult your physician.

2. Swimming: Swimming can be a great low-impact exercise that is often recommended after various types of surgeries, including hemorrhoid ligation. Swimming for an hour, covering approximately 1500 meters, is typically acceptable as long as you feel comfortable and do not experience any pain. However, ensure that the surgical site is adequately healed before exposing it to chlorinated water, as this could potentially irritate the area. Always check with your doctor to confirm that swimming is appropriate for your specific situation.

3. Push-Ups: Performing push-ups can be a bit more complicated. While upper body exercises like push-ups can generally be safe, they may put some strain on your core and pelvic area, which could be sensitive after surgery. If you feel comfortable and do not experience any pain, starting with a few repetitions (like 20 push-ups) may be acceptable. However, if you feel any discomfort in the abdominal or pelvic region, it’s best to avoid this exercise until you receive clearance from your healthcare provider.


Additional Considerations:
- Listen to Your Body: The most important guideline is to listen to your body. If any activity causes pain or discomfort, it’s best to stop and consult your physician.

- Gradual Progression: Start with light activities and gradually increase the intensity and duration as you feel more comfortable and as your body allows. This approach helps prevent overexertion and complications.

- Avoid Straining: After hemorrhoid surgery, it’s crucial to avoid any activities that may cause straining, especially those that involve heavy lifting or intense abdominal pressure. This includes activities like heavy weightlifting or high-impact exercises.

- Hydration and Diet: Maintaining proper hydration and a high-fiber diet can help prevent constipation, which is essential for recovery after hemorrhoid surgery. Straining during bowel movements can lead to complications, so it’s vital to keep your digestive system functioning smoothly.

- Follow-Up Care: Regular follow-up appointments with your healthcare provider are essential to monitor your recovery and address any concerns. They can provide personalized advice based on your healing progress.

In summary, moderate walking and swimming are generally safe post-surgery activities, while push-ups should be approached with caution. Always prioritize your comfort and consult your healthcare provider for personalized recommendations tailored to your recovery.

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