Post-operative care after hemorrhoidectomy for external hemorrhoids?
Hello Doctor: I recently underwent electrosurgery for external hemorrhoids and would like to ask about post-operative care.
I have a regular schedule for bowel movements, but each time I go, it feels excruciating, and I feel like the wound is splitting open and bleeding.
The hospital prescribed a stool softener for me, but it doesn't seem to be effective.
I previously bought a stool softener from the pharmacy, but it caused diarrhea.
I would like to know if eating a lighter diet will affect the hardness of my stool.
Additionally, what can I do to ensure my stool is softer and easier to pass? Should I continue taking the stool softener that causes diarrhea until the wound is completely healed? Thank you.
Miao Tairang, 30~39 year old female. Ask Date: 2016/05/09
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: A warm water bath may help alleviate your symptoms.
If you still have issues, it is recommended to return for a follow-up consultation with your physician and undergo an examination.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.
Reply Date: 2016/05/09
More Info
Post-operative care following external hemorrhoid electrocautery surgery is crucial for ensuring proper healing and minimizing discomfort. Here are some essential tips and recommendations to help you manage your recovery effectively.
1. Dietary Adjustments
- Fiber Intake: Increasing your fiber intake is vital for softening stools and preventing constipation. Aim for a diet rich in fruits, vegetables, whole grains, and legumes. Foods like oats, beans, and leafy greens can help promote softer stools.
- Hydration: Drink plenty of water throughout the day. Staying well-hydrated is essential for maintaining stool softness. Aim for at least 8-10 glasses of water daily, unless otherwise advised by your physician.
- Avoid Straining: When using the restroom, avoid straining or sitting for prolonged periods. This can exacerbate pain and lead to complications. If you feel the urge to go, try to respond promptly rather than waiting.
2. Medication Management
- Stool Softeners: Continue using the stool softeners prescribed by your doctor. If you find that they cause diarrhea, consult your physician about adjusting the dosage or trying a different type. It’s essential to find a balance that allows for soft stools without causing excessive loose stools.
- Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage discomfort. Follow the recommended dosages and consult your doctor if pain persists.
3. Post-Operative Care
- Wound Care: Keep the surgical area clean and dry. Follow your surgeon's instructions regarding bathing and changing dressings. Avoid using harsh soaps or scrubs on the area.
- Sitz Baths: Taking warm sitz baths several times a day can help soothe the area and promote healing. Soaking for about 15-20 minutes can relieve pain and reduce swelling.
- Avoid Heavy Lifting: Refrain from heavy lifting or strenuous activities for at least a few weeks post-surgery. This can help prevent undue pressure on the surgical site.
4. Monitoring Symptoms
- Watch for Complications: Keep an eye out for signs of infection, such as increased redness, swelling, or discharge from the surgical site. If you experience severe pain, fever, or persistent bleeding, contact your healthcare provider immediately.
- Regular Follow-ups: Attend all scheduled follow-up appointments with your surgeon. These visits are crucial for monitoring your recovery and addressing any concerns.
5. Lifestyle Modifications
- Regular Exercise: Engage in light physical activity, such as walking, to promote bowel function and overall health. Avoid high-impact exercises until you receive clearance from your doctor.
- Stress Management: Stress can negatively impact digestion and bowel movements. Consider relaxation techniques such as deep breathing, meditation, or gentle yoga to help manage stress levels.
Conclusion
Recovery from external hemorrhoid electrocautery surgery can be uncomfortable, but with proper care and attention to your diet and lifestyle, you can facilitate healing and minimize pain. If you find that your symptoms persist or worsen, do not hesitate to reach out to your healthcare provider for further guidance. Remember, your comfort and health are paramount during this recovery period.
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