Recovery After Thrombosed Hemorrhoid Surgery: What to Expect

Recovery after thrombosed external and internal hemorrhoidectomy?

Hello, Dr.
Ko! I would like to ask...
I was hospitalized last week (Tuesday, May 10) for the removal of thrombosed internal and external hemorrhoids, and it has now been a week (8 days) since the surgery.
I am still experiencing bleeding when using the restroom, and there is also severe pain.
Is this normal? Additionally, the day after the surgery, I noticed some granulation tissue forming at the anal opening, which is painful when pressed.
Will this granulation tissue go away? How long does the recovery period typically take after a thrombosed hemorrhoidectomy? Can I exercise now? Is jogging permissible? During the recovery period from hemorrhoid surgery, is it true that I should avoid sitting for long periods? I apologize for asking so many questions.

Lin, 20~29 year old female. Ask Date: 2016/05/17

Dr. Ke Fangxu reply Surgery

1.
Pain and bleeding are usually more severe within the first week after hemorrhoidectomy, but they tend to decrease in the second week.
If bleeding and pain persist without improvement, it is important to consult a physician.

2.
It is normal to experience swelling and the formation of granulation tissue at the surgical site postoperatively; this will resolve as the wound heals.

3.
Generally, significant improvement is observed after two weeks, and complete wound healing takes about one month.

4.
Light exercise is permissible after surgery, but vigorous activities should be avoided.
Jogging may not be suitable.
Regardless of whether surgery was performed, prolonged sitting is not advisable; it is recommended to get up and move around every hour.

Reply Date: 2016/05/17

More Info

Recovery after thrombosed hemorrhoid surgery can be a challenging process, and it's important to understand what to expect during this time. First, it's not uncommon to experience some bleeding and pain after the procedure, especially within the first week. The presence of blood during bowel movements can be alarming, but it may be a normal part of the healing process. However, if the bleeding is excessive or if you experience severe pain, it is crucial to consult your surgeon or healthcare provider to rule out any complications.

The development of granulation tissue, which you mentioned as "meat-like growths" around the surgical site, is also a common occurrence after hemorrhoid surgery. This tissue is part of the healing process and can sometimes be sensitive or painful to the touch. In many cases, granulation tissue will resolve on its own over time, but if it persists or causes significant discomfort, your doctor may recommend treatments to help manage it.

In terms of recovery time, most patients can expect to see significant improvement within 2 to 4 weeks post-surgery. However, complete healing can take longer, and individual recovery times can vary based on factors such as the extent of the surgery, your overall health, and adherence to post-operative care instructions. During this period, it is generally advised to avoid strenuous activities, including running, until you receive clearance from your healthcare provider. Light walking is usually encouraged to promote circulation and healing, but you should avoid prolonged sitting or activities that put pressure on the surgical site.

Regarding your question about sitting, it is indeed recommended to limit prolonged sitting during the early stages of recovery. Sitting for extended periods can increase pressure on the surgical area and may exacerbate pain or discomfort. Using a cushion or a specialized donut pillow can help alleviate pressure while sitting.

As for exercise, it's best to start with gentle activities and gradually increase intensity as you feel comfortable. Always listen to your body and avoid any movements that cause pain. Your healthcare provider will give you specific guidelines based on your recovery progress.

In summary, while some bleeding and pain are normal after thrombosed hemorrhoid surgery, it's essential to monitor your symptoms closely. If you have concerns about the amount of bleeding, the pain level, or the granulation tissue, don't hesitate to reach out to your healthcare provider for advice. They can provide tailored recommendations and ensure that your recovery is on track. Remember, patience is key during the healing process, and following your doctor's instructions will help you achieve the best outcome.

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