Postoperative issues?
Hello Dr.
Ke,
I underwent traditional hemorrhoid surgery in June 2015, during which both internal and external hemorrhoids were excised.
However, my recovery has not been satisfactory.
I have a regular bowel movement once a day, but I notice some blood on the stool, particularly at the end.
This occurs even with soft stools, and with hard stools, it is accompanied by pain.
There is no dripping of blood.
I sit in warm water 2 to 3 times daily, but it seems to have little effect.
I also experience anal pain during light exercise.
I am very apprehensive about returning for a follow-up.
After the surgery, I attended three follow-up appointments, and each time the digital examination resulted in bleeding.
Could you please advise me on how to address my post-surgical recovery issues? Thank you.
Jin Yu, 40~49 year old female. Ask Date: 2016/05/21
Dr. Ke Fangxu reply Surgery
Mild bleeding within one month after hemorrhoid surgery is considered normal.
During this period, it is recommended to avoid constipation and to take warm sitz baths frequently.
However, if there is heavy bleeding or if the bleeding lasts longer than one month, it is important to consult a physician for further evaluation and treatment.
Reply Date: 2016/05/21
More Info
After undergoing hemorrhoid surgery, it is not uncommon for patients to experience some discomfort and complications during the recovery process. Your symptoms of bleeding and pain during bowel movements, especially when passing hard stools, are concerning and warrant a closer look.
First and foremost, it is essential to understand that the surgical site can take time to heal, and some bleeding can be expected, particularly if you are experiencing hard stools. The presence of blood on the stool or toilet paper can be indicative of irritation or trauma to the surgical area. Here are some strategies to help manage your recovery and alleviate your symptoms:
1. Dietary Adjustments: A high-fiber diet is crucial for preventing constipation and ensuring softer stools. Incorporate plenty of fruits, vegetables, whole grains, and legumes into your meals. Additionally, consider using a fiber supplement if you struggle to get enough fiber from food alone. Staying well-hydrated by drinking plenty of water is also essential.
2. Stool Softeners: Over-the-counter stool softeners can be beneficial in easing the passage of stools and reducing strain during bowel movements. These medications can help prevent hard stools, which can exacerbate pain and bleeding.
3. Warm Sitz Baths: You mentioned that you are already taking warm sitz baths 2-3 times a day. This practice can help soothe the area, reduce inflammation, and promote healing. Ensure that the water is warm but not hot, and consider adding Epsom salts for additional relief.
4. Pain Management: If you are experiencing significant pain, over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage discomfort. However, consult your healthcare provider before taking any medication to ensure it is appropriate for your situation.
5. Avoid Straining: It is crucial to avoid straining during bowel movements, as this can lead to further irritation and bleeding. If you feel the urge to push, try to relax and allow your body to do the work naturally. If you are having difficulty, consider using a stool softener or laxative as needed.
6. Follow-Up Care: Since you have experienced bleeding during follow-up visits, it is essential to communicate these symptoms to your healthcare provider. They may want to perform a more thorough examination to ensure there are no complications, such as infection or excessive scar tissue formation. It is understandable to feel apprehensive about follow-up appointments, but they are crucial for monitoring your recovery.
7. Physical Activity: While light exercise can be beneficial for overall health, be cautious with activities that put pressure on the pelvic area. Gradually increase your activity level as tolerated, but avoid heavy lifting or strenuous exercises until you have fully healed.
8. Monitor Symptoms: Keep track of your symptoms, including the frequency and amount of bleeding, pain levels, and any changes in bowel habits. This information will be helpful for your healthcare provider in assessing your recovery.
9. Consider Professional Help: If your symptoms persist or worsen, it may be necessary to consult a specialist, such as a colorectal surgeon, for further evaluation. They can provide additional treatment options or interventions if needed.
In summary, while some discomfort and bleeding can be part of the recovery process after hemorrhoid surgery, it is essential to manage your symptoms proactively. By making dietary changes, using stool softeners, and maintaining open communication with your healthcare provider, you can work towards a smoother recovery. If you have any concerns or if your symptoms do not improve, do not hesitate to seek further medical advice. Your health and comfort are paramount, and addressing these issues early can help prevent more significant complications down the line.
Similar Q&A
Managing Post-Surgery Care After Hemorrhoid Surgery: A Patient's Guide
Hello, doctor. I have been experiencing significant bleeding and have had to repeatedly visit the emergency room for re-suturing after my mixed hemorrhoid surgery two weeks ago, despite following all the postoperative care instructions provided. I am unsure how to manage this sit...
Dr. Ke Fangxu reply Surgery
Answer: The likelihood of postoperative bleeding after hemorrhoid surgery is very low and is generally believed to be related to the absorption of sutures. If bleeding occurs and has already been addressed with two suturing procedures, it is unlikely to happen again and should no...[Read More] Managing Post-Surgery Care After Hemorrhoid Surgery: A Patient's Guide
Post-Hemorrhoid Surgery: Dealing with Persistent Pain and Bleeding
I underwent hemorrhoidectomy on June 28th last month, and for almost two weeks, I did not experience any bleeding or pain. However, after riding my bike last week, I started to bleed, and it has been three weeks since then. I still feel pain when walking, which makes me think the...
Dr. Ke Fangxu reply Surgery
After hemorrhoid surgery, it is best to avoid cycling for at least a month. Prolonged sitting on a small saddle can potentially cause the wound to reopen. If there is no severe pain or significant bleeding, using topical ointments and taking warm sitz baths will help the healing ...[Read More] Post-Hemorrhoid Surgery: Dealing with Persistent Pain and Bleeding
Post-Surgery Complications: Excessive Bleeding After Hemorrhoid Banding
Hello Dr. Ke, In July, I experienced fresh blood spraying out while using the restroom for several days. After seeing a doctor, I underwent three hemorrhoid ligation surgeries (with three-week intervals). For the first surgery, I felt pain for about one night, but it was manag...
Dr. Ke Fangxu reply Surgery
1. If hemorrhoid ligation is performed too close to the dentate line, it can result in severe pain as a complication. If the pain is unbearable, it is necessary to remove the rubber band ligature. 2. This issue cannot be addressed without a personal examination. You may consult...[Read More] Post-Surgery Complications: Excessive Bleeding After Hemorrhoid Banding
Post-Hemorrhoid Surgery: Managing Pain and Blood in Stool
Hello doctor, I underwent minimally invasive surgery for hemorrhoids, specifically for internal hemorrhoids, using a coagulation knife. It's been a week since the procedure, and I am still experiencing pain, primarily on one side of the anus. The doctor has prescribed antibi...
Dr. Yu Mingchang reply Surgery
Drink more water to help dissolve it, and come back for a follow-up appointment when you have time.[Read More] Post-Hemorrhoid Surgery: Managing Pain and Blood in Stool
Related FAQ
(Surgery)
Internal Hemorrhoid Bleeding(Surgery)
Anal Bleeding(Surgery)
Hemorrhoids(Surgery)
Hemorrhoid Ligation(Surgery)
Thrombosed External Hemorrhoids(Surgery)
Anal Pain(Surgery)
Prolapsed Hemorrhoid(Surgery)
Post-Anal Fissure Surgery(Surgery)
Postoperative(Surgery)