Managing Pain After Hemorrhoid Ligation: Tips for Recovery - Surgery

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Internal hemorrhoid ligation


Hello, doctor.
I underwent a hemorrhoid ligation surgery for internal hemorrhoids last week, and it has been 5 days since the procedure.
The pain eased on the third day, but after returning to work on the fourth day, I started to feel pain again, and the internal hemorrhoid has protruded.
Additionally, I am currently on my menstrual period, which makes it difficult to take sitz baths for pain relief.
Given that I am menstruating, it also seems inappropriate to return for a follow-up appointment.
What can I do to alleviate the pain?

Wa, 30~39 year old female. Ask Date: 2016/06/29

Dr. Yu Mingchang reply Surgery


Hello: Please take a warm sitz bath, and when you have time, visit the outpatient clinic at Changhua Hospital, Ministry of Health and Welfare, to check on your health.

Reply Date: 2016/06/29

More Info


Managing pain after hemorrhoid ligation can be challenging, especially when combined with menstrual discomfort. Here are some strategies to help alleviate your pain and promote recovery:
1. Pain Management Medications: Over-the-counter pain relievers such as acetaminophen (Tylenol) or nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin) can be effective in managing pain. Make sure to follow the recommended dosages and consult your healthcare provider if you have any underlying health conditions or are taking other medications.

2. Topical Treatments: Applying topical anesthetics or creams specifically designed for hemorrhoid relief can provide localized pain relief. Products containing witch hazel or hydrocortisone may help reduce inflammation and soothe the area.

3. Cold Compresses: Applying a cold pack to the affected area for 15-20 minutes can help reduce swelling and numb the pain. Make sure to wrap the ice pack in a cloth to avoid direct contact with the skin.

4. Dietary Adjustments: To prevent constipation, which can exacerbate hemorrhoid pain, ensure you are consuming a high-fiber diet. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying well-hydrated by drinking plenty of water is also crucial.

5. Gentle Movement: While it may be uncomfortable, gentle movement can promote blood circulation and aid in recovery. Avoid prolonged sitting or standing, and try to take short walks as tolerated.

6. Sitz Baths: Although you mentioned difficulty with sitz baths due to your menstrual cycle, if you can find a way to manage it, soaking in warm water for 10-15 minutes can provide significant relief. If a full sitz bath is not possible, consider using a peri bottle to gently cleanse the area after bowel movements.

7. Avoid Straining: During bowel movements, avoid straining or sitting for prolonged periods on the toilet. If you feel the urge to go, try to respond promptly to prevent worsening your symptoms.

8. Follow-Up Care: If your symptoms persist or worsen, it is essential to follow up with your healthcare provider. They can assess your condition and determine if further intervention is necessary. If you are concerned about your menstrual cycle affecting your ability to seek care, consider discussing this with your provider to find a suitable time for a follow-up.

9. Menstrual Management: If your menstrual cycle is causing additional discomfort, consider using heat pads on your abdomen to alleviate menstrual cramps, which may help you feel more comfortable overall.

10. Rest and Recovery: Ensure you are getting adequate rest to allow your body to heal. Stress and fatigue can exacerbate pain perception, so prioritize self-care during this recovery period.

In summary, managing pain after hemorrhoid ligation involves a combination of medication, topical treatments, dietary adjustments, and self-care strategies. If your pain continues or you experience new symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and treatment options. Your comfort and recovery are paramount, and there are multiple avenues to explore for relief.

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