Traveling After Rubber Band Ligation Surgery: What You Need to Know

Inquiry about traveling abroad after rubber band ligation surgery?

Hello, Dr.
Ke.
At the beginning of August this year, I experienced a dull pain in my anus, but there was no bleeding during bowel movements.
I consulted the first doctor, who diagnosed me with swollen internal hemorrhoids.
However, a few days later, the dull pain persisted, and I had a slight fever (around 37.1°C).
Since the original hospital was closed, I visited another doctor, who said it was an anal abscess that had ruptured.
Upon follow-up, he mentioned that a fistula had formed, and that surgery was necessary for a complete cure.
I am somewhat fearful of the fistula surgery, but it seems necessary.
A few days ago, I felt a small lump near my anus that was painful to touch, but there was no pain or bleeding during bowel movements.
After applying medication, the pain subsided, and it seemed to shrink a bit.
I thought I should seek a definitive treatment, so yesterday I consulted a third doctor.
He said he couldn't find an external opening, so there was no fistula, only internal hemorrhoids.
He asked if I wanted treatment, and I agreed, later realizing it would be a rubber band ligation procedure.
Currently, I feel a constant urge to have a bowel movement, but there is no pain.
Since I am scheduled to travel abroad on October 14, I would like to know if it is convenient to travel under these circumstances.
I will be in a hot spring area from October 17 to October 21; is it safe to soak in the hot springs considering this is a long-awaited trip? As for the fistula issue, I am hesitant about whether to consult another doctor for confirmation.

Ting Hsuan, 40~49 year old female. Ask Date: 2016/10/04

Dr. Ke Fangxu reply Surgery

First of all, if you have travel plans in the near future, I recommend that you postpone the surgery.
After all, an anal fistula does not necessarily require immediate surgery.
You wouldn't want the surgical wound to interfere with your travel plans or to face complications abroad that cannot be addressed in a timely manner.
As for whether it is indeed a fistula, it would be better to consult a second physician for confirmation.

Reply Date: 2016/10/04

More Info

Traveling after rubber band ligation surgery can be a concern, especially if you have upcoming plans like a trip to a hot spring area. Here are some considerations and recommendations based on your situation:

Post-Operative Recovery
Rubber band ligation is a common procedure for treating hemorrhoids, particularly internal ones. After the procedure, it’s normal to experience some discomfort, a sensation of fullness, or a feeling of urgency to have a bowel movement. These symptoms can vary in intensity and duration from person to person. Since you mentioned that you are not experiencing pain but have a persistent feeling of needing to defecate, this is likely a normal part of the recovery process.

Traveling Considerations
1. Traveling Soon After Surgery: Since your surgery was recent and you have a trip planned shortly after, it’s essential to listen to your body. If you feel stable and your symptoms are manageable, traveling should be fine. However, if you experience increased discomfort or any concerning symptoms, it may be wise to reconsider your travel plans or consult your physician.

2. Hot Springs: Soaking in hot springs can be soothing, but it’s crucial to consider the following:
- Hygiene: Ensure that the hot springs are clean and well-maintained to avoid any risk of infection, especially since your body is healing.

- Heat Sensitivity: Hot water can increase blood flow and may exacerbate any swelling or discomfort in the area. If you choose to soak, limit your time in the water and monitor how you feel.

- Avoiding Strain: Be cautious when getting in and out of the hot spring, as sudden movements can strain the area.

3. Bowel Movements: Given that you may experience a sensation of urgency, ensure you have access to clean and comfortable restroom facilities during your travels. It may also be helpful to maintain a diet that supports regular bowel movements, such as consuming fiber-rich foods and staying hydrated.

Follow-Up Care
Regarding the potential issue of a fistula, if you have concerns about the diagnosis or the presence of a fistula, it’s advisable to seek a second opinion from a colorectal specialist. They can provide clarity on your condition and recommend appropriate treatment if necessary. It’s always better to address any uncertainties, especially when it comes to surgical outcomes.

Conclusion
In summary, traveling after rubber band ligation surgery can be manageable if you take the necessary precautions. Listen to your body, maintain good hygiene, and be cautious about your activities, especially in a hot spring environment. If you have any doubts or experience unusual symptoms, don’t hesitate to consult your healthcare provider for personalized advice. Enjoy your trip, and prioritize your health and comfort during your travels!

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