Post-hemorrhoidectomy care?
Hello, I had surgery on October 11 and was hospitalized for one night, being discharged the next day on October 12.
The doctor advised me to soak in warm water for more than 5 minutes and to place a cotton ball at the anal area afterward.
How many days do I need to keep the cotton ball in before I can stop using it? (It feels uncomfortable and a bit obstructive.) Also, I haven't had a bowel movement from October 12 to October 14; should I return to the hospital to see the doctor?
Xiao Shu, 20~29 year old female. Ask Date: 2016/10/14
Dr. Yu Mingchang reply Surgery
Hello: You may not need to use cotton balls; please come back for a follow-up to check the wound.
The Ministry of Health and Welfare Changhua Hospital cares about you.
Reply Date: 2016/10/14
More Info
After undergoing hemorrhoid surgery, proper post-operative care is crucial for a smooth recovery. It's understandable to have questions about the use of cotton balls and when to seek further medical assistance. Here’s a comprehensive overview based on your concerns.
Cotton Ball Usage Post-Surgery
The cotton ball is typically used to help absorb any drainage and to provide a barrier that can protect the surgical site. Your doctor likely advised you to use it for a specific duration to minimize the risk of infection and to promote healing. Generally, patients are advised to use cotton balls for a few days following surgery, but the exact duration can vary based on individual circumstances and the extent of the surgery.
1. Duration of Use: Most patients can stop using cotton balls after 3 to 5 days post-surgery, provided there is no excessive bleeding or drainage. If you feel discomfort or the cotton ball feels too bulky, it’s important to communicate this to your healthcare provider. They may suggest alternatives or adjustments to your care plan.
2. Signs to Seek Help: You should contact your doctor if you experience any of the following:
- Increased pain or discomfort that is not relieved by prescribed medications.
- Signs of infection, such as fever, chills, or increased redness and swelling around the surgical site.
- Excessive bleeding or drainage that soaks through the cotton ball.
- Any unusual changes in bowel habits or difficulties.
Bowel Movements Post-Surgery
It’s common for patients to experience changes in bowel habits after hemorrhoid surgery, including constipation or difficulty passing stool. This can be due to several factors, including pain, medications (especially narcotics), and dietary changes.
1. Timeframe for Bowel Movements: It’s not unusual for patients to go a couple of days without a bowel movement after surgery. However, if you have not had a bowel movement by the third day post-surgery (in your case, by 10/14), it’s advisable to take action.
2. What to Do:
- Dietary Adjustments: Increase your intake of fiber-rich foods, such as fruits, vegetables, and whole grains. Staying hydrated is also crucial, so drink plenty of fluids.
- Stool Softeners: Your doctor may recommend over-the-counter stool softeners or laxatives to help ease the process.
- Consult Your Doctor: If you still haven’t had a bowel movement after trying these methods, or if you are experiencing significant discomfort, it’s best to reach out to your healthcare provider. They can assess your situation and may recommend an examination or additional treatments.
Conclusion
In summary, you can typically stop using cotton balls a few days after surgery unless otherwise directed by your doctor. If you experience discomfort or have not had a bowel movement within a few days post-surgery, it’s important to consult your healthcare provider. They can provide guidance tailored to your specific situation and ensure that your recovery proceeds smoothly. Always prioritize open communication with your medical team, as they are best equipped to address your concerns and provide the necessary support during your recovery process.
Similar Q&A
Navigating Recovery After Hemorrhoid Surgery: Tips and Insights
Hello, doctor. I had surgery at the end of October and was hospitalized for two days before returning home to recover. I have been very careful with my diet, eating low-residue foods and supplementing with probiotics. I have been using sitz baths because using the toilet causes m...
Dr. Zhang Shuhao reply Surgery
After hemorrhoid surgery, it is sufficient to use ointment without the need for suppositories. In addition to increasing fluid intake, dietary fiber can also be gradually increased, as well-formed, bulky stools will not cause additional irritation to the wound. If there was no co...[Read More] Navigating Recovery After Hemorrhoid Surgery: Tips and Insights
Post-Surgery Bleeding After Hemorrhoid Ligation: When to Seek Help?
Hello Doctor: I have issues with internal hemorrhoids and anal fissures. I underwent a hemorrhoid ligation procedure on November 11. Although there was some minor bleeding afterward, it wasn't significant. During my follow-up appointment on November 18, the doctor said my co...
Dr. Ke Fangxu reply Surgery
If the bleeding is not severe, using suppositories can be recommended. During this period, it is advisable to avoid constipation and shorten the time spent on bowel movements. Increasing dietary fiber intake can also be helpful. Warm sitz baths should aid in alleviating symptoms....[Read More] Post-Surgery Bleeding After Hemorrhoid Ligation: When to Seek Help?
Post-Hemorrhoid Surgery: When Is It Safe to Resume Anal Sex?
Hello Dr. Chang, I have noticed blood in my stool during bowel movements for the past six months. Last month, I observed that the bleeding became more pronounced. After a doctor's examination, I was diagnosed with three internal hemorrhoids (Grade II) and one small external ...
Dr. Zhang Shuhao reply Surgery
1. After the ligation treatment for internal hemorrhoids, the wound requires two to three weeks to heal, and the newly healed area will be relatively fragile. It is recommended to wait about a month before engaging in activities, ensuring adequate relaxation and lubrication. 2....[Read More] Post-Hemorrhoid Surgery: When Is It Safe to Resume Anal Sex?
Post-Surgery Bowel Issues: Understanding Recovery After Hemorrhoid Surgery
I would like to explain my situation again. I had traditional surgery for both internal and external hemorrhoids on May 10. I am taking stool softeners regularly, but I might not be drinking enough water. Throughout the process, I have felt the urge to defecate, but when I sit on...
Dr. Zhang Shuhao reply Surgery
If there was no constipation prior to surgery, the use of castor oil and laxatives may lead to diarrhea. Additionally, with an anal wound, the sensations of urgency and the need to hold bowel movements can be affected. If fecal impaction is cleared and diarrhea begins, the dosage...[Read More] Post-Surgery Bowel Issues: Understanding Recovery After Hemorrhoid Surgery
Related FAQ
(Surgery)
Hemorrhoids(Surgery)
Prolapsed Hemorrhoid(Surgery)
Hemorrhoid Ligation(Surgery)
Hemorrhoid Ointment(Surgery)
Internal Hemorrhoid Bleeding(Surgery)
Post-Anal Fissure Surgery(Surgery)
External Hemorrhoids(Surgery)
Post-Fistula Surgery(Surgery)
Hemorrhoids(Urology)