Post-Surgery Concerns: Managing Hemorrhoid Recovery and Symptoms

Postoperative issues related to hemorrhoid surgery?

Hello Dr.
Ko,
The situation is as follows: Four months ago, I underwent a hemorrhoid electrocoagulation surgery.
After the surgery, I had sitz baths and used a topical ointment prescribed by the doctor (I don't know the name of the medication) along with some antibiotics.
About a month later, I noticed that the skin was affecting my bowel movements, so the doctor removed a portion of the skin, which made my bowel movements smoother.
After that, I applied the ointment for about two months, but I still occasionally noticed some blood and a slight burning sensation.
The doctor mentioned that my stools were too hard and advised me to eat more vegetables and drink more water.
I have improved my diet for about a month now, and my stools are softer.
Occasionally, I still experience a burning sensation, but I still have the issue of blood in my stools.
It’s not a lot, but even when there is no burning sensation, there is still some blood.
Is this normal?

Luo Ke, 20~29 year old female. Ask Date: 2016/10/30

Dr. Ke Fangxu reply Surgery

The recovery period after anal surgery typically takes about one to two months.
If there is still pain four months post-surgery, and it is not due to poor wound healing, it may indicate other issues.
Based on your description, it seems more like an anal fissure.
It is recommended to maintain a light diet and good lifestyle habits.
If symptoms persist without improvement, you can ask your physician for medication.
If there is still no improvement or if you are very concerned, a colonoscopy can be arranged.

Reply Date: 2016/10/30

More Info

After undergoing hemorrhoid surgery, it is not uncommon for patients to experience a range of symptoms and concerns during their recovery. In your case, it seems that you have been following your doctor's advice regarding post-operative care, including sitz baths and the application of topical medications. However, the presence of blood during bowel movements, even if it is minimal, can be concerning and warrants further discussion.

Firstly, it is important to understand that some bleeding can occur after hemorrhoid surgery, especially if the surgical site is still healing. The presence of blood in your stool or on toilet paper may be due to several factors, including:
1. Healing Process: After surgery, the tissues in the anal area may still be inflamed or sensitive, leading to minor bleeding as they heal. This is particularly true if you have had any additional procedures, such as the removal of excess skin, which can further irritate the area.

2. Bowel Movements: You mentioned that you have been advised to maintain softer stools by increasing your fiber intake and hydration. Hard stools can cause straining during bowel movements, which may lead to irritation or re-injury of the surgical site. Even with softer stools, if you are experiencing any discomfort or straining, it could contribute to bleeding.

3. Anal Fissures: Sometimes, patients may develop anal fissures, which are small tears in the lining of the anus. These can occur due to passing hard stools or as a result of the surgical procedure itself. Fissures can cause sharp pain and bleeding during bowel movements.

4. Infection or Complications: Although less common, it is possible for infections or other complications to arise post-surgery, which could lead to bleeding. Symptoms of infection may include increased pain, swelling, or discharge.

Given your ongoing symptoms, it is essential to follow up with your healthcare provider. They may recommend a physical examination to assess the surgical site and determine if there are any underlying issues that need to be addressed. Here are some steps you can take to manage your recovery and symptoms:
- Keep a Symptom Diary: Document when you experience bleeding, the consistency of your stools, and any associated symptoms. This information can be helpful for your doctor in diagnosing any potential issues.

- Dietary Adjustments: Continue to focus on a high-fiber diet, including fruits, vegetables, and whole grains, to promote softer stools. Staying well-hydrated is also crucial.

- Avoid Straining: If you feel the urge to strain during bowel movements, consider using a stool softener or a gentle laxative as recommended by your doctor.

- Follow-Up Appointments: Schedule a follow-up appointment with your surgeon or gastroenterologist to discuss your ongoing symptoms. They may perform a physical examination or recommend further imaging or tests if necessary.

- Pain Management: If you experience discomfort, discuss pain management options with your healthcare provider. They may suggest over-the-counter pain relief or topical treatments to ease discomfort.

In conclusion, while some bleeding can be a normal part of the healing process after hemorrhoid surgery, persistent or significant bleeding should not be ignored. It is crucial to communicate openly with your healthcare provider about your symptoms and concerns to ensure a smooth recovery and to address any potential complications.

Similar Q&A

Post-Surgery Concerns: Managing Bowel Issues After Hemorrhoid Surgery

Hello Dr. Ke: I am a long-term patient with hemorrhoids and also have issues with fistulas. I delayed treatment for a long time and finally underwent surgery in February of last year. I have been very worried about my recovery, but during several follow-up visits, my attending ph...

Dr. Ke Fangxu reply Surgery
After general anal surgery, we typically prescribe stool softeners for patients. If diarrhea occurs, the first step is to stop taking the stool softeners, as they can affect wound healing. Additionally, hemorrhoid ointment should be used to treat skin inflammation around the anal...

Post-Surgery Recovery: Managing Bowel Issues After Hemorrhoid Surgery

Hello Doctor, my father (79 years old) underwent minimally invasive surgery for hemorrhoids (PPH hemorrhoidectomy) on March 1st of this year. Due to his enlarged prostate issue, he had a urinary catheter for about a month post-surgery. For the first two months, he experienced fec...

Dr. Zhang Shuhao reply Surgery
Generally, hemorrhoidectomy wounds heal within a few weeks, and there should be no issues with incontinence. Benign prostatic hyperplasia may lead to short-term urinary difficulties post-surgery, but it does not affect bowel movements in the long term. Based on the description, t...

Post-Surgery Recovery Issues: Managing Pain and Bleeding After Hemorrhoid Surgery

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, particularl...

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...

Post-Surgery Concerns: Managing Symptoms After Hemorrhoid Surgery

Hello, I underwent surgery for hemorrhoids (stage III mixed hemorrhoids) at Chang Gung Memorial Hospital on September 20. After finishing the medication from Chang Gung on September 30, I noticed that my bowel movements have been loose and unformed since the surgery. Today, Octob...

Dr. Ke Fangxu reply Surgery
After hemorrhoid surgery, doctors typically prescribe stool softeners to prevent constipation. If bowel movements are too loose, it is recommended to discontinue the stool softeners. Symptoms of anal stenosis include difficulty in bowel movements accompanied by pain. Your situati...