Managing Post-Surgery Care After Hemorrhoid Surgery: A Patient's Guide - Surgery

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After hemorrhoid electrosurgery, there were two consecutive episodes of severe bleeding, requiring an emergency room visit?


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 situation and am concerned about potential complications.
I would like to ask for details regarding postoperative care.

Niming, 20~29 year old female. Ask Date: 2016/12/14

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 not leave any lasting complications.
There is no need for excessive worry.
Postoperative care primarily involves avoiding constipation and minimizing the time spent during bowel movements; there are no other specific precautions that need to be taken.

Reply Date: 2016/12/14

More Info


After undergoing hemorrhoid surgery, particularly in cases where complications such as excessive bleeding have occurred, it is crucial to follow a comprehensive post-operative care plan to ensure proper healing and minimize the risk of further complications. Here are some key considerations and recommendations for managing post-surgery care after hemorrhoid surgery:

1. Wound Care
- Keep the Area Clean: After each bowel movement, gently clean the anal area with mild soap and warm water. Avoid using harsh soaps or scrubbing the area.

- Drying: Pat the area dry with a soft towel. Avoid rubbing, as this can irritate the surgical site.

- Dressing Changes: If your doctor has provided specific dressings, change them as directed. Keep an eye out for any signs of infection, such as increased redness, swelling, or discharge.


2. Pain Management
- Medications: Take prescribed pain medications as directed. Over-the-counter pain relievers like acetaminophen or ibuprofen can also help manage discomfort, but consult your doctor before taking any new medications.

- Warm Baths: Soaking in a warm bath (sitz bath) for 15-20 minutes several times a day can help relieve pain and promote healing.


3. Dietary Adjustments
- High-Fiber Diet: To prevent constipation and straining during bowel movements, consume a diet rich in fiber. Include fruits, vegetables, whole grains, and legumes.

- Hydration: Drink plenty of fluids, ideally 8-10 glasses of water daily, to help soften stool and ease bowel movements.

- Avoid Certain Foods: Stay away from spicy foods, caffeine, and alcohol, as these can irritate the digestive system and exacerbate discomfort.


4. Bowel Management
- Stool Softeners: Your doctor may recommend stool softeners to facilitate easier bowel movements. Follow their guidance on usage.

- Avoid Straining: During bowel movements, avoid straining or sitting for prolonged periods. If you feel the urge to go, respond promptly to avoid constipation.


5. Activity Level
- Rest: Ensure you get plenty of rest, especially in the first few days post-surgery. Avoid strenuous activities and heavy lifting for at least a few weeks.

- Gradual Return to Activity: As you begin to feel better, gradually reintroduce light activities. Walking is encouraged, but avoid high-impact exercises until cleared by your doctor.


6. Monitoring for Complications
- Watch for Symptoms: Be vigilant for signs of complications, such as:
- Excessive bleeding (more than a few drops of blood)
- Severe pain that is not relieved by medication
- Fever or chills
- Signs of infection (increased redness, swelling, or discharge)
- Follow-Up Appointments: Attend all scheduled follow-up appointments with your surgeon to monitor healing and address any concerns.


7. Emotional Well-being
- Support: Surgery can be emotionally taxing. Seek support from family or friends, and consider speaking with a counselor if you feel overwhelmed.


Conclusion
Post-operative care after hemorrhoid surgery is vital for a successful recovery. By adhering to these guidelines and maintaining open communication with your healthcare provider, you can help ensure a smoother healing process and reduce the risk of complications. If you experience any unusual symptoms or have concerns about your recovery, do not hesitate to reach out to your healthcare provider for guidance.

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