Post-Hemorrhoid Surgery Recovery: Managing Fistulas and Bowel Movements - Surgery

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Postoperative Recovery from Hemorrhoid Surgery


Hello Dr.
Ke: It has been over two months since my traditional hemorrhoid surgery, but I have a minor fistula on the outside.
I usually eat more fruits and vegetables and drink plenty of water, but I am concerned that having hard stools might affect the healing of the wound (which would be uncomfortable), so I have been taking stool softeners and laxatives.
Can I stop taking the medication and have bowel movements on my own? Also, will the fistula heal without surgery? Thank you for your response.

Xiao Xiaojie, 20~29 year old female. Ask Date: 2017/01/22

Dr. Ke Fangxu reply Surgery


Answer: Young women with stubborn constipation often need to rely on medication.
If they prefer not to take medication, increasing the intake of dietary fiber and fluids, along with maintaining a regular lifestyle and exercise, may help achieve the goal of natural bowel movements.
For rectal prolapse, surgery is the only definitive treatment, as oral medications can only manage the symptoms.

Reply Date: 2017/01/22

More Info


Post-hemorrhoid surgery recovery can be a challenging process, especially when complications such as fistulas arise. It’s important to understand the implications of these complications and how to manage them effectively during recovery.

Firstly, it's not uncommon for patients to experience the formation of a fistula after hemorrhoid surgery. A fistula is an abnormal connection between the rectum and the skin, which can occur due to infection or inflammation in the surgical area. While some fistulas may close on their own over time, many require surgical intervention for proper healing. Therefore, it is essential to monitor the fistula closely and consult with your surgeon or a colorectal specialist to determine the best course of action.

Regarding bowel movements, it is crucial to maintain a soft stool to avoid straining, which can lead to discomfort and potentially worsen the condition of the surgical site. While you are currently using stool softeners and laxatives, it is understandable to want to transition away from these medications. However, it is advisable to do so gradually and under the guidance of your healthcare provider. You can focus on dietary changes to promote softer stools, such as increasing fiber intake through fruits, vegetables, and whole grains, while also ensuring adequate hydration.
If you feel confident in your ability to manage your bowel movements without medication, you might consider reducing the dosage of your stool softeners gradually rather than stopping them abruptly. This approach allows your body to adjust while minimizing the risk of constipation or hard stools, which could complicate your recovery.

In addition to dietary modifications, incorporating regular physical activity can also help promote healthy bowel function. Gentle exercises, such as walking, can stimulate digestion and help maintain regular bowel movements. However, be cautious with any activities that may put strain on your abdominal area, especially in the early stages of recovery.

As for the fistula, if it does not resolve on its own, surgical options may be necessary. Your healthcare provider will evaluate the fistula's characteristics, including its size and location, to determine the most appropriate treatment. In some cases, a simple procedure may suffice, while more complex fistulas may require more extensive surgical intervention.

In summary, while managing recovery from hemorrhoid surgery, it is essential to maintain soft bowel movements through dietary changes and possibly a gradual reduction of medications. Keep a close eye on the fistula and consult your healthcare provider for personalized advice and treatment options. Regular follow-ups will be crucial to ensure that both your bowel health and the fistula are managed effectively. Always prioritize open communication with your healthcare team to navigate your recovery successfully.

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