Post-Operative Care for External Hemorrhoid Surgery: What to Expect - Surgery

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Postoperative care for external hemorrhoid surgery?


Dear Doctor, I had an outpatient surgery for external hemorrhoids at the postal hospital on July 2nd.
To this day, there is still a slight discharge, although not much.
Could this be due to my frequent diarrhea making it difficult for the wound to heal? I also notice that the wound still appears a bit red.

Xiao Wei, 40~49 year old female. Ask Date: 2017/08/15

Dr. Ke Fangxu reply Surgery


It is possible that after hemorrhoid surgery, maintaining good bowel habits is essential.
Both constipation and diarrhea can affect wound healing.
If diarrhea is severe, it is best to consult a physician for medication to take for a period of time; otherwise, it may lead to poor wound healing.

Reply Date: 2017/08/15

More Info


Post-operative care following external hemorrhoid surgery is crucial for ensuring proper healing and minimizing complications. After undergoing such a procedure, it is common to experience some degree of discomfort, swelling, and even minor bleeding or discharge from the surgical site. Here’s what you can expect and some guidelines for care.


What to Expect After Surgery
1. Discomfort and Pain: It is normal to experience pain and discomfort in the area where the surgery was performed. This can vary from mild to moderate and is usually managed with over-the-counter pain relievers or medications prescribed by your doctor.

2. Swelling and Bruising: Swelling around the surgical site is common and can last for several days. Bruising may also occur, which is a normal part of the healing process.

3. Discharge: Some discharge from the surgical site is expected. This can include a small amount of blood or serous fluid. However, if the discharge is excessive or has a foul odor, it could indicate an infection, and you should contact your healthcare provider.

4. Redness: A slight redness around the incision site can be normal, especially in the initial days following surgery. However, if the redness spreads or becomes more pronounced, it may be a sign of infection.

5. Bowel Movements: After surgery, bowel movements may be uncomfortable. It is important to avoid straining during bowel movements, as this can put pressure on the surgical site and delay healing. A high-fiber diet, adequate hydration, and possibly stool softeners can help ease this process.


Factors Affecting Healing
You mentioned experiencing diarrhea, which can indeed affect the healing of your surgical site. Frequent bowel movements can irritate the area and lead to increased discomfort and delayed healing. Here are some considerations:
- Diet: Focus on a diet rich in fiber to promote regular and soft bowel movements. Foods such as fruits, vegetables, whole grains, and legumes can help. Avoid spicy foods, caffeine, and alcohol, which may irritate the bowel.

- Hydration: Drink plenty of fluids to help keep your stool soft and prevent constipation, which can also be a concern post-surgery.

- Hygiene: Keep the surgical area clean and dry. After bowel movements, gently clean the area with mild soap and water, and pat dry. Avoid using harsh wipes or products that may irritate the skin.

- Rest: Allow your body time to heal. Avoid strenuous activities and heavy lifting for at least a few weeks post-surgery.


When to Seek Medical Attention
While some discharge and redness can be normal, there are specific signs that warrant a call to your healthcare provider:
- Increased Pain: If the pain worsens or becomes unbearable, it may indicate a complication.

- Excessive Bleeding: If you notice significant bleeding that does not stop with gentle pressure, seek medical help.

- Signs of Infection: Symptoms such as increased redness, warmth, swelling, or discharge that is foul-smelling should be evaluated by a doctor.

- Fever: A fever over 100.4°F (38°C) may indicate an infection.


Conclusion
In summary, while some discharge and redness are expected after external hemorrhoid surgery, it is essential to monitor your symptoms closely. Managing your bowel habits through diet and hydration is crucial for promoting healing. If you have concerns about your recovery or notice any alarming symptoms, do not hesitate to reach out to your healthcare provider for guidance. They can provide personalized advice based on your specific situation and ensure that your recovery progresses smoothly.

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