Post-Hemorrhoid Surgery: Managing Complications and Recovery Tips

Post-Hemorrhoid Surgery

Director Ke: Hello, I previously asked you about the issue of anal discharge after my hemorrhoid surgery (on September 11).
You advised me to start with a light diet and then follow up with my doctor, which I have done.
My surgeon mentioned that the large scar tissue from the surgery is causing this issue, and it's considered a postoperative complication that cannot be resolved.
He prescribed a suppository called "Xiyu Zhi" for me to use before bed.
Is there really no other way to improve this? Is the suppository he prescribed effective? I also noticed a slight amount of blood when I gently wipe with toilet paper after a bowel movement.
Is this normal? My stool is normal, not hard, and there is no blood in it.
Thank you, Director Ke.

Xiao Dai, 30~39 year old female. Ask Date: 2017/11/04

Dr. Ke Fangxu reply Surgery

The size of a scar from a wound can only be accurately assessed by direct observation.
In the past, there was a surgical procedure known as the Whitehead operation, which involved the complete excision of hemorrhoidal tissue followed by the suturing of the rectal mucosa.
This procedure often resulted in such complications, which is why it is no longer performed by physicians.
If this type of surgery is indeed the case, there may be no solution.
However, if it is not, the use of suppositories may lead to gradual improvement.
It is important to remember that bowel movements should be quick and decisive; prolonged straining should be avoided, as it can lead to the inevitable occurrence of mucus discharge and bleeding.

Reply Date: 2017/11/04

More Info

After undergoing hemorrhoid surgery, it is not uncommon for patients to experience complications such as anal discharge, bleeding, or discomfort. Your situation, where you are experiencing anal discharge and slight bleeding after bowel movements, is something that many patients face post-surgery. Let’s break down your concerns and provide some guidance on managing these complications and enhancing your recovery.

Understanding Post-Surgery Symptoms
1. Anal Discharge: The presence of anal discharge, particularly if it is clear or slightly yellow, can be a result of the healing process. After surgery, the tissues in the anal area are sensitive and may produce fluid as they heal. This is generally not a cause for alarm unless it is accompanied by foul odor, significant pain, or changes in color indicating infection.

2. Slight Bleeding: A small amount of blood on toilet paper after a bowel movement can be normal, especially if the stool is firm or if you are straining. However, if the bleeding is persistent, increases in volume, or is accompanied by pain, it is essential to consult your healthcare provider.

Recommendations for Recovery
1. Dietary Adjustments: Continuing to eat a high-fiber diet is crucial. Foods rich in fiber, such as fruits, vegetables, and whole grains, can help soften stools and reduce straining during bowel movements. Staying well-hydrated is equally important, as it aids in digestion and helps prevent constipation.

2. Use of Suppositories: The suppository prescribed by your doctor, such as "喜癒痣" (which may contain ingredients to soothe the anal area), can be beneficial. These medications often help reduce inflammation and promote healing. It is essential to follow the instructions provided by your physician regarding their use.

3. Hygiene Practices: Maintaining proper hygiene is vital. After bowel movements, gently clean the area with water instead of wiping with toilet paper, which can irritate the sensitive skin. Consider using moist wipes that are alcohol-free and fragrance-free.

4. Avoid Straining: It is crucial to avoid straining during bowel movements. If you find yourself straining, consider using a stool softener or a mild laxative as recommended by your healthcare provider.

5. Pain Management: If you experience discomfort, over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage pain. However, consult your doctor before taking any medication to ensure it is appropriate for your situation.

6. Follow-Up Appointments: Regular follow-ups with your surgeon are essential. They can monitor your healing progress and address any complications that may arise. If your symptoms persist or worsen, do not hesitate to reach out to your healthcare provider.

When to Seek Medical Attention
- Increased Bleeding: If you notice a significant increase in bleeding or if the bleeding does not stop after a few minutes.

- Signs of Infection: Symptoms such as fever, increased pain, swelling, or discharge that has a foul odor.

- Severe Pain: If you experience severe pain that is not relieved by over-the-counter medications.

Conclusion
While it can be concerning to experience complications after hemorrhoid surgery, many patients do recover well with appropriate care and management. Following your doctor's recommendations, maintaining a healthy diet, and practicing good hygiene can significantly enhance your recovery process. If you have any doubts or if your symptoms change, always consult your healthcare provider for personalized advice. Remember, healing takes time, and it is essential to be patient with your body as it recovers from surgery.

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