Post-Surgery Urgency: Managing Discomfort After Hemorrhoid Surgery - Surgery

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After hemorrhoid surgery, there may be a strong urge to urinate?


About six hours post-surgery, I had my first bowel movement, which involved slight bleeding, and the stool was loose.
After about five minutes, I experienced the urge to defecate again, which persisted for over four hours.
I received a muscle relaxant, but the urge remained strong.
Soaking in warm water did not help.

What can be done to alleviate the urge to defecate? Could this be related to an issue with the surgical site?

Mr. Hsieh, 20~29 year old female. Ask Date: 2018/03/06

Dr. Ke Fangxu reply Surgery


It is normal to experience discomfort after surgery.
If you are currently hospitalized, please communicate your symptoms to the healthcare staff in the hospital and have the surgeon or on-call physician address your concerns, rather than seeking advice from unfamiliar doctors online.

Reply Date: 2018/03/06

More Info


After hemorrhoid surgery, experiencing discomfort and urgency to defecate can be quite common, especially within the first few hours post-operation. The symptoms you describe, including slight bleeding, a feeling of urgency, and the presence of loose stools, can be attributed to several factors related to the surgical procedure and the body’s healing process.

Firstly, it is important to understand that during hemorrhoid surgery, the tissue around the anal area is manipulated, which can lead to temporary inflammation and irritation. This irritation can cause a heightened sensitivity in the rectal area, leading to an increased urge to defecate. Additionally, the use of anesthesia and pain medications can affect bowel function, sometimes resulting in changes in stool consistency, such as diarrhea or loose stools.

The slight bleeding you mentioned could be a result of the surgical site still healing. It is not uncommon for patients to experience some bleeding after bowel movements in the days following surgery. However, if the bleeding is significant or continues, it is crucial to contact your healthcare provider to rule out any complications.

To manage the discomfort and the persistent urge to defecate, here are several strategies you can consider:
1. Hydration and Diet: Ensure you are drinking plenty of fluids and consuming a diet high in fiber. This can help to form more solid stools and reduce the urgency. Foods such as fruits, vegetables, and whole grains are beneficial.

2. Stool Softeners: Over-the-counter stool softeners can help ease the passage of stools and reduce straining, which is particularly important after surgery to avoid aggravating the surgical site.

3. Warm Baths: Soaking in a warm bath (sitz bath) can provide relief from discomfort and help relax the anal muscles, which may alleviate the sensation of urgency.

4. Pain Management: If you are experiencing significant discomfort, discuss with your doctor about adjusting your pain management regimen. Sometimes, switching medications or dosages can help alleviate discomfort.

5. Avoid Straining: It is essential to avoid straining during bowel movements, as this can exacerbate pain and lead to complications. If you feel the urge to go, try to relax and allow your body to do its work naturally.

6. Follow-Up Care: If the urgency persists or worsens, or if you experience increased pain or bleeding, it is important to follow up with your surgeon or healthcare provider. They may want to examine the surgical site to ensure there are no complications such as infection or improper healing.

In summary, while some discomfort and urgency after hemorrhoid surgery can be normal, it is essential to monitor your symptoms closely. Implementing the above strategies may help alleviate your discomfort. However, do not hesitate to reach out to your healthcare provider for personalized advice and to ensure that your recovery is progressing as expected. They can provide the best guidance based on your specific situation and medical history.

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