Post-operative bleeding after hemorrhoid ligation?
Hello Doctor, yesterday morning the doctor told me that I have external hemorrhoids leaning towards internal hemorrhoids and performed a hemorrhoid ligation procedure.
Afterward, since the doctor did not inform me that I should avoid exercise, I played volleyball, but it wasn't very intense running or jumping, and I didn't feel any issues at the time.
After taking a shower, I experienced mild pain, so I took painkillers and a laxative.
However, around midnight, I suddenly had severe pain that kept me awake, and I noticed some bleeding.
It wasn't a large amount of blood, but there are currently no signs of it stopping.
Could this bleeding be caused by the exercise, or is it possible to have bleeding the first night after the ligation? Should I return for a follow-up, or can I wait a few more days? Additionally, what should I do if I am unable to have a bowel movement? Could straining during a bowel movement also cause bleeding?
Liao, 20~29 year old female. Ask Date: 2018/03/29
Dr. Ke Fangxu reply Surgery
If the rubber band used for hemorrhoid ligation falls off too early, it may cause bleeding from the wound, which usually stops on its own within one to two days.
If the bleeding persists, it is important to consult a physician for evaluation and possible medication.
In cases of severe bleeding, additional hemostatic treatment may be necessary.
Post-ligation, difficulty in bowel movements can also increase the risk of bleeding, so a stool softener is often prescribed for several days.
Reply Date: 2018/03/29
More Info
Post-surgery bleeding after hemorrhoid ligation can be concerning, especially if you experience unexpected bleeding after the procedure. Hemorrhoid ligation, or rubber band ligation, is a common outpatient procedure used to treat hemorrhoids by cutting off their blood supply, causing them to shrink and eventually fall off. While this procedure is generally safe, some bleeding can occur as part of the healing process.
In your case, it is possible that the bleeding you experienced was related to the physical activity you engaged in after the surgery. Although you mentioned that the volleyball activity was not too intense, any form of physical exertion can increase intra-abdominal pressure, which may lead to bleeding, especially in the early postoperative period. However, it is also important to note that some bleeding can occur naturally after the procedure due to the ligation process itself. The first night after surgery is often when patients may notice some bleeding as the tissues begin to heal and adjust.
Here are some important considerations regarding your situation:
1. Monitoring Symptoms: If the bleeding is minimal and stops on its own, it may not be a cause for alarm. However, if you notice significant bleeding (more than a few drops of blood), or if the bleeding continues, you should seek medical attention immediately.
2. Pain Management: The pain you experienced after the procedure is not uncommon. Pain can be a result of the ligation itself, and it may take a few days for the discomfort to subside. Over-the-counter pain relievers can help manage this, but if the pain becomes severe or unmanageable, you should consult your doctor.
3. Return to Activity: It is generally advised to avoid strenuous activities, including heavy lifting and vigorous exercise, for at least a week after hemorrhoid surgery. This allows the surgical site to heal properly and reduces the risk of complications such as bleeding.
4. Bowel Movements: Post-surgery, it is crucial to maintain soft bowel movements to prevent straining, which can lead to further bleeding. If you are having difficulty with bowel movements, consider using stool softeners or increasing your fiber intake. If constipation persists, consult your healthcare provider for appropriate interventions.
5. Follow-Up: Given that you are experiencing bleeding and pain, it is advisable to contact your doctor or return for a follow-up appointment. They can assess your condition, provide reassurance, and determine if any further intervention is necessary.
6. Signs of Complications: Be aware of signs that may indicate complications, such as increased pain, fever, or significant changes in bleeding patterns. If you experience any of these symptoms, seek medical attention promptly.
In summary, while some bleeding can be expected after hemorrhoid ligation, it is essential to monitor your symptoms closely. Avoiding strenuous activities, managing pain effectively, and ensuring soft bowel movements are key to a smooth recovery. If you have any concerns or if symptoms worsen, do not hesitate to reach out to your healthcare provider for guidance. Your health and recovery are paramount, and professional advice will help ensure that you heal properly.
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