Post-Surgery Complications: Bowel and Urinary Issues After Hemorrhoid Surgery

Q: Post-Surgery Complications: Bowel and Urinary Issues After Hemorrhoid Surgery

Answer： Since I am not aware of the specific surgical method you underwent, I can only provide a general response. <br>It is best to discuss the details with your surgeon. <br>After hemorrhoid surgery, you may experience these sensations due to altered sensations for one to two w

Postoperative complications?

Since undergoing hemorrhoid surgery on April 9, 2018, I have experienced several issues.

1.
Why am I experiencing fecal incontinence? I also have difficulty urinating, with very little urine output.
After using the restroom, when I wipe, I notice that there is fecal fluid coming out as well.

2.
Is it normal to have multiple bowel movements in a day without taking any stool softeners?
3.
I feel like there is a hard mass in my anal area.
It is very noticeable whether I am sitting, walking, or lying down, and during a warm sitz bath, it feels like it might fall out.
However, when I touch it, I don't feel anything.
This issue is troubling me and making me very upset; it feels like the surgery was unsuccessful.
I would appreciate your assistance in addressing these concerns.

Dàdà, 40~49 year old female. Ask Date: 2018/04/23

Dr. Ke Fangxu reply Surgery

Answer: Since I am not aware of the specific surgical method you underwent, I can only provide a general response.
It is best to discuss the details with your surgeon.
After hemorrhoid surgery, you may experience these sensations due to altered sensations for one to two weeks.
If that is the case, it is advisable to temporarily discontinue the use of stool softeners, as this phenomenon will gradually resolve.
If the symptoms are severe, you should return for a follow-up appointment for your physician to evaluate your condition.
If necessary, medication can also be prescribed.

Reply Date: 2018/04/23

More Info

After undergoing hemorrhoid surgery, it is not uncommon for patients to experience a range of bowel and urinary issues. Your concerns regarding fecal incontinence, urinary difficulties, and the sensation of a hard mass in the anal area are valid and warrant a thorough understanding of potential post-surgical complications.

1. Fecal Incontinence: The leakage of stool can occur for several reasons after hemorrhoid surgery. One possibility is that the surgery may have affected the anal sphincter muscles, which are responsible for controlling bowel movements. If these muscles are weakened or damaged during the procedure, it can lead to difficulties in controlling bowel movements, resulting in fecal incontinence. Additionally, if there is inflammation or swelling in the anal area post-surgery, it may further complicate bowel control. It is essential to communicate these symptoms to your healthcare provider, as they may recommend pelvic floor exercises or other interventions to strengthen the anal sphincter.

2. Urinary Issues: Experiencing difficulty with urination, such as a weak stream or infrequent urination, can also be a post-surgical complication. This may be due to nerve irritation or swelling in the pelvic area following surgery. It's important to ensure that there are no underlying urinary tract infections or other complications that could be contributing to these symptoms. If you notice a significant decrease in urine output or any signs of urinary retention, you should seek medical attention promptly.

3. Frequent Bowel Movements: Having multiple bowel movements in a day can be normal for some individuals, especially if there have been recent dietary changes or if you are consuming more fiber or fluids. However, if this is accompanied by urgency or discomfort, it may indicate that your bowel is reacting to the surgical changes. It is advisable to monitor your diet and hydration levels and discuss any significant changes with your physician.

4. Sensation of a Hard Mass: The feeling of a hard mass in the anal area could be related to several factors, including swelling, scar tissue formation, or even the presence of a thrombosed hemorrhoid if the surgery did not fully resolve the issue. It is crucial to have this evaluated by your surgeon or a gastroenterologist to rule out any complications such as abscess formation or residual hemorrhoids.

In conclusion, while some post-operative symptoms can be expected after hemorrhoid surgery, persistent or severe issues should not be overlooked. It is essential to maintain open communication with your healthcare provider regarding your symptoms. They may recommend diagnostic tests, such as an anal manometry or imaging studies, to assess the function of the anal sphincter and rule out any complications. Additionally, lifestyle modifications, such as dietary changes to include more fiber and adequate hydration, can help manage bowel habits and improve overall recovery. If you feel that your concerns are not being addressed adequately, seeking a second opinion may also be beneficial. Your health and comfort are paramount, and it is important to advocate for yourself during your recovery process.

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