Managing Post-Hemorrhoid Surgery Discomfort and Bowel Movements - Surgery

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Fourth day after hemorrhoid surgery?


I am four days post-hemorrhoid surgery, and my bowel movements are not very smooth.
I am afraid of pain and experiencing some minor bleeding, which causes severe anal pain.
My anus seems to contract on its own, and I hesitate to complete my bowel movements, feeling like I can't fully empty my bowels.
Should I exert myself to push out all the stool, or is it sufficient to just pass what I can? Additionally, since I have my menstrual period, is it okay to take warm sitz baths or use warm water during bowel movements?

B.B., 30~39 year old female. Ask Date: 2018/05/26

Dr. Ke Fangxu reply Surgery


After hemorrhoid surgery, pain and slight bleeding are inevitable.
Although it hurts, it is important to have a bowel movement.
Afterward, taking a warm sitz bath can help alleviate the pain.
The key is to avoid sitting on the toilet for too long to prevent swelling and increased pain at the surgical site.
If a sitz bath is not convenient, using a handheld showerhead for cleaning is also acceptable.

Reply Date: 2018/05/26

More Info


After hemorrhoid surgery, it is common to experience discomfort and changes in bowel movements. Your concerns about pain during bowel movements, the fear of pain leading to incomplete evacuation, and the presence of minor bleeding are valid and shared by many patients post-surgery.
Firstly, it is essential to understand that after hemorrhoid surgery, the surgical site can be sensitive and healing. Pain during bowel movements is a common symptom, and it can lead to a cycle of fear and avoidance, which may result in constipation or incomplete evacuation. It is crucial to manage this discomfort effectively to promote healing and encourage normal bowel habits.

1. Bowel Movements: It is not advisable to strain excessively during bowel movements. Straining can increase pressure on the surgical site and exacerbate pain or bleeding. Instead, focus on softening your stools to make bowel movements easier. This can be achieved through dietary changes, such as increasing fiber intake (fruits, vegetables, whole grains) and ensuring adequate hydration. If necessary, your doctor may recommend a stool softener or a mild laxative to help ease the process.

2. Pain Management: If you are experiencing significant pain, it is essential to discuss this with your healthcare provider. They may prescribe pain relief medications or recommend over-the-counter options. Managing pain effectively can help reduce anxiety around bowel movements, making it easier to go when you need to.

3. Sitz Baths: Warm sitz baths can be beneficial for relieving discomfort and promoting healing after hemorrhoid surgery. You can soak in warm water for about 15-20 minutes several times a day, especially after bowel movements. This can help soothe the area, reduce swelling, and promote relaxation of the anal sphincter, which may alleviate some of the pain you are experiencing.

4. Menstrual Considerations: If you are menstruating, it is generally safe to continue with sitz baths. However, ensure that you maintain good hygiene to prevent any infections, especially in the surgical area. If you have any concerns about using tampons or menstrual cups during this time, consult your healthcare provider for personalized advice.

5. Follow-Up Care: It is crucial to keep your healthcare provider informed about your symptoms. If you notice persistent pain, significant bleeding, or any signs of infection (such as fever or increased redness), seek medical attention promptly. Regular follow-up appointments can help monitor your recovery and address any complications early.

In summary, focus on gentle bowel movements without straining, manage your pain effectively, and utilize warm sitz baths to promote comfort and healing. Always communicate openly with your healthcare provider about your symptoms and concerns to ensure a smooth recovery process.

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