Post-Hemorrhoid Surgery: Why Am I Experiencing Blood in Stool?

After hemorrhoid surgery, there may still be bleeding during bowel movements?

I had hemorrhoid surgery on May 22, but in the past few days, I've been experiencing some constipation.
When I exert myself a little, I notice bright red blood dripping, and it seems like quite a bit! There are also small blood clots when I wipe, which feel similar to menstrual clots.
I'm quite scared! Could it be that the internal hemorrhoids were not completely removed?

Mi, 30~39 year old female. Ask Date: 2018/07/08

Dr. Ke Fangxu reply Surgery

After surgery, the wound should be completely healed after more than a month.
If there is still some bleeding, it may be due to mild hemorrhoidal bleeding.
As long as there is no ongoing bleeding, it should not be a concern.
During this period, it is advisable to avoid constipation and shorten the time spent on bowel movements.
Increasing dietary fiber intake can also be helpful.
Warm sitz baths may assist in alleviating symptoms, and you can purchase hemorrhoidal suppositories at the pharmacy.
It is best to avoid using stool softeners indiscriminately.
If bleeding persists, it is recommended to consult the surgeon for further evaluation.

Reply Date: 2018/07/08

More Info

Experiencing blood in the stool after hemorrhoid surgery can be concerning, and it's important to understand the potential causes and what steps to take next. Hemorrhoid surgery, whether it's a hemorrhoidectomy or another procedure, can lead to various postoperative symptoms, including bleeding. Here are some insights into your situation:
1. Postoperative Bleeding: After hemorrhoid surgery, it is not uncommon to experience some bleeding, especially if you are experiencing constipation and straining during bowel movements. Straining can put pressure on the surgical site, leading to fresh bleeding. The blood you see may be bright red, indicating that it is coming from the lower part of the gastrointestinal tract, which includes the rectum.

2. Constipation and Straining: Constipation can exacerbate the situation. When you are constipated, you may have to exert more effort to pass stool, which can irritate the surgical area and lead to bleeding. It's crucial to manage constipation through dietary changes, such as increasing fiber intake, staying hydrated, and possibly using stool softeners or laxatives as recommended by your healthcare provider.

3. Incomplete Removal of Hemorrhoids: While it is possible that some hemorrhoidal tissue was not completely removed, this is less likely if your surgeon was experienced and the procedure was straightforward. However, if you are experiencing significant bleeding or if the bleeding persists, it is essential to follow up with your surgeon to evaluate the surgical site and determine if any additional treatment is necessary.

4. Blood Clots: The presence of small blood clots can occur post-surgery and may be a result of the healing process. However, if the bleeding is substantial or accompanied by severe pain, it could indicate a complication such as a hematoma or infection.

5. When to Seek Medical Attention: If you notice an increase in the amount of blood, experience severe pain, or have other concerning symptoms such as fever or signs of infection, you should contact your healthcare provider immediately. They may want to perform an examination to ensure that there are no complications from the surgery.

6. Follow-Up Care: It’s essential to have a follow-up appointment with your surgeon to discuss your symptoms. They can provide guidance on managing your recovery and may recommend treatments to alleviate constipation and promote healing.
7. Preventive Measures: To prevent further issues, focus on a high-fiber diet, adequate hydration, and gentle bowel habits. Avoid straining during bowel movements, and consider using a stool softener if necessary.

In summary, while some bleeding after hemorrhoid surgery can be normal, especially if you are experiencing constipation, it is important to monitor your symptoms closely. If the bleeding continues or worsens, or if you have any other concerning symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and management. Your health and comfort are paramount, and addressing these issues early can help ensure a smoother recovery.

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