Post-Surgery Bleeding After Anal Abscess Drainage: What to Expect? - Surgery

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Anal abscess


Doctor, I had a drainage surgery at the hospital today, and after returning home, I have been bleeding continuously, with blood dripping onto the floor.
Is this normal? How many days will it take for the bleeding to stop? Should I seek medical attention? Thank you, doctor.

Xue Xiaojie, 30~39 year old female. Ask Date: 2018/09/14

Dr. Ke Fangxu reply Surgery


After an anal abscess drainage surgery, it is normal to experience a small amount of bleeding.
However, if the bleeding is significant enough to flow onto the ground, you should promptly return for medical attention to control the bleeding.
In case of an emergency, please contact your healthcare provider by phone or seek online advice, as delays can be detrimental.

Reply Date: 2018/09/14

More Info


After undergoing drainage surgery for an anal abscess, it is not uncommon to experience some bleeding. However, the amount and duration of bleeding can vary significantly from person to person. Here’s a detailed overview of what to expect post-surgery, how to manage the situation, and when to seek further medical attention.


What to Expect After Surgery
1. Initial Bleeding: It is normal to have some bleeding immediately after the procedure. This can be due to the manipulation of tissues during surgery, which may cause small blood vessels to bleed. Light bleeding or spotting is generally expected.

2. Duration of Bleeding: Typically, any bleeding should gradually decrease over the first few days post-surgery. Most patients find that bleeding subsides significantly within 24 to 48 hours. If you notice that the bleeding is persistent or increasing, this could be a sign of a complication.

3. Blood Volume: A small amount of blood on the dressing or a few drops is usually not a cause for concern. However, if you are experiencing a steady flow of blood that is soaking through the dressing or pooling on the floor, this may indicate a more serious issue.


When to Seek Medical Attention
You should contact your healthcare provider or return to the hospital if you experience any of the following:
- Heavy Bleeding: If the bleeding is heavy enough to soak through multiple dressings or if you are losing a significant amount of blood (more than a few tablespoons), you should seek immediate medical attention.


- Signs of Infection: If you notice increased redness, swelling, warmth around the surgical site, or if you develop a fever, these could be signs of an infection that requires treatment.

- Severe Pain: While some discomfort is expected after surgery, if you experience severe pain that is not relieved by over-the-counter pain medications, this could indicate a complication.

- Changes in Bowel Movements: If you notice any changes in your bowel habits, such as severe constipation or diarrhea, or if you experience any rectal bleeding that is not related to the surgical site, you should consult your doctor.


Managing Post-Surgery Care
1. Wound Care: Follow your surgeon's instructions for wound care meticulously. This usually includes keeping the area clean and dry, changing dressings as directed, and avoiding any activities that could strain the area.

2. Hygiene: Maintaining good hygiene is crucial. You may be advised to take sitz baths to help keep the area clean and promote healing. This can also help alleviate discomfort.

3. Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage pain. However, avoid taking aspirin as it can increase bleeding.

4. Diet and Hydration: Eating a high-fiber diet and staying hydrated can help prevent constipation, which can put additional strain on the surgical site.

5. Activity Level: Rest is important in the initial days following surgery. Avoid heavy lifting or strenuous activities that could stress the surgical area.


Conclusion
In summary, while some bleeding after anal abscess drainage surgery is normal, it is essential to monitor the situation closely. If you experience heavy bleeding, signs of infection, or severe pain, do not hesitate to seek medical attention. Proper post-operative care and awareness of your body’s signals are key to a smooth recovery. Always follow your surgeon's specific instructions and do not hesitate to reach out to them with any concerns.

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