Post-Surgery Care for Internal Hemorrhoids: What to Expect - Surgery

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After undergoing a hemorrhoid ligation surgery, it's common to experience some discomfort and swelling around the anal area, especially if external hemorrhoids are also present. This can be attributed to the surgical procedure itself, which can cause inflammation and irritation in the surrounding tissues. Here’s what you can generally expect post-surgery and some care recommendations:

Normal Post-Surgery Symptoms
1. Pain and Discomfort: It is normal to experience pain or discomfort in the anal region after the procedure. This can vary from mild to moderate and usually improves over time.

2. Swelling: Swelling around the anus is also common and can last for several days to a week. This is part of the healing process.

3. Bleeding: Some minor bleeding may occur, especially during bowel movements, but it should not be heavy. If you notice significant bleeding, you should contact your healthcare provider.

4. Bowel Movements: You may experience discomfort during bowel movements, which can be exacerbated by constipation. It’s crucial to maintain soft stools to minimize straining.


Expected Recovery Timeline
- Initial Recovery: Most patients start to feel better within a few days to a week after surgery. Pain and swelling should gradually decrease during this time.

- Full Recovery: Complete healing can take several weeks, depending on individual factors such as overall health, adherence to post-operative care, and the extent of the surgery.


Care Recommendations
1. Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage discomfort. Always follow the dosage instructions and consult your doctor if you have any concerns.

2. Warm Baths: Taking warm sitz baths several times a day can help soothe the area and reduce swelling. Ensure the water is not too hot, and soak for about 15-20 minutes.

3. Dietary Adjustments: To prevent constipation, increase your fiber intake through fruits, vegetables, and whole grains. Staying hydrated by drinking plenty of water is also essential.

4. Avoid Straining: When using the bathroom, avoid straining or sitting for prolonged periods. If you feel the urge to go, do so promptly.

5. Hygiene: Keep the anal area clean and dry. After bowel movements, gently clean the area with water or moist wipes, avoiding harsh soaps or irritants.

6. Follow-Up Appointments: Attend all scheduled follow-up appointments with your healthcare provider to monitor your recovery and address any concerns.


When to Seek Medical Attention
While some discomfort and swelling are normal, you should contact your healthcare provider if you experience:
- Severe pain that does not improve with medication.

- Heavy bleeding or blood clots.

- Signs of infection, such as fever, increased redness, or discharge from the surgical site.

- Persistent swelling that does not decrease after a week.

In conclusion, while some swelling and discomfort after hemorrhoid ligation surgery are normal, it’s essential to follow proper care guidelines to facilitate healing. If symptoms persist or worsen, do not hesitate to reach out to your healthcare provider for further evaluation and management.