Post-Procedure Recovery: Complications After Hemorrhoid Treatment - Surgery

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Inquiry about recovery status after hemorrhoid electrotherapy needle surgery?


Hello, Doctor.
About two months ago (on August 25), I underwent electrotherapy to eliminate two internal hemorrhoids and two external hemorrhoids at a hemorrhoid treatment clinic.
However, as of today (November 1), I am still experiencing bleeding during bowel movements.
The blood appears bright red, and it has been two months since the procedure.
Initially, I felt some pain when trying to have a bowel movement.
Last month, I visited a hospital's proctology department, and the doctor mentioned that my symptoms do not indicate anal stenosis.
I would like to ask you a few questions:
1.
Are there any potential complications associated with the non-traditional surgical method I underwent for treating hemorrhoids?
2.
How much longer should I expect to experience bleeding during bowel movements? The clinic doctor informed me that I would not need to be hospitalized after the procedure and that the wound would heal in about 18 days.
Although I have noticed less pain during bowel movements after more than a month, I am still experiencing bleeding.
While softer stools do not cause bleeding, harder stools immediately result in bleeding.

3.
I feel that my anal opening has become narrower after the surgery.
Although the hospital doctor performed a digital examination and assured me that this is not anal stenosis, I have observed that my stools have become thinner since the surgery.
Is this situation normal?
4.
Since I am still not fully healed after more than two months, should I schedule another appointment to see a doctor?
Thank you for your assistance in answering these questions!

Mr. Jiang, 30~39 year old female. Ask Date: 2018/11/01

Dr. Yu Mingchang reply Surgery


Hello, please come back for a follow-up appointment at the Department of Colorectal Surgery, Changhua Hospital, Ministry of Health and Welfare.
We care about you.

Reply Date: 2018/11/01

More Info


Post-procedure recovery after hemorrhoid treatment, particularly when using techniques like electrotherapy, can sometimes lead to complications and ongoing symptoms. Based on your description, it seems you are experiencing some persistent issues, including rectal bleeding and discomfort during bowel movements. Let’s address your questions one by one.

1. Complications from Non-Traditional Surgical Methods: While non-traditional methods like electrotherapy can be effective for treating hemorrhoids, they may also carry risks of complications. These can include persistent bleeding, pain, or changes in bowel habits. In some cases, the tissue may not heal as expected, leading to ongoing symptoms. It’s essential to follow up with your healthcare provider if you experience unusual or prolonged symptoms after such treatments.

2. Duration of Symptoms: The timeline for recovery can vary significantly among individuals. While many patients may experience improvement within a few weeks, others might take longer, especially if there are underlying issues such as constipation or hard stools. If you are still experiencing bleeding two months post-procedure, it’s advisable to consult your doctor. They may want to investigate further to rule out any complications such as residual hemorrhoids or fissures.

3. Changes in Bowel Movement Characteristics: It’s not uncommon for patients to notice changes in the size or consistency of their stools after hemorrhoid treatment. If your bowel movements have become thinner, this could be due to changes in the anal canal or rectal tissue following the procedure. While your doctor has indicated that this is not indicative of anal stenosis (narrowing), it’s still important to monitor your symptoms. If you have concerns about the size of your stools or experience discomfort, further evaluation may be warranted.

4. Need for Follow-Up Appointments: Given that you are still experiencing symptoms two months after your procedure, it is advisable to schedule a follow-up appointment with your healthcare provider. They can perform a thorough examination to assess your healing process and determine if any additional treatment is necessary. It’s crucial to address ongoing bleeding, as it can lead to anemia or indicate other underlying issues.

In addition to these points, it’s important to manage your bowel habits to promote healing. Here are some recommendations:
- Dietary Adjustments: Increase your fiber intake through fruits, vegetables, and whole grains to help soften stools and reduce straining during bowel movements. Staying well-hydrated is also essential.

- Stool Softeners: If you continue to experience hard stools, consider using over-the-counter stool softeners or fiber supplements, but consult your doctor before starting any new medication.

- Avoid Straining: Try to avoid straining during bowel movements, as this can exacerbate symptoms and lead to further complications.

- Warm Baths: Taking warm sitz baths can help soothe the anal area and promote relaxation, which may alleviate discomfort.

- Monitor Symptoms: Keep track of your symptoms, including the frequency and amount of bleeding, and any changes in pain levels. This information can be helpful for your healthcare provider during follow-up visits.

In summary, while some complications can arise from non-traditional hemorrhoid treatments, many patients do recover well. However, your ongoing symptoms warrant further evaluation. Don’t hesitate to reach out to your healthcare provider for a thorough assessment and tailored advice to aid your recovery.

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