Post-Hemorrhoid Surgery: When Will Frequent Urges to Defecate Stop?

Post-hemorrhoid surgery

Dr.
Ke: I apologize for asking another question, but when can we expect the frequent urge to defecate to resolve? It is causing my wife a lot of distress.
Thank you!

Mr. Shi, 60~69 year old female. Ask Date: 2019/05/27

Dr. Ke Fangxu reply Surgery

It varies from person to person, but generally, it takes about a month to return to normal.

Reply Date: 2019/05/27

More Info

After hemorrhoid surgery, it is common for patients to experience frequent urges to defecate, which can be quite distressing. This phenomenon is often attributed to several factors related to the surgical procedure and the healing process.
Firstly, the surgery itself can cause temporary changes in bowel habits. The manipulation of tissues and nerves during the procedure may lead to increased sensitivity in the rectal area. This heightened sensitivity can result in a feeling of urgency even when the bowel is not full. Additionally, post-operative swelling and inflammation can contribute to these sensations, as the body responds to the surgical trauma.

Secondly, the use of pain medications, particularly opioids, can affect bowel function. While they are effective for managing pain, opioids can lead to constipation, which may paradoxically cause patients to feel the need to defecate more frequently as the body attempts to regulate bowel movements.
In most cases, the frequent urges to defecate should gradually subside as the surgical site heals, typically within a few weeks. However, the exact timeline can vary depending on individual healing rates, the extent of the surgery, and the patient's overall health. It is essential to follow the post-operative care instructions provided by the surgeon, which may include dietary recommendations, hydration, and the use of stool softeners or laxatives to facilitate smoother bowel movements.

If the frequent urges persist beyond the expected healing period, or if they are accompanied by other concerning symptoms such as severe pain, bleeding, or changes in bowel habits, it is crucial to consult the surgeon or a gastroenterologist. They can evaluate for any potential complications, such as anal fissures, infections, or other issues that may require further intervention.

In summary, while it is common to experience frequent urges to defecate after hemorrhoid surgery, these symptoms should improve as healing progresses. Patients are encouraged to maintain open communication with their healthcare providers to address any ongoing concerns and ensure a smooth recovery.

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