Post-Surgery Diarrhea After Hemorrhoid Banding: What to Know

Multiple episodes of diarrhea after hemorrhoid ligation?

Hello, I underwent a hemorrhoid ligation procedure yesterday afternoon, where the doctor ligated two internal hemorrhoids.
I did not experience any discomfort during the surgery, and I did not feel any foreign body sensation afterward.
However, about two hours post-surgery, I started experiencing diarrhea, having six bowel movements, each time pushing the internal hemorrhoids to the anal opening.
By the sixth time, I felt significant swelling in both the anus and the hemorrhoids, making it somewhat difficult to push them back.
Is there a connection between the diarrhea and the ligation procedure? Could having diarrhea on the first day after the ligation cause the rubber bands to break or loosen, or worsen the hemorrhoids? I'm considering returning to the clinic for the doctor to re-ligate them, but I'm worried that I might be overreacting and causing unnecessary trouble for the doctor...

Shun, 20~29 year old female. Ask Date: 2019/07/25

Dr. Ke Fangxu reply Surgery

Diarrhea should not be related to the sterilization procedure; however, diarrhea can indeed cause bleeding or swelling at the sterilization site.
It is advisable for you to consult a physician for an examination and to obtain medication to prevent any worsening of the sterilization wound.

Reply Date: 2019/07/25

More Info

After undergoing hemorrhoid banding surgery, experiencing diarrhea can be concerning, and it’s understandable to seek clarity on the situation. Diarrhea following such a procedure can indeed be related to several factors, including the surgery itself, dietary changes, or even anxiety about the procedure.

Firstly, it’s important to recognize that surgical procedures, even minimally invasive ones like hemorrhoid banding, can sometimes lead to gastrointestinal disturbances. This can be due to the body’s response to surgery, including stress and changes in diet or medication. Some patients may experience increased bowel activity as a reaction to anesthesia or pain medications, which can lead to diarrhea.

In your case, the timing of the diarrhea—starting just a couple of hours after the surgery—could suggest that it is related to the procedure. The stress of surgery, combined with any medications administered, may have triggered your gastrointestinal system to react. Additionally, if you were given antibiotics as a preventive measure against infection, these can also disrupt the normal gut flora, leading to diarrhea.

Regarding your concern about the internal hemorrhoids being pushed out during episodes of diarrhea, it is essential to understand that while straining can exacerbate hemorrhoid issues, diarrhea itself typically does not cause the banding to fail or the rubber bands to loosen. However, if you are experiencing significant swelling or difficulty in repositioning the hemorrhoids, it is advisable to consult your healthcare provider. They can assess whether the banding is intact and if any further intervention is necessary.

It’s also worth noting that the first few days after hemorrhoid banding can be uncomfortable, and some swelling or irritation is expected. However, if the swelling is severe or if you experience significant pain, bleeding, or any other concerning symptoms, it is crucial to seek medical attention promptly.

In terms of dietary considerations, it may be beneficial to adopt a bland diet that is gentle on your digestive system. Foods that are low in fiber, such as bananas, rice, applesauce, and toast (the BRAT diet), can help manage diarrhea. Staying hydrated is also critical, especially if you are experiencing frequent bowel movements.

If you feel that your symptoms are not improving or if you have any doubts about your recovery, it is always better to err on the side of caution and reach out to your healthcare provider. They can provide reassurance, evaluate your condition, and determine if any further treatment is necessary.

In summary, while diarrhea after hemorrhoid banding can be related to the surgery, it is essential to monitor your symptoms closely. If you experience significant discomfort, swelling, or any other concerning symptoms, do not hesitate to contact your doctor for further evaluation. Your health and peace of mind are paramount, and your healthcare team is there to support you through your recovery.

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