Post-Surgery Concerns: Hemorrhoid Surgery Recovery - Surgery

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Postoperative issues after hemorrhoid surgery?


Hello, doctor.

1.
How is a large amount of postoperative bleeding defined? I experienced bleeding that flowed down like a stream towards my feet, and since I haven't experienced this before, I'm unsure if it's normal.

2.
I was discharged the same day, and I have a bandage on my buttocks.
Should I soak in warm water with the bandage on, or should I remove it before soaking?

Zhi Nan, 20~29 year old female. Ask Date: 2019/12/13

Dr. Ke Fangxu reply Surgery


1.
The amount of bleeding is somewhat excessive; if it does not continue, it should not be a concern.
However, if there are multiple instances of bleeding within a day, it is important to seek medical attention promptly.

2.
First, remove the dressing and then take a sitz bath.
Generally, before discharge, the dressing will be removed to observe the wound.

Reply Date: 2019/12/13

More Info


After undergoing hemorrhoid surgery, it's common to have concerns about the recovery process, particularly regarding bleeding and post-operative care. Let's address your questions one by one.

1. Understanding Post-Surgical Bleeding:
Post-surgery, some bleeding is expected, especially in the first few days. However, it’s essential to differentiate between normal bleeding and excessive bleeding. Normal bleeding might appear as light spotting or a small amount of blood on the toilet paper or in the toilet bowl. If you notice a significant amount of blood—such as a steady stream or a pool of blood—this could be considered excessive. A good rule of thumb is that if you are soaking through a pad or dressing in an hour or less, or if you are experiencing bright red blood that doesn’t seem to stop, you should contact your healthcare provider immediately. Excessive bleeding can indicate complications such as a hematoma or issues with the surgical site that may require further intervention.

2. Care for the Surgical Site:
After hemorrhoid surgery, proper care of the surgical site is crucial for recovery. Regarding your question about the gauze and sitz baths, it is generally recommended to remove any dressings before soaking in a sitz bath. Soaking with the dressing on can trap moisture and bacteria, potentially leading to infection. Instead, you should gently remove the gauze and then proceed with the sitz bath. The warm water can help soothe the area, promote healing, and reduce discomfort. You can soak for about 15-20 minutes, several times a day, especially after bowel movements.

Additional Recovery Tips:
- Pain Management: It’s normal to experience some discomfort after surgery. Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage pain, but always follow your doctor’s recommendations regarding medication.

- Dietary Adjustments: To prevent constipation, which can strain the surgical site, ensure you are consuming a high-fiber diet. Foods like fruits, vegetables, whole grains, and plenty of fluids can help keep your bowel movements regular and soft.

- Activity Level: While it’s important to stay mobile, avoid heavy lifting or strenuous activities for a few weeks post-surgery. Gentle walking can promote circulation and aid in recovery.

- Follow-Up Appointments: Keep all scheduled follow-up appointments with your surgeon. These visits are crucial for monitoring your recovery and addressing any concerns you may have.

In summary, while some bleeding is normal after hemorrhoid surgery, significant or persistent bleeding should be evaluated by a healthcare professional. Proper care of the surgical site, including the use of sitz baths and dietary management, can significantly enhance your recovery experience. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider for personalized advice.

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