Post-Hemorrhoid Banding: Itching and Discomfort After Surgery - Surgery

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After undergoing hemorrhoid banding surgery, it is not uncommon to experience some discomfort, including itching around the anal area. This can be attributed to several factors related to the surgical procedure and the healing process.
Firstly, it's important to understand that hemorrhoid banding involves placing a rubber band around the base of the hemorrhoid to cut off its blood supply. This causes the hemorrhoid to shrink and eventually fall off. While the procedure is generally safe and effective, the area around the anus can become irritated during the healing process. This irritation can lead to itching, which may be exacerbated by factors such as moisture, hygiene practices, and the use of topical medications.

In your case, the onset of itching around February 29, approximately a week after your surgery, could be due to several reasons:
1. Healing Process: As the tissue heals, it can become sensitive and inflamed. This inflammation can trigger itching as the nerves in the area react to the healing process.

2. Irritation from Medications: While you mentioned using a topical ointment (喜癒痔軟膏), some ingredients in topical medications can cause irritation or allergic reactions in sensitive areas. If the ointment is not specifically formulated for post-surgical care, it might contribute to the itching.

3. Hygiene: Maintaining proper hygiene is crucial after hemorrhoid surgery. If the area is not kept clean and dry, it can lead to irritation and itching. Conversely, excessive cleaning or scrubbing can also irritate the skin.

4. Moisture: Excess moisture from sweat or inadequate drying after bathing can lead to itching. It's essential to keep the area dry and consider using a barrier cream if moisture is a persistent issue.

5. Infection: Although less common, an infection can develop post-surgery, leading to increased discomfort and itching. Signs of infection may include increased redness, swelling, or discharge from the surgical site.

To manage the itching and discomfort, consider the following recommendations:
- Maintain Hygiene: Gently clean the area with mild soap and water, and ensure it is thoroughly dried afterward. Avoid harsh soaps or scrubs that can irritate the skin.

- Avoid Irritants: If you suspect that the ointment may be causing irritation, consider discontinuing its use and consult your doctor for alternative options.

- Use Soothing Agents: Over-the-counter hydrocortisone cream may help reduce itching and inflammation, but consult your healthcare provider before using any new topical treatments.

- Wear Loose Clothing: Tight clothing can exacerbate irritation. Opt for loose-fitting underwear and clothing to minimize friction.

- Monitor Symptoms: Keep an eye on your symptoms. If the itching persists or worsens, or if you notice any signs of infection, such as increased pain, swelling, or discharge, it is crucial to contact your healthcare provider for further evaluation.

In summary, while itching after hemorrhoid banding can be a normal part of the healing process, it is essential to monitor your symptoms and maintain proper hygiene. If the discomfort continues or worsens, seeking medical advice is advisable to rule out any complications. Your healthcare provider can offer tailored recommendations based on your specific situation and ensure that your recovery proceeds smoothly.