Post-Surgery Concerns: Pain and Recovery After Hemorrhoidectomy - Surgery

Share to:

Hello, doctor?


Doctor, I'm sorry.
I had a hemorrhoid ligation on the evening of April 27th, and today is April 29th.
The pain is more manageable with pain medication, but it returns when the medication wears off.
Is this normal? Also, I've experienced significant pain after bowel movements these past two mornings.
On the first morning, there was a little bit of blood, but today there was no blood, just pain after the bowel movement.
Is this normal? The doctor mentioned that the hemorrhoid would necrose and fall off within a week.
Should I not worry about it during this week?

A Yu, 30~39 year old female. Ask Date: 2020/04/29

Dr. Ke Fangxu reply Surgery


After hemorrhoid ligation, it is theoretically not painful; however, if the ligation site is closer to the anal opening, accompanying pain is a common occurrence.
As long as there is no severe pain or significant bleeding, it should not be a concern.
Taking warm sitz baths can help alleviate discomfort.
If bleeding or pain does not improve, it is best to consult a physician to determine if further treatment is necessary.

Reply Date: 2020/04/29

More Info


After undergoing a hemorrhoidectomy, it is common to experience pain and discomfort as part of the recovery process. Your concerns about pain management and the healing process are valid and important to address.

1. Pain Management: It is normal to experience pain post-surgery, especially after a hemorrhoidectomy. The pain may fluctuate depending on the effectiveness of the pain medication you are taking. As the anesthesia wears off and the body begins to heal, you may notice increased discomfort. It is crucial to follow your doctor's instructions regarding pain medication. If you find that the pain becomes unmanageable or if the pain persists even with medication, you should reach out to your healthcare provider for further evaluation and possible adjustment of your pain management plan.

2. Bowel Movements: Experiencing pain during bowel movements after surgery is also common. The surgical site is sensitive, and the act of passing stool can cause discomfort. The presence of a small amount of blood, especially if it is bright red, can occur due to irritation of the surgical site. However, if you notice significant bleeding or if the pain worsens, it is essential to contact your doctor. They may recommend stool softeners or dietary changes to ease bowel movements and reduce strain.

3. Healing Process: Your doctor mentioned that the hemorrhoid would necrose and fall off within a week. This is a typical part of the healing process after a hemorrhoid ligation. During this time, it is generally advised to keep the area clean and to avoid any activities that could exacerbate pain or cause strain, such as heavy lifting or prolonged sitting. You should also continue to monitor the surgical site for any signs of infection, such as increased redness, swelling, or discharge.

4. Follow-Up Care: It is essential to have a follow-up appointment with your healthcare provider to assess the healing process. They can provide guidance on when you can resume normal activities and what to expect as you recover. If you have any concerns about your symptoms or if they seem to be worsening, do not hesitate to reach out to your doctor sooner.

In summary, while some pain and discomfort are expected after a hemorrhoidectomy, it is crucial to manage it effectively and to monitor your recovery closely. If your symptoms do not improve or if you have any concerns, please consult your healthcare provider for personalized advice and treatment options. Remember, your recovery is a process, and it is essential to be patient and proactive in your care.

Similar Q&A

Post-Surgery Anal Itching: Managing Discomfort After Hemorrhoid Surgery

After hemorrhoid surgery, there may be itching, swelling, and pain during bowel movements, and passing gas can also cause discomfort.


Dr. Ke Fangxu reply Surgery
It is normal to experience discomfort during the healing process after hemorrhoid surgery. It is recommended to use pain relief medications and to take warm sitz baths. If symptoms persist without improvement or if there is redness, swelling, heat, or pain, you should consult you...

[Read More] Post-Surgery Anal Itching: Managing Discomfort After Hemorrhoid Surgery


Post-Surgery Concerns: Understanding Pain After Hemorrhoid Surgery

Hello Dr. Ke, I underwent hemorrhoid surgery at the end of July, and it has been over two months since the procedure. Occasionally, I experience a sharp pain near the anus, and there is a soreness starting about 1 cm above the anal area. The soreness occurs daily and can last all...


Dr. Ke Fangxu reply Surgery
Based on your description, it may be difficult to determine the issue. It might be necessary to conduct a rectal examination or an endoscopy to confirm the diagnosis. Generally, this is not related to surgery; otherwise, symptoms would have occurred postoperatively. Sometimes, it...

[Read More] Post-Surgery Concerns: Understanding Pain After Hemorrhoid Surgery


Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery

Doctor, I apologize for the interruption; my statement is quite complex. I underwent minimally invasive surgery at the clinic on December 27, 2023. The next morning, I experienced tearing pain while having a bowel movement, and upon examination, I discovered a lump outside my anu...


Dr. Zhang Shuhao reply Surgery
Most minimally invasive surgeries available in the market primarily address internal hemorrhoids, but postoperative venous return obstruction can lead to swelling of external hemorrhoids. Taking warm sitz baths and using anti-inflammatory medications can help alleviate symptoms. ...

[Read More] Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery


How Common Are Complications After Hemorrhoid Surgery?

It is often seen on websites that patients experience some complications after hemorrhoid surgery, such as persistent pain, anal tightness, or fecal incontinence after a period of time. Even when treated by a qualified colorectal surgeon, what is the likelihood of these issues oc...


Dr. Ke Fangxu reply Surgery
Hello: In response to your question, the pain after hemorrhoid surgery typically lasts about one to two weeks, with the most intense pain occurring during the first three days. Therefore, hospitalization is recommended during this period. After that, there may still be some disco...

[Read More] How Common Are Complications After Hemorrhoid Surgery?


Related FAQ