Hello, doctor?
I apologize for the inconvenience.
I would like to ask the doctor about my internal hemorrhoid prolapse, which has been ligated for 18 days.
Today, after having a bowel movement, I noticed a little blood on the toilet paper, but there was no blood in the toilet.
I'm worried that the wound might have reopened.
I also experienced some pain during the bowel movement and I'm concerned that the wound hasn't healed yet.
Apu, 30~39 year old female. Ask Date: 2020/05/15
Dr. Ke Fangxu reply Surgery
Hello! 1.
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 should help alleviate discomfort.
2.
Since each individual's constitution varies, online consultations cannot provide accurate answers.
If bleeding or pain does not improve, it is advisable to have your attending physician examine you for a more appropriate assessment.
Thank you!
Reply Date: 2020/05/15
More Info
After undergoing hemorrhoid treatment, particularly for prolapsed internal hemorrhoids, it is not uncommon to have concerns about post-surgery bleeding and pain. Your situation, where you noticed a bit of blood on the toilet paper after a bowel movement, can understandably cause anxiety about the healing process. Here’s a comprehensive overview of what you might expect and how to manage your recovery.
Understanding Post-Surgery Symptoms
1. Bleeding: A small amount of blood on toilet paper can be a normal occurrence after hemorrhoid surgery, especially if you are still in the early stages of recovery. It is essential to differentiate between minor spotting and significant bleeding. If the blood is bright red and minimal, it may indicate irritation or minor trauma to the surgical site. However, if you notice a significant amount of blood in the toilet bowl or if the bleeding persists, you should seek medical attention.
2. Pain: Experiencing pain during bowel movements is also common after such procedures. This discomfort can stem from the healing process, as the tissues around the anus are sensitive and may still be inflamed. Pain can also be exacerbated by straining during bowel movements. It is crucial to manage this pain effectively to ensure a smoother recovery.
Recommendations for Recovery
1. Dietary Adjustments: To minimize straining during bowel movements, focus on a high-fiber diet. Incorporate fruits, vegetables, whole grains, and plenty of fluids to soften your stool. This dietary change can help prevent constipation, which is a significant contributor to pain and bleeding post-surgery.
2. Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage discomfort. However, consult your healthcare provider before taking any medication, especially if you have underlying health conditions or are on other medications.
3. Hygiene Practices: Maintain good hygiene around the anal area to prevent infection. Gentle cleansing with warm water after bowel movements can help soothe the area. Avoid using harsh soaps or wipes that may irritate the skin.
4. Follow-Up Care: It is crucial to have a follow-up appointment with your surgeon or healthcare provider. They can assess the healing process and determine if any further intervention is necessary. If you have concerns about the amount of bleeding or pain, do not hesitate to reach out to them sooner.
5. Signs to Watch For: Be vigilant for signs that may indicate complications, such as increased bleeding, severe pain that does not improve with over-the-counter medications, fever, or any signs of infection (such as redness, swelling, or discharge). If you experience any of these symptoms, seek medical attention promptly.
Conclusion
In summary, while some bleeding and pain can be expected after hemorrhoid surgery, it is essential to monitor your symptoms closely. Implementing dietary changes, managing pain effectively, and maintaining good hygiene can significantly aid in your recovery. Always consult your healthcare provider if you have any concerns or if your symptoms worsen. They are best equipped to provide personalized advice based on your specific situation. Remember, healing takes time, and being proactive about your recovery will help ensure the best possible outcome.
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