Can You Use Suppositories After Hemorrhoid and Anal Fissure Surgery?

Can suppositories be used after surgery for hemorrhoids and anal fissures?

Hello, I had minimally invasive surgery for mixed hemorrhoids and anal fissures over a month ago.
Although I have mostly recovered and do not experience pain or swelling around the anal area during daily activities, I still have difficulty with the initial part of bowel movements.
There is a tight and prickly sensation inside the anus, even though I drink plenty of water and eat a lot of vegetables.
Occasionally, there is a small amount of bright red blood on the toilet paper, but it does not persist.
The latter part of the stool passes smoothly; it's just the beginning that feels uncomfortable.
When I asked the nurse, she mentioned that it might be due to poor blood circulation and that the stitches have not fully absorbed yet.
I have been using a sitz bath twice a day (except during my menstrual period, when I stop the baths).
I would like to know if I can use a hemorrhoid suppository like Proctosedyl to help lubricate and ease the passage of stool.
I am concerned that straining could reopen the wound.
I couldn't reach my attending physician, and the nurse said that suppositories often contain steroids, which could be harmful to the wound.
After the surgery, I have only been applying a topical ointment prescribed by the clinic to the anal area, not internally.
However, before my surgery, when I had bleeding from hemorrhoids, other doctors prescribed both suppositories and ointments for conservative treatment.
I am unsure about the difference and why they are not recommended post-surgery.
Could you please clarify this for me?

Hua Hua, 40~49 year old female. Ask Date: 2020/06/06

Dr. Ke Fangxu reply Surgery

If a month has passed since the surgery, the wound should generally be healed, and it would be acceptable to use suppositories.
Although these often contain steroids, the dosage is usually low, so they can be used with confidence.
It is not recommended to use them immediately after surgery because the wound may not be fully healed, and using suppositories at that time could affect the healing process.
It is advisable to consult with the surgeon to obtain a formal response.

Reply Date: 2020/06/06

More Info

After undergoing minimally invasive surgery for mixed hemorrhoids and anal fissures, it's common to experience discomfort during bowel movements, especially in the early stages of recovery. The tightness and slight stinging sensation you describe when trying to pass stool can be attributed to several factors, including the healing process of the surgical site, inflammation, and changes in bowel habits post-surgery.

Using suppositories, such as those containing a lubricant or a stool softener, can indeed help ease the passage of stool and reduce discomfort. However, there are important considerations to keep in mind, especially regarding the type of suppository and its ingredients.

1. Type of Suppository: While some suppositories are designed to lubricate and soften stool, others may contain steroids or other active ingredients that could potentially interfere with the healing process. Steroids can reduce inflammation but may also impair wound healing if used excessively or improperly. Therefore, it is crucial to choose a product that is safe for use after surgery.

2. Consulting Your Surgeon: Ideally, you should consult your surgeon or healthcare provider before using any new medication, including suppositories. They can provide personalized advice based on your specific surgical procedure and recovery status. If your surgeon is unavailable, consider reaching out to another healthcare professional who is familiar with your case.

3. Hydration and Diet: Continue to maintain a high-fiber diet and stay well-hydrated, as these are essential for promoting regular bowel movements and preventing constipation. Sometimes, the tightness you feel can be exacerbated by hard stools, so ensuring that your diet supports soft stool formation is vital.

4. Sitz Baths: You mentioned that you are already using sitz baths, which can be very beneficial. They help to soothe the area, promote blood circulation, and aid in the healing process. Continue with this practice as it can provide relief and comfort.

5. Monitoring Symptoms: Keep an eye on your symptoms. If you notice any significant changes, such as increased pain, persistent bleeding, or signs of infection, it is essential to seek medical attention promptly.

6. Potential Risks of Suppositories: While suppositories can provide relief, there is a risk of irritation or damage to the surgical site if not used correctly. If you decide to use a suppository, ensure that it is inserted gently and that you follow the instructions provided with the product.

In summary, while using a lubricant suppository might help ease your discomfort, it is crucial to consult with your healthcare provider to ensure it is appropriate for your situation. They can guide you on the best practices for managing your symptoms post-surgery while ensuring that your recovery remains on track.

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