Post-Surgery Care for Acute Thrombosed External Hemorrhoids: What to Expect - Surgery

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Post-surgery care for acute thrombosed external hemorrhoids is crucial for a smooth recovery and to minimize discomfort. After undergoing a surgical procedure to remove thrombosed hemorrhoids, patients can expect a range of symptoms and should be aware of the best practices for post-operative care.

Firstly, it is important to understand that some pain and discomfort are normal after the surgery. The pain may decrease significantly within the first few days, as you have experienced. However, the act of defecation can still be painful, especially if the bowel movements are hard or if there is any straining involved. This is because the surgical site is still healing, and any pressure can cause discomfort or even bleeding.

Here are some recommendations for managing your post-surgery care and addressing your concerns about bowel movements:
1. Dietary Adjustments: To ease the pain during bowel movements, it is essential to maintain a diet high in fiber. This includes fruits, vegetables, whole grains, and plenty of fluids. A soft stool will reduce the strain during bowel movements, making the process less painful. If necessary, consider using a stool softener or a fiber supplement, but consult your doctor before starting any new medication.

2. Sitz Baths: Taking warm sitz baths several times a day, especially after bowel movements, can help soothe the area and promote healing. The warmth can increase blood flow to the area, which aids in recovery and can alleviate pain.

3. Pain Management: Since your doctor has prescribed pain medication, ensure you take it as directed. If the pain is not adequately controlled, do not hesitate to reach out to your healthcare provider for further advice or adjustments to your pain management plan.

4. Avoid Straining: It is crucial to avoid straining during bowel movements. If you feel the urge to go, try to relax and allow your body to do its work naturally. If you are having difficulty, consider waiting a bit longer or using a stool softener to help ease the process.

5. Monitor for Complications: Keep an eye on your symptoms. While some bleeding can occur, especially if you are experiencing pain during bowel movements, excessive bleeding or severe pain should be reported to your doctor immediately. Signs of infection, such as increased redness, swelling, or discharge, should also be monitored.

6. Rest and Activity: While it is important to stay active to promote circulation and healing, avoid heavy lifting or strenuous activities that could strain the surgical site. Gentle walking is encouraged, but listen to your body and rest as needed.

7. Follow-Up Care: Ensure you attend any follow-up appointments with your healthcare provider. They can assess your healing progress and provide additional recommendations tailored to your recovery.

In summary, while it is normal to experience some pain and bleeding after surgery for acute thrombosed external hemorrhoids, managing your diet, practicing good hygiene, and following your doctor's advice can significantly aid in your recovery. If you continue to experience severe pain or bleeding, do not hesitate to contact your healthcare provider for further evaluation and guidance.