Post-Surgery Concerns: Rectal Mucosal Prolapse Recovery and Complications

Postoperative care after rectal mucosal prolapse surgery?

Hello, doctor! Since April of this year, I have been experiencing frequent urges to defecate, difficulty in bowel movements, and persistent pain in the coccyx area at night.
On June 8, I was diagnosed with rectal mucosal prolapse and underwent a PPH (Procedure for Prolapse and Hemorrhoids) surgery to remove a segment of the mucosa.
On June 18, due to hard stools, I experienced significant bleeding while straining to defecate, and after emergency suturing to stop the bleeding, I have not had any further bleeding.
It has now been 20 days, and the area where I bled occasionally still has a small amount of bright red blood after bowel movements, along with some mild pain.
Is this normal? Is there a risk of infection at the wound site?

Mr. Zhang, 30~39 year old female. Ask Date: 2020/07/09

Dr. Ke Fangxu reply Surgery

Two weeks after PPH surgery, the wound should be healed, and there should be no further risk of infection.
However, the principle of this surgery involves cutting off the blood supply to the hemorrhoidal vessels, and the hemorrhoids themselves are not removed.
Therefore, it is considered normal to experience slight bleeding before the hemorrhoidal tissue shrinks.

Reply Date: 2020/07/09

More Info

Post-surgery recovery, particularly after procedures like PPH (Procedure for Prolapse and Hemorrhoids) for rectal mucosal prolapse, can be a complex process. It's not uncommon for patients to experience a range of symptoms during their recovery, and understanding what is typical can help alleviate concerns.

Firstly, it's important to recognize that some bleeding and discomfort after such surgeries can be normal. The rectal area is highly vascular, meaning it has a rich supply of blood vessels, which can lead to bleeding, especially if there has been trauma to the area, such as from hard stools or straining during bowel movements. The fact that you experienced significant bleeding after a hard bowel movement is concerning, but it is not uncommon for patients to have some residual bleeding or spotting as the surgical site heals.
In your case, the presence of occasional bright red blood after bowel movements, along with mild pain, can be indicative of several factors. It could be related to the healing process of the surgical site, where the tissue is still sensitive and may bleed slightly with the passage of stool. However, if the bleeding is persistent or increases in volume, it is crucial to seek medical attention to rule out any complications such as infection or improper healing.

Infection is a potential concern after any surgical procedure, including those involving the rectal area. Signs of infection may include increased pain, swelling, redness, warmth around the surgical site, or the presence of pus. If you notice any of these symptoms, it is essential to contact your healthcare provider promptly.
To aid in your recovery and minimize complications, consider the following recommendations:
1. Dietary Adjustments: Focus on a high-fiber diet to prevent constipation and avoid straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying well-hydrated is also crucial.

2. Stool Softeners: If you're experiencing hard stools, over-the-counter stool softeners can help ease bowel movements and reduce the risk of straining.

3. Warm Sitz Baths: Taking warm sitz baths can help soothe the area, reduce discomfort, and promote healing.

4. Follow-Up Appointments: Regular follow-up with your surgeon or healthcare provider is essential to monitor your recovery. They can assess the surgical site and provide guidance tailored to your specific situation.

5. Pain Management: If you're experiencing pain, discuss pain management options with your healthcare provider. They may recommend medications or other therapies to help manage discomfort.

6. Avoid Straining: Try to avoid straining during bowel movements, as this can exacerbate bleeding and discomfort. If you feel the urge to strain, take a moment to relax and breathe deeply.

In conclusion, while some bleeding and discomfort can be part of the normal recovery process after rectal mucosal prolapse surgery, it is essential to remain vigilant for any signs of complications. If your symptoms persist or worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your recovery is a priority, and addressing any concerns early can help ensure a smoother healing process.

Similar Q&A

Post-Surgery Concerns: Managing Hemorrhoids and Prolapse Recovery

I was hospitalized on August 24 and discharged after surgery for internal and external hemorrhoids. As of October 2, I have indeed improved a lot, but I still experience rectal prolapse every time I have a bowel movement, and I have to manually push it back in after flushing. I a...

Dr. Li Qinglong reply Surgery
Mr. Mo Xu: Hello, it is recommended that you consult with your original treating physician. Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Post-Surgery Concerns: What to Do When Tissue Prolapses After Bowel Straining

It has been almost a month since my surgery. I have been straining too much during bowel movements and only manage to pass small, pellet-like stools. However, I noticed that some tissue is protruding. What could this be? I would also like to know how doctors would handle this sit...

Dr. Ke Fangxu reply Surgery
Without seeing it firsthand, it's difficult to determine what the issue might be, so I can't tell you how it will be handled. Typically, hemorrhoidal prolapse shouldn't occur right after surgery, but it's best to consult the original surgeon. They will likely ...

Post-Surgery Complications: Fecal Leakage from Vagina After Rectal Surgery

Hello, I would like to ask about my mother who was diagnosed with rectal cancer and underwent laparoscopic surgery. However, after returning home to rest for a week, she developed a persistent high fever. Later, it was discovered that feces were coming from her vagina, and she wa...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Dear Ms. Hsieh, The condition of the surgery often varies depending on the individual case. The most ideal management should be determined based on the specific situation. If you have any questions, you should consult your attending physician or raise your concerns with the hosp...

Understanding Rectal Prolapse: Risks and Surgical Options Explained

Hello, my intestines protrude when I go to the bathroom. I had hemorrhoid surgery in the past, and since then, I have experienced complications. Previously, I could push it back in with just two fingers, but now it requires four fingers. What are the risks of undergoing surgery a...

Dr. Chen Shidian reply Gastroenterology and Hepatology
Hello, sir. You may be experiencing some degree of prolapse. Please visit a colorectal surgeon for evaluation. Changhua Hospital cares about your health. Chen Shidian.