Post-Hemorrhoid Banding Surgery: Abdominal Distension and Recovery - Surgery

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Post-hemorrhoid ligation (rubber band ligation) abdominal distension?


On the night of the hemorrhoid ligation surgery, I noticed a bulge in my lower abdomen (below the navel).
It has been six days since then, and regardless of morning or evening, whenever I stand, I feel bloated in my stomach.
I can't eat much, whether I'm hungry or not, and I feel quite irritable, but I am still able to have bowel movements every day.
Is this normal after hemorrhoid ligation surgery? 1.
Could this be caused by the surgical site? 2.
Or is it due to not resting properly during the recovery period? 3.
The doctor prescribed a stomach medication containing "magnesium oxide 250mg," to be taken four times a day (morning, noon, evening, and before bed).
Will this help alleviate the symptoms? Thank you for your response.

lin, 20~29 year old female. Ask Date: 2020/07/18

Dr. Yu Mingchang reply Surgery


Hello: Hemorrhoid surgery is not related to the abdominal cavity.

Reply Date: 2020/07/18

More Info


After undergoing hemorrhoid banding surgery, experiencing abdominal distension and discomfort can be concerning, especially if it persists for several days. Let's address your questions and provide some insights into what might be happening.

1. Is the abdominal distension possibly caused by the surgical site?
Yes, it is possible that the distension you are feeling could be related to the surgery. Hemorrhoid banding is a minimally invasive procedure, but it can still lead to some post-operative discomfort and changes in bowel habits. The surgery can cause temporary inflammation in the surrounding tissues, which may lead to a sensation of fullness or bloating in the abdomen. Additionally, if there was any manipulation of the rectal area, it could affect the surrounding organs and cause discomfort.

2. Could the distension be due to inadequate rest during the recovery period?
Absolutely. Recovery from any surgical procedure requires adequate rest and care. If you have been active or engaging in activities that put strain on your abdominal area, this could exacerbate feelings of bloating and discomfort. It’s crucial to listen to your body during the recovery phase. Overexertion can lead to increased abdominal pressure, which may contribute to the sensation of distension. It’s advisable to limit physical activity and allow your body to heal properly.

3. Will the magnesium oxide prescribed help alleviate the symptoms?
Magnesium oxide is often prescribed to help with constipation and to promote regular bowel movements. Since you mentioned that you are still able to have daily bowel movements, the magnesium may not directly address the bloating you are experiencing. However, if your bowel movements are not as regular or if you are experiencing any straining, the magnesium could help soften the stool and make it easier to pass, potentially reducing discomfort associated with constipation. It’s important to follow your physician's instructions regarding medication and to communicate any ongoing symptoms.

In addition to these points, it’s important to consider other factors that could contribute to abdominal distension after surgery. These may include:
- Dietary Changes: Post-surgery, your diet may have changed, which can impact digestion. Foods that are high in fiber or certain carbohydrates can lead to gas and bloating. Keeping a food diary may help identify any triggers.


- Fluid Retention: Surgery can sometimes lead to temporary fluid retention, which may cause a feeling of fullness or bloating. Staying hydrated and monitoring your salt intake can help manage this.

- Emotional Factors: Anxiety and stress can also contribute to gastrointestinal symptoms. If you are feeling anxious about your recovery, this could manifest as physical discomfort.

If your symptoms persist or worsen, it is crucial to follow up with your healthcare provider. They may want to conduct a physical examination or additional tests to rule out any complications such as infection or bowel obstruction. It’s always better to err on the side of caution when it comes to post-operative symptoms.

In summary, while some degree of abdominal distension can be normal after hemorrhoid banding surgery, especially if you are not resting adequately, it’s essential to monitor your symptoms closely. Make sure to communicate with your healthcare provider about your concerns, and don’t hesitate to seek further evaluation if needed. Your recovery is important, and ensuring that you are healing properly will help you return to your normal activities sooner.

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