Postoperative Questions Regarding Hemorrhoid Surgery
Hello, doctor.
It has been four days since my external hemorrhoidectomy, and I am still experiencing unbearable pain.
The area around the wound is swollen around half of the anus.
I have been lying in bed and relying on painkillers to manage my daily activities.
However, I read that this type of outpatient surgery is not that serious, yet I am unable to return to work for several days.
During bowel movements, the swelling around the anal area is obstructing, causing significant pain.
The doctor mentioned that this is all normal, but I am also experiencing some bleeding and a foul-smelling discharge; is this normal as well? After the surgery, I was only prescribed painkillers, and my next follow-up appointment is still several days away.
Could you please recommend an ointment that might help the wound heal faster?
Niming, 20~29 year old female. Ask Date: 2020/10/16
Dr. Ke Fangxu reply Surgery
Personally, I have not undergone outpatient hemorrhoidectomy because postoperative swelling and pain are inevitable.
Mild bleeding and discharge are also considered normal.
During this time, it is not recommended to apply ointments to avoid compromising wound cleanliness.
Frequent warm sitz baths can help reduce swelling, and it is also important to prevent constipation and avoid prolonged sitting.
Reply Date: 2020/10/16
More Info
Post-hemorrhoid surgery pain management and recovery can indeed be challenging, especially in the first few days following the procedure. It is not uncommon for patients to experience significant discomfort, swelling, and even some discharge from the surgical site. Here’s a comprehensive overview of what you might expect and how to manage your symptoms effectively.
Common Concerns After Hemorrhoid Surgery
1. Pain and Discomfort: After hemorrhoid surgery, particularly external hemorrhoid excision, patients often report varying levels of pain. This pain can be exacerbated by bowel movements, as the area is sensitive and may be swollen. It is important to understand that while some discomfort is expected, severe pain that does not improve with pain medication should be evaluated by your healthcare provider.
2. Swelling: Swelling around the surgical site is a normal part of the healing process. However, if the swelling is significant or accompanied by severe pain, it may indicate complications such as infection or hematoma formation.
3. Discharge: It is also common to experience some discharge from the surgical site. This can include blood or a foul-smelling fluid, which may be a sign of infection. If the discharge is excessive or has a strong odor, it is crucial to contact your doctor for further evaluation.
4. Bowel Movements: Many patients find that bowel movements are painful in the days following surgery. This can be due to swelling and sensitivity in the area. It is essential to avoid straining during bowel movements, as this can worsen pain and delay healing.
Pain Management Strategies
1. Medications: Over-the-counter pain relievers such as acetaminophen (Tylenol) or ibuprofen can help manage pain. If your doctor has prescribed stronger pain medications, be sure to take them as directed. Always consult your healthcare provider before starting any new medication.
2. Topical Treatments: While there are various over-the-counter creams and ointments available, it is best to consult your doctor before using any topical treatments. Some may contain ingredients that can irritate the area further. Your doctor may recommend a specific ointment that can help soothe the area and promote healing.
3. Sitz Baths: Taking warm sitz baths several times a day can help alleviate pain and promote healing. Soaking the area in warm water can reduce swelling and provide comfort.
4. Dietary Adjustments: To ease bowel movements, consider increasing your fiber intake through fruits, vegetables, and whole grains. Staying hydrated is also crucial, as it helps soften stools and reduces the risk of straining.
5. Avoiding Strain: It is vital to avoid heavy lifting and straining during bowel movements. If necessary, consider using a stool softener to make bowel movements easier.
When to Seek Medical Attention
If you experience any of the following symptoms, it is important to contact your healthcare provider:
- Severe or worsening pain that is not relieved by medication.
- Excessive bleeding or discharge from the surgical site.
- Signs of infection, such as fever, chills, or increased redness and swelling around the incision.
- Difficulty urinating or having bowel movements.
Conclusion
Recovery from hemorrhoid surgery can be uncomfortable, but understanding what to expect and how to manage your symptoms can make the process more manageable. Always keep an open line of communication with your healthcare provider, and do not hesitate to reach out if you have concerns about your recovery. Your health and comfort are paramount, and your doctor can provide the best guidance tailored to your specific situation.
Similar Q&A
Post-Surgery Concerns: Understanding Pain After Hemorrhoid Surgery
Hello Dr. Ke, I underwent hemorrhoid surgery at the end of July, and it has been over two months since the procedure. Occasionally, I experience a sharp pain near the anus, and there is a soreness starting about 1 cm above the anal area. The soreness occurs daily and can last all...
Dr. Ke Fangxu reply Surgery
Based on your description, it may be difficult to determine the issue. It might be necessary to conduct a rectal examination or an endoscopy to confirm the diagnosis. Generally, this is not related to surgery; otherwise, symptoms would have occurred postoperatively. Sometimes, it...[Read More] Post-Surgery Concerns: Understanding Pain After Hemorrhoid Surgery
Post-Surgery Concerns: Understanding Pain and Recovery After Hemorrhoidectomy
Doctor, I'm sorry. I had a hemorrhoid ligation on the evening of April 27th, and today is April 29th. The pain is more manageable with pain medication, but it returns when the medication wears off. Is this normal? Also, I've experienced significant pain after bowel move...
Dr. Ke Fangxu reply Surgery
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 can he...[Read More] Post-Surgery Concerns: Understanding Pain and Recovery After Hemorrhoidectomy
How Common Are Complications After Hemorrhoid Surgery?
It is often seen on websites that patients experience some complications after hemorrhoid surgery, such as persistent pain, anal tightness, or fecal incontinence after a period of time. Even when treated by a qualified colorectal surgeon, what is the likelihood of these issues oc...
Dr. Ke Fangxu reply Surgery
Hello: In response to your question, the pain after hemorrhoid surgery typically lasts about one to two weeks, with the most intense pain occurring during the first three days. Therefore, hospitalization is recommended during this period. After that, there may still be some disco...[Read More] How Common Are Complications After Hemorrhoid Surgery?
Common Concerns About External Hemorrhoid Surgery: Pain, Recovery, and Anesthesia
Hello Dr. Ke, I have a few questions that I hope you can take the time to answer. Thank you. 1. For external hemorrhoid surgery, is general anesthesia, spinal anesthesia, or local anesthesia required? (I understand that anesthesia carries risks.) Will the surgery be "very ...
Dr. Ke Fangxu reply Surgery
1. The anesthesia methods used for hemorrhoid surgery that you listed are all practiced by various physicians, depending on their preferences. Each method has its advantages and disadvantages. General anesthesia has the benefit of keeping the patient relaxed, but it carries a rel...[Read More] Common Concerns About External Hemorrhoid Surgery: Pain, Recovery, and Anesthesia
Related FAQ
(Surgery)
Hemorrhoids(Surgery)
Post-Anal Surgery(Surgery)
Post-Anal Fissure Surgery(Surgery)
Anal Pain(Surgery)
Prolapsed Hemorrhoid(Surgery)
Hemorrhoid Ointment(Surgery)
Internal Hemorrhoid Bleeding(Surgery)
Anal Bleeding(Surgery)
Thrombosed External Hemorrhoids(Surgery)