Post-Surgical Discomfort After Hemorrhoid Banding

Sterilization Issues

Hello doctor, I went to the hospital today for a hemorrhoid ligation, which is not my first time.
However, after the procedure today, I felt extremely uncomfortable.
On my way home, I experienced pain that left me feeling weak all over, sweating profusely, and at one point, I even had temporary vision loss.
After taking pain medication and resting, I felt slightly better.
Is this kind of situation normal? I have experienced pain in previous procedures, but it was not this severe.
Thank you.

KK, 20~29 year old female. Ask Date: 2020/11/13

Dr. Ke Fangxu reply Surgery

If the ligation of internal hemorrhoids is too superficial, this phenomenon may occur, especially in patients who have undergone multiple ligation procedures, where the likelihood is even higher.
If there is no significant bleeding or prolapse of the internal hemorrhoids, multiple ligation procedures are unnecessary and can easily lead to complications.

Reply Date: 2020/11/13

More Info

After undergoing hemorrhoid banding, experiencing discomfort is not uncommon, but the severity of your symptoms raises some concerns that warrant further discussion. Hemorrhoid banding, also known as rubber band ligation, is a minimally invasive procedure used to treat internal hemorrhoids. While many patients tolerate the procedure well, some may experience significant discomfort or complications.

Understanding Your Symptoms
1. Pain and Discomfort: It is normal to experience some pain after hemorrhoid banding. This can range from mild discomfort to more severe pain. However, the intensity of pain you described—accompanied by weakness, cold sweats, and transient vision loss—suggests that your body might be reacting more strongly than expected. This could be due to several factors, including anxiety, the body's response to pain, or even a vasovagal response, which can occur when the body reacts to stress or pain by causing a sudden drop in heart rate and blood pressure.

2. Cold Sweats and Weakness: The symptoms of cold sweats and feeling faint could indicate a vasovagal response, which is a common reaction to pain or stress. This occurs when the vagus nerve is stimulated, leading to a decrease in heart rate and blood pressure, resulting in symptoms like dizziness, weakness, and sweating. While this can happen, it is essential to monitor these symptoms closely, especially if they persist.

3. Post-Procedure Expectations: After hemorrhoid banding, patients are typically advised to expect some level of discomfort, which can include pain, swelling, and even bleeding. However, if the pain is severe or accompanied by other concerning symptoms (such as significant bleeding, fever, or persistent weakness), it is crucial to seek medical attention.

Recommendations
1. Pain Management: Since you mentioned taking pain medication, ensure that you are following the prescribed dosage and timing. Over-the-counter pain relievers like ibuprofen or acetaminophen can also help manage discomfort. However, if the pain is not adequately controlled, consult your healthcare provider for alternative pain management strategies.

2. Hydration and Rest: After any surgical procedure, it is essential to stay hydrated and rest. Dehydration can exacerbate feelings of weakness and dizziness. Make sure to drink plenty of fluids and avoid strenuous activities until you feel better.

3. Monitoring Symptoms: Keep a close watch on your symptoms. If you experience worsening pain, increased bleeding, or any new symptoms such as fever or chills, contact your healthcare provider immediately. It’s essential to rule out any complications, such as infection or excessive bleeding.

4. Follow-Up Appointment: If your discomfort persists or worsens, it may be beneficial to schedule a follow-up appointment with your healthcare provider. They can assess your recovery and determine if any further intervention is necessary.

5. Emotional Support: Sometimes, the anxiety surrounding medical procedures can amplify the perception of pain. Consider discussing your experience with a trusted friend or family member, or even a mental health professional, if you feel overwhelmed.

Conclusion
While some discomfort after hemorrhoid banding is expected, the severity of your symptoms suggests that you should consult with your healthcare provider. They can provide guidance tailored to your specific situation and ensure that your recovery proceeds smoothly. Remember, it’s always better to err on the side of caution when it comes to your health.

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