Post-Surgery Concerns: Hemorrhoid Recovery and Diet - Surgery

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One month after hemorrhoid surgery issues?


On December 31, 2020, I underwent traditional surgery for thrombosed external hemorrhoids.
I did not have any issues with constipation, as my gallbladder was removed in 2012.
During a follow-up appointment on January 21, the doctor performed a digital examination using a dilator and mentioned that my anal opening was too small, which resulted in bleeding from the surgical site.

1.
Is it possible that my anal opening was naturally small, and could my gallbladder removal be related to this, considering I have never had issues with constipation or hard stools? Is this related to the surgery?
2.
Can I eat shrimp and crab one month after the surgery?
3.
Is it normal to have follow-up appointments every 3-4 days since being discharged from the hospital? I am very concerned about the possibility of recurrence.
Thank you.

Miss Wang, 40~49 year old female. Ask Date: 2021/01/23

Dr. Yu Mingchang reply Surgery


Hello: After a laparoscopic cholecystectomy for constipation, the Ministry of Health and Welfare Changhua Hospital is concerned about your well-being post-surgery.

Reply Date: 2021/01/23

More Info


Post-surgery recovery, particularly after a hemorrhoidectomy, can be a challenging process, especially when considering dietary adjustments and the management of potential complications. Let's address your concerns one by one.

1. Size of the Anal Opening and Surgery Impact: It is not uncommon for patients to experience changes in the anal opening after surgery. The size of your anal opening may have been a pre-existing condition, but surgical intervention can lead to swelling, scarring, or changes in tissue that might temporarily affect its size. If your doctor used a dilator during your follow-up appointment, it suggests that they are trying to prevent strictures or narrowing of the anal canal, which can occur post-surgery. It is essential to communicate any concerns about pain or difficulty with bowel movements to your healthcare provider, as they can provide specific guidance tailored to your situation.

2. Dietary Restrictions Post-Surgery: After hemorrhoid surgery, it is generally recommended to follow a diet that promotes soft stools to minimize straining during bowel movements. While shrimp and crab are not inherently problematic, they can be harder to digest for some individuals. It is advisable to introduce them back into your diet gradually, ensuring that you maintain a high-fiber intake from fruits, vegetables, and whole grains, along with adequate hydration. This will help keep your stools soft and reduce the risk of complications. If you experience any discomfort or changes in your bowel habits after consuming these foods, it may be best to avoid them until you are fully healed.

3. Frequency of Follow-Up Appointments: Frequent follow-up appointments in the weeks following surgery are quite common, especially if there are concerns about healing or complications. Your healthcare provider may want to monitor your recovery closely to ensure that there are no signs of infection, excessive bleeding, or other complications. If you feel anxious about the frequency of these visits, it is important to discuss your concerns with your doctor. They can provide reassurance and clarify the rationale behind the follow-up schedule.

In addition to these points, here are some general dietary and lifestyle recommendations to support your recovery:
- Hydration: Drink plenty of fluids to help soften your stool. Aim for at least 8-10 glasses of water a day unless otherwise directed by your physician.

- Fiber Intake: Incorporate high-fiber foods into your diet, such as whole grains, fruits, vegetables, and legumes. If you find it challenging to get enough fiber from food, consider a fiber supplement after consulting with your healthcare provider.

- Avoid Straining: When using the bathroom, avoid straining. If you feel the urge to go, try to respond promptly rather than waiting, as this can lead to harder stools.

- Physical Activity: Engage in light physical activity, as tolerated, to promote bowel regularity. However, avoid heavy lifting or strenuous exercise until cleared by your doctor.

- Pain Management: If you experience pain during bowel movements, discuss pain management options with your healthcare provider. They may recommend stool softeners or topical treatments to ease discomfort.

Lastly, it is crucial to listen to your body and communicate openly with your healthcare team about any concerns or symptoms you experience during your recovery. They are there to support you and can provide tailored advice to ensure a smooth healing process.

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