Post-Surgery Care for External Hemorrhoids: Common Concerns and Tips - Surgery

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Post-surgery care for external hemorrhoids is crucial for ensuring proper healing and minimizing discomfort. After undergoing surgery for external hemorrhoids, it is common to experience some bleeding and pain, especially in the first few weeks. Here are some answers to your specific questions, along with general care tips:
1. Using Saline Solution for Cleaning: Yes, using a saline solution to clean the surgical site is generally safe and can help keep the area clean. Saline is gentle and does not irritate the tissue, making it a good choice for wound care. However, avoid using any harsh soaps or antiseptics that could cause irritation.

2. Dressing the Wound: It is advisable to continue using a sterile gauze or dressing over the wound, especially if there is ongoing bleeding or drainage. This helps protect the area from infection and keeps it clean. Change the dressing regularly, particularly if it becomes soiled or wet.

3. Using a Hair Dryer: Using a hair dryer on a low setting to gently dry the area after bathing can be acceptable, but be cautious. Ensure that the dryer is not too hot, as excessive heat can irritate the skin. It's essential to keep the area dry to prevent infection, but avoid direct heat that could cause discomfort.

4. Continuing Medication: If your surgeon prescribed a month’s worth of anti-inflammatory and hemostatic medications, it is important to follow their instructions. If you have concerns about interactions with your existing medications for rheumatoid arthritis, consult your healthcare provider. They can provide guidance on whether you should continue taking the prescribed medications or adjust your regimen.

5. Noticing a Lump: If you feel a lump near the surgical site, it could potentially be granulation tissue, which is a normal part of the healing process. However, it is essential to have any new or unusual lumps evaluated by your surgeon. They can determine whether it requires further treatment or monitoring.

6. Healing of the Surgical Site: After surgery, it is common for the area to have some changes in texture or appearance. While the goal of surgery is to remove the hemorrhoids and alleviate symptoms, the skin may not return to its exact pre-surgery state. Some patients may notice a slight indentation or change in the surface, but this does not typically affect function. If you have concerns about the appearance or feel of the area, discuss them with your surgeon during your follow-up visit.


General Care Tips:
- Dietary Adjustments: To prevent constipation and straining during bowel movements, maintain a high-fiber diet and stay well-hydrated. Consider incorporating fruits, vegetables, and whole grains into your meals. Over-the-counter fiber supplements can also be beneficial.


- Warm Baths: Taking warm sitz baths can help soothe the area and promote healing. Aim for 15-20 minutes a few times a day, especially after bowel movements.

- Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage discomfort. Always follow the dosage instructions and consult your doctor if you have any concerns.

- Avoid Straining: When using the bathroom, avoid straining or sitting for prolonged periods. If you experience difficulty, consider using a stool softener as recommended by your healthcare provider.

- Follow-Up Appointments: Attend all scheduled follow-up appointments with your surgeon to monitor your healing progress and address any concerns.

In summary, proper care after external hemorrhoid surgery involves maintaining cleanliness, managing pain, and monitoring for any unusual changes. Always consult your healthcare provider if you have specific concerns or if symptoms persist. Your comfort and recovery are paramount, and they can provide tailored advice based on your individual situation.