Post-Surgery Care: Managing Bowel Issues and Hygiene Tips - Surgery

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Postoperative Issues and Cleaning


Hello Doctor: I have been experiencing difficulty in having well-formed bowel movements after surgery, and I am wondering if this is related to the stool softeners.
Additionally, after using the toilet, I do not have a bidet for cleaning, and using a handheld shower does not seem to clean thoroughly.
Even after rinsing, there are still remnants, and the healthcare staff advised me not to take a sitz bath for three days.
How can I reduce swelling? Should the rinsing water be boiled? The doctor mentioned that my hemorrhoids are due to a venous thrombosis; what is the difference? Thank you for clarifying these issues for me!

Johnny, 50~59 year old female. Ask Date: 2021/07/04

Dr. Xu Kaixi reply Surgery


If the wound after hemorrhoid surgery is not clean, you can rinse it with warm water.
A short sitz bath (a few minutes) can also be considered.
The water used does not need to be boiled for disinfection; clean water is sufficient.
For swelling, oral anti-inflammatory medications can be taken.
It is not uncommon for hemorrhoids to be accompanied by thrombosis, and the surgical approach remains the same.

Reply Date: 2021/07/04

More Info


Post-surgery care, especially after procedures involving the rectum or bowel, can be challenging and requires careful attention to both bowel management and hygiene practices. Here’s a comprehensive response to your concerns based on the information provided and general medical knowledge.


Managing Bowel Issues
1. Bowel Movements and Softening Agents: It’s common for patients to experience difficulty with bowel movements after surgery, particularly if they are taking softening agents. These medications can sometimes lead to loose stools or inconsistent bowel patterns. If you find that your stools are not forming properly, it may be beneficial to discuss with your healthcare provider the possibility of adjusting the dosage or type of softening agent you are using. Additionally, incorporating a balanced diet rich in fiber (once cleared by your doctor) can help regulate bowel movements. Foods like fruits, vegetables, and whole grains can promote healthy digestion and stool formation.

2. Signs of Complications: If you experience severe pain, blood in your stool, or any signs of infection (such as fever or chills), it is crucial to contact your healthcare provider immediately. These could be signs of complications that may require further evaluation.


Hygiene Practices Post-Surgery
1. Cleaning After Bowel Movements: Without a bidet, cleaning after a bowel movement can be tricky. Using a handheld showerhead or a gentle spray from a faucet can be effective. It’s important to ensure that the water is at a comfortable temperature—neither too hot nor too cold. You do not necessarily need to boil the water; however, if you are concerned about cleanliness, using filtered or bottled water can be an option.

2. Using Toilet Paper: After rinsing, gently pat the area dry with soft toilet paper. Avoid vigorous wiping, which can irritate the surgical site. If you find that toilet paper is not sufficient, consider using moistened wipes that are free from alcohol and fragrances, as these can be gentler on sensitive areas.

3. Sitz Baths: Although your healthcare provider advised against sitz baths for the first three days, once you receive clearance, they can be very beneficial. Sitz baths help reduce swelling and promote healing. Typically, you can soak in warm water for about 10-15 minutes, several times a day, especially after bowel movements.

4. Managing Swelling: If you are experiencing swelling and discomfort, applying a cold pack wrapped in a cloth to the area for short periods can help reduce inflammation. Ensure that you do not apply ice directly to the skin to avoid frostbite.


Understanding Your Condition
1. Thrombosed Hemorrhoids: You mentioned that your doctor indicated your hemorrhoids are thrombosed. This means that a blood clot has formed in the hemorrhoid, which can cause significant pain and swelling. Thrombosed hemorrhoids can sometimes require surgical intervention if they do not resolve on their own. It’s important to follow your doctor’s recommendations regarding treatment and management.

2. Follow-Up Care: Regular follow-up appointments with your healthcare provider are essential to monitor your recovery. They can provide tailored advice based on your specific situation and make necessary adjustments to your treatment plan.


Conclusion
Post-surgery care requires a multifaceted approach that includes managing bowel health and maintaining proper hygiene. If you continue to experience difficulties or have concerns about your recovery, do not hesitate to reach out to your healthcare provider for further assistance. They can provide personalized recommendations and ensure that you are on the right track to recovery. Remember, your comfort and health are paramount during this healing process.

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