Post-Hemorrhoid Surgery: Managing Pain and Bleeding After 40 Days - Surgery

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Post-hemorrhoid surgery


Hello Doctor, I have completed my hemorrhoid surgery 40 days ago.
I have a bowel movement once a day.
I have a few questions: 1.
I am experiencing pain when I urgently need to have a bowel movement, and the pain persists during the process, to the point where even pain medication does not alleviate it.
2.
This week, I have noticed some blood in my stool; the amount is not significant, but sometimes there is blood on the toilet paper when I wipe, and other times the toilet bowl is stained red.
3.
After having a bowel movement, I feel pain around the anal area.
Sometimes, when the anal sphincter contracts, I feel a sensation of something pressing inside, accompanied by a sharp pain and pulling sensation, as if there is something inside.

a, 30~39 year old female. Ask Date: 2021/07/22

Dr. Ke Fangxu reply Surgery


1.
Circular resection is theoretically painless; however, if the resection site is closer to the anal opening, there may be pain as a complication.

2.
Some patients may experience bleeding after circular resection; it is recommended to consult a physician for medication.
If the bleeding does not stop, surgical intervention for hemostasis may be necessary.

3.
A foreign body sensation is a common issue after circular resection, often caused by irritation from the anastomosis staples.
If the symptoms do not gradually improve, it may sometimes be necessary to remove a portion of the staples for relief.

Reply Date: 2021/07/22

More Info


After undergoing hemorrhoid surgery, experiencing pain and bleeding can be concerning, especially 40 days post-operation. Let's address your questions and provide some insights into managing your symptoms effectively.

1. Pain During Bowel Movements: It is not uncommon to experience pain during bowel movements after hemorrhoid surgery, especially if you are straining or if your stool is hard. Pain can also be exacerbated by the healing process of the surgical site. If you are experiencing significant pain despite taking pain medications, it may be worth discussing with your healthcare provider. They may recommend stool softeners or dietary changes to ensure your stools are softer and easier to pass, which can help reduce pain during bowel movements.

2. Bleeding: Occasional bleeding after hemorrhoid surgery can occur, especially if there is irritation or if the surgical site is still healing. However, if you notice a significant amount of blood or if the bleeding persists, it is crucial to consult your doctor. They may want to examine the surgical site to rule out any complications, such as a hematoma or infection. Minor bleeding can often be managed with topical treatments or adjustments in bowel habits, but persistent or heavy bleeding should be evaluated.

3. Post-Defecation Pain: Experiencing pain after bowel movements can be a sign that the surgical site is still sensitive or that there may be some residual swelling or irritation. The sensation of pressure or a feeling of something being "stuck" can also indicate that the area is still healing. It is essential to maintain good hygiene and possibly use warm sitz baths to soothe the area. If the pain is severe or if you notice any changes in your symptoms, it is advisable to follow up with your healthcare provider.


Additional Recommendations:
- Dietary Adjustments: Ensure you are consuming a high-fiber diet to promote softer stools. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying well-hydrated is also crucial, as it helps prevent constipation.

- Pain Management: If over-the-counter pain medications are not providing relief, discuss alternative pain management strategies with your doctor. They may prescribe stronger medications or suggest other therapies.

- Sitz Baths: Regular sitz baths can help alleviate discomfort and promote healing. Soaking in warm water for about 15-20 minutes several times a day can provide relief from pain and help reduce swelling.

- Follow-Up Care: Regular follow-ups with your surgeon or healthcare provider are essential to monitor your recovery. They can assess the surgical site and provide tailored advice based on your healing progress.

- Avoid Straining: It is vital to avoid straining during bowel movements, as this can exacerbate pain and lead to complications. If you find yourself straining, consider using stool softeners or laxatives as recommended by your doctor.

In conclusion, while some discomfort and minor bleeding can be part of the recovery process after hemorrhoid surgery, it is essential to monitor your symptoms closely. If your pain worsens, bleeding increases, or you have any new symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and management. Your recovery is important, and addressing these issues promptly can help ensure a smoother healing process.

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