Post-Hemorrhoid Surgery: Managing Pain and Blood in Stool

Post-operative issues of hemorrhoids include pain and rectal bleeding?

Hello doctor, I underwent minimally invasive surgery for hemorrhoids, specifically for internal hemorrhoids, using a coagulation knife.
It's been a week since the procedure, and I am still experiencing pain, primarily on one side of the anus.
The doctor has prescribed antibiotics, and I am on the fourth day of the course, but the pain remains inconsistent and can be quite severe.
Additionally, I often notice blood clots in my stool; is this normal?

Lao Xie, 50~59 year old female. Ask Date: 2021/10/21

Dr. Yu Mingchang reply Surgery

Drink more water to help dissolve it, and come back for a follow-up appointment when you have time.

Reply Date: 2021/10/21

More Info

After undergoing minimally invasive hemorrhoid surgery, it is not uncommon to experience pain and some bleeding in the days and weeks following the procedure. The pain you are experiencing, particularly on one side of the anal area, can be attributed to several factors related to the surgery itself.
Firstly, the surgical site is still healing, and it is normal for there to be some discomfort as the tissues recover. The pain may fluctuate due to various activities, such as sitting, moving, or having bowel movements. It is essential to manage this pain effectively to ensure a smoother recovery. Over-the-counter pain medications, such as acetaminophen or ibuprofen, can be helpful, but it is crucial to follow your doctor's recommendations regarding pain management.

Regarding the presence of blood in your stool, it is not uncommon to see some blood or blood clots after hemorrhoid surgery. This can occur due to the surgical manipulation of the tissues and the healing process. However, the amount and appearance of the blood are important factors to consider. If the blood is bright red and associated with significant pain, or if you notice an increase in the amount of blood, it is essential to contact your healthcare provider immediately. They may want to evaluate you for any potential complications, such as infection or excessive bleeding.

The fact that you are on antibiotics suggests that your doctor is proactively managing the risk of infection, which is a common concern after any surgical procedure. If your pain persists despite taking antibiotics and over-the-counter pain relief, or if you develop new symptoms such as fever, increased swelling, or discharge from the surgical site, you should seek medical attention promptly.

In addition to medication, there are several self-care strategies that can help alleviate pain and promote healing:
1. Dietary Adjustments: Ensure you are consuming a high-fiber diet to soften your stools and reduce straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying well-hydrated by drinking plenty of water is also crucial.

2. Warm Baths: Taking warm sitz baths can help soothe the area and relieve discomfort. This can be done several times a day, especially after bowel movements.

3. Avoid Straining: Try to avoid straining during bowel movements, as this can exacerbate pain and lead to further bleeding. If you feel the urge to go, do not delay, as this can lead to harder stools.

4. Rest: Allow your body time to heal by getting plenty of rest and avoiding strenuous activities that may put pressure on the surgical site.

5. Follow-Up Care: It is essential to attend any follow-up appointments with your healthcare provider to monitor your recovery and address any concerns you may have.

In summary, while some pain and bleeding can be expected after hemorrhoid surgery, persistent or worsening symptoms should not be ignored. Effective pain management, dietary modifications, and proper follow-up care are key components of a successful recovery. If you have any doubts or concerns, do not hesitate to reach out to your healthcare provider for guidance.

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