Postoperative anal dilation after hemorrhoid surgery?
Hello doctor, I have grade III hemorrhoids and underwent a PHH surgery on August 12 of this year.
About 23 days post-surgery, I started experiencing difficulty with bowel movements (spending over an hour on the toilet without being able to pass stool), and this has continued until now.
During my follow-up appointment, the attending physician performed a digital examination and mentioned that the internal area of the anus is tighter.
If there is no improvement, I may need to undergo anal dilation surgery.
I would like to know the level of pain associated with this procedure and whether it is similar to the pain experienced after the hemorrhoid surgery, so I can plan my work accordingly.
Thank you.
Ms. J, 20~29 year old female. Ask Date: 2021/11/01
Dr. Xu Kaixi reply Surgery
One type of anal dilation surgery involves the use of an inflatable balloon to expand the anal or rectal strictures.
This procedure typically requires multiple sessions to gradually achieve the desired dilation.
Pain levels can vary from person to person, depending on the severity and location of the stricture; theoretically, it should not be as painful as a surgical incision.
Reply Date: 2021/11/01
More Info
After undergoing hemorrhoid surgery, particularly a procedure like the PPH (Procedure for Prolapse and Hemorrhoids), it is not uncommon for patients to experience complications such as anal dilation issues and varying levels of pain. Your situation, where you are experiencing significant difficulty with bowel movements and tightness in the anal area, is something that needs to be addressed carefully.
Firstly, it is important to understand that post-surgical pain levels can vary widely among individuals. After hemorrhoid surgery, patients typically experience pain that can range from mild to severe, depending on various factors such as the extent of the surgery, individual pain tolerance, and any complications that may arise. In your case, the tightness you are experiencing may be contributing to your discomfort and could be a sign of anal stenosis, which is a narrowing of the anal canal that can occur after surgery.
The recommendation from your doctor to consider anal dilation if the tightness persists is a common approach. Anal dilation involves the use of dilators to gradually stretch the anal canal, which can help alleviate tightness and improve bowel movement ease. The pain associated with anal dilation can vary. Some patients report discomfort similar to that experienced during the initial recovery from hemorrhoid surgery, while others may find it more tolerable. The procedure is generally performed under local anesthesia or sedation to minimize discomfort.
In terms of pain management, it is crucial to communicate openly with your healthcare provider about your pain levels and any concerns you have regarding the dilation procedure. They may recommend pain relief options such as over-the-counter analgesics (like acetaminophen or ibuprofen) or prescribed medications to help manage any discomfort you may experience during or after the dilation process.
Additionally, it is essential to maintain a high-fiber diet and stay well-hydrated to facilitate easier bowel movements. Stool softeners may also be beneficial in preventing straining, which can exacerbate pain and tightness in the anal area. Regular follow-ups with your healthcare provider are important to monitor your progress and make necessary adjustments to your treatment plan.
If you find that your pain levels are significantly impacting your daily activities or work, it is advisable to discuss this with your doctor. They can provide guidance on when it might be appropriate to return to work and what accommodations might be necessary during your recovery.
In summary, while the pain associated with anal dilation may be similar to that experienced after hemorrhoid surgery, individual experiences can vary. It is essential to have a thorough discussion with your healthcare provider about your symptoms, pain management strategies, and the potential need for dilation. By taking proactive steps and following your doctor's recommendations, you can work towards improving your condition and achieving a more comfortable recovery.
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