Post-Surgery Pain and Complications After Hemorrhoid Surgery: What to Expect - Surgery

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After undergoing hemorrhoid surgery, particularly using the ligature technique, it is common to experience a range of post-operative symptoms, including pain, swelling, and changes in bowel habits. Your concerns about persistent pain, swelling, and issues with bowel control are valid and warrant careful consideration.

Firstly, it is important to understand that after hemorrhoid surgery, the healing process can vary significantly from person to person. The fact that you are experiencing pain at the surgical site 16 days post-operation is not unusual, especially if there is inflammation present, as noted by your physician. Surgical wounds can take time to heal, and it is common for patients to experience discomfort during this period. The presence of swelling and tenderness around the surgical area can also be a part of the normal healing process, but it should gradually improve over time.

Regarding your bowel movements, experiencing diarrhea or loose stools can complicate the healing process. Soft stools are often recommended post-surgery to avoid straining during bowel movements, which can exacerbate pain and hinder healing. However, if you are experiencing diarrhea, it may lead to irritation of the surgical site, as you have noted with the presence of fecal matter on your hygiene products. This situation can create a cycle of discomfort, as the irritation from loose stools can lead to increased pain and inflammation.

Your physician's advice to avoid soft stools is understandable, but it is crucial to find a balance. If you are struggling to have regular bowel movements without straining, consider the following strategies:
1. Dietary Adjustments: Incorporate a diet rich in fiber to help form more solid stools. Foods such as whole grains, fruits, vegetables, and legumes can be beneficial. However, if you are experiencing diarrhea, you may need to avoid certain high-fiber foods temporarily until your bowel movements normalize.

2. Hydration: Ensure you are drinking plenty of fluids. Staying hydrated can help regulate bowel movements and prevent constipation, which can lead to straining.

3. Stool Softeners: If you are having difficulty with bowel movements, consider discussing the use of stool softeners with your healthcare provider. These can help ease the passage of stool without straining.

4. Sitz Baths: Continue to use sitz baths as they can provide relief and promote healing. However, ensure that the water is clean and that you are not soaking for prolonged periods, which could lead to further irritation.

5. Follow-Up Care: Since you have noted ongoing issues with pain and swelling, it is essential to maintain communication with your healthcare provider. If the pain worsens or if you notice any signs of infection (such as increased redness, warmth, or discharge), seek medical attention promptly.

6. Medication Management: If over-the-counter pain relief is insufficient, discuss with your physician the possibility of adjusting your pain management plan. There may be other medications or therapies that can provide better relief.

In summary, while some discomfort and changes in bowel habits are expected after hemorrhoid surgery, persistent issues should be addressed with your healthcare provider. It is crucial to find a management plan that allows for healing while minimizing discomfort. Regular follow-up appointments will help ensure that any complications are identified and treated promptly. Your health and comfort are paramount, so do not hesitate to advocate for yourself in seeking the care you need.