Thrombosis after laser hemorrhoid surgery?
I had laser hemorrhoid ablation surgery on July 12, and as a result, I didn't have a bowel movement for four days.
After taking half a dose of a laxative for two days, I ended up having over ten bowel movements in one day for two consecutive days, which caused a pea-sized thrombosis to form on the outside of my right side.
This also caused the laser wound to protrude outward and be very painful.
This morning, I went back for a follow-up, and the doctor said to wait for it to gradually resolve on its own, stating that it is not suitable for treatment right now.
They did not prescribe any anti-diarrheal medication, only anti-inflammatory, anti-swelling, and pain relief medications.
Can I take antispasmodic or anti-diarrheal medication? I constantly feel the urge to have a bowel movement, but it's just a little bit each time.
I haven't dared to eat anything from last night to today for fear of having to go again, and I've lost quite a bit of weight.
I'm very worried that the swelling won't go down and that I might need another surgery.
Chun, 50~59 year old female. Ask Date: 2022/07/21
Dr. Yu Mingchang reply Surgery
Hello, you may have hemorrhoids.
Please consult a colorectal specialist at the Changhua Hospital, Ministry of Health and Welfare for further evaluation.
Reply Date: 2022/07/21
More Info
After undergoing laser hemorrhoid surgery, it's not uncommon to experience complications such as blood clots and pain, especially in the initial recovery phase. Your situation, where you have developed a blood clot the size of a soybean and are experiencing significant discomfort, is understandably concerning. Let's break down your concerns and provide some guidance based on medical knowledge.
Understanding Your Symptoms
1. Blood Clots: The formation of a blood clot after surgery can occur due to several factors, including trauma to the area, excessive straining during bowel movements, or even the surgical procedure itself. In your case, the straining from not having a bowel movement for four days followed by a sudden increase in bowel activity likely contributed to the clot formation. It's essential to allow the body time to heal, and as your doctor mentioned, the clot may resolve on its own over time.
2. Pain and Discomfort: Pain following hemorrhoid surgery is common, especially if there is swelling or if a blood clot is present. The pain can be exacerbated by bowel movements, which can create additional pressure in the anal area. The fact that you are experiencing a persistent urge to have a bowel movement, even when there is little to pass, can be frustrating and painful.
Medication Management
Regarding your question about taking antispasmodic or anti-diarrheal medications, it is crucial to consult your doctor before adding any new medications to your regimen. While these medications can help manage symptoms, they may also lead to further complications if not used appropriately. Your doctor has prescribed anti-inflammatory and pain relief medications, which are essential for managing your current symptoms.
Dietary Considerations
Given your recent experience with bowel movements, it is vital to focus on a diet that promotes regularity without causing further strain. Here are some dietary tips:
- Increase Fiber Intake: Incorporate high-fiber foods such as fruits, vegetables, whole grains, and legumes. This can help soften your stool and make bowel movements easier.
- Stay Hydrated: Drink plenty of water to help prevent constipation and promote overall digestive health.
- Avoid Straining: If you feel the urge to have a bowel movement, try to relax and allow your body to do its work without straining. If you are having difficulty, consider using a stool softener as recommended by your healthcare provider.
Activity and Recovery
During your recovery, it's essential to avoid activities that may exacerbate your symptoms. This includes heavy lifting, strenuous exercise, or anything that puts pressure on the pelvic area. Gentle walking can be beneficial, but listen to your body and avoid any activities that cause pain.
Follow-Up Care
Since you are experiencing significant discomfort and have concerns about the blood clot, it is essential to maintain open communication with your healthcare provider. If the pain worsens, if you notice any changes in the size or color of the clot, or if you develop new symptoms such as fever or increased swelling, seek medical attention promptly.
Conclusion
In summary, managing post-laser hemorrhoid surgery involves a combination of proper medication, dietary adjustments, and careful monitoring of your symptoms. While it can be frustrating to deal with complications like blood clots and pain, following your doctor's advice and focusing on gentle, supportive care can help facilitate your recovery. Always consult your healthcare provider before making any changes to your treatment plan, especially regarding medication use. Your health and comfort are paramount, and with time and proper care, you should see improvement.
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