Post-Surgery Hemorrhoid Pain: Managing Discomfort and Constipation

Post-hemorrhoid surgery

Hello Doctor: I am on the seventh day after undergoing minimally invasive surgery for hemorrhoids.
Prior to this, my bowel movements were very smooth.
However, in the last two days, I have been feeling tightness and swelling at the surgical site, and the pain has become so severe that I am afraid to have a bowel movement.
I have tried taking a sitz bath to help, and although my stool is soft and there is no bleeding, I can only pass a small amount before the pain becomes unbearable.
Initially, I thought the stool might be too hard, and I considered using my fingers to help, but the area around the anus is too tight and painful, so I did not attempt it further.
Is it normal for the surgical site to feel tight and swollen? What should I do if I feel the urge to have a bowel movement? (This sudden change has occurred in the last two days; prior to this, my bowel movements were smooth, and I have been consistently taking the medication prescribed by my doctor.
Just the day before yesterday, I asked the doctor, and they said everything was normal, but the pain has become intolerable, making it difficult to pass stool.)

Huang Wei-zhe, 10~19 year old female. Ask Date: 2022/08/05

Dr. Ke Fangxu reply Surgery

There are many types of minimally invasive surgeries for hemorrhoids, and without detailed information, it is difficult to determine which specific procedure was performed, making it hard to assess the issue.
It is recommended that you consult your surgeon as soon as possible.
Postoperative pain should gradually decrease; if the doctor claims that this is normal, you should ask them why you are experiencing pain and request further evaluation or intervention.

Reply Date: 2022/08/05

More Info

Post-surgery discomfort, particularly after hemorrhoid surgery, can be quite challenging to manage. It is not uncommon for patients to experience pain, tightness, and swelling around the surgical site during the recovery phase. Your description of feeling tight and swollen at the surgical site, along with significant pain during bowel movements, is a common experience for many patients following this type of procedure.

Firstly, it’s important to understand that after hemorrhoid surgery, the area around the anus can be sensitive and inflamed as it heals. This inflammation can lead to a feeling of tightness and discomfort, especially when attempting to have a bowel movement. The pain you are experiencing could be exacerbated by a few factors, including the consistency of your stool, the pressure exerted during bowel movements, and the healing process of the surgical site.

Here are some strategies to help manage your discomfort and facilitate easier bowel movements:
1. Dietary Adjustments: Ensure you are consuming a high-fiber diet. Foods such as fruits, vegetables, whole grains, and legumes can help soften your stool and make it easier to pass. Additionally, consider incorporating fiber supplements if necessary, as they can provide the bulk needed to ease bowel movements.

2. Hydration: Drink plenty of water throughout the day. Staying well-hydrated is crucial for maintaining soft stool consistency and preventing constipation.

3. Stool Softeners: If you are not already doing so, consider using over-the-counter stool softeners. These can help reduce the strain during bowel movements and alleviate pain.

4. Sitz Baths: Continue to use sitz baths, as they can provide relief from pain and help reduce swelling. Soaking in warm water for 10-15 minutes several times a day can promote healing and comfort.

5. Pain Management: If you are experiencing significant pain, consult your doctor about appropriate pain relief options. Over-the-counter pain medications, such as acetaminophen or ibuprofen, may be helpful, but always follow your physician's recommendations.

6. Avoid Straining: When you feel the urge to have a bowel movement, try to relax and avoid straining. If you are unable to pass stool comfortably, it may be better to wait until you feel more ready rather than forcing it.

7. Consult Your Surgeon: Since you mentioned that your symptoms have changed recently, it is essential to communicate this to your surgeon. They can assess whether your pain is within the normal range of post-operative recovery or if there might be a complication that needs to be addressed.

8. Physical Activity: Gentle physical activity, such as walking, can stimulate bowel function and help prevent constipation. However, avoid any strenuous activities that could strain the surgical site.

If your pain persists or worsens, or if you notice any signs of infection (such as increased redness, swelling, or discharge), it is crucial to seek medical attention promptly. Your healthcare provider can evaluate your condition and provide tailored advice or interventions to help you through your recovery.

In summary, while some discomfort and tightness are normal after hemorrhoid surgery, effective management strategies can significantly improve your experience. Focus on dietary changes, hydration, and gentle care of the surgical area, and maintain open communication with your healthcare provider to ensure a smooth recovery process.

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