Post-Surgery Recovery: Managing Pain and Bowel Issues After Hemorrhoid Treatment - Surgery

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Post-hemorrhoid surgery


Hello Doctor, I underwent a tissue coagulation procedure for my internal and external moles on January 19, and today is the sixth day.
The pain and swelling are gradually subsiding, but I am experiencing difficulty with bowel movements.
Every time I feel the urge to go, I rush to the toilet but am hesitant to strain too much, resulting in only a small, soft stool about the size of my pinky finger, and then nothing more.
After that, I complete the necessary washing and soaking, but within half an hour, I feel the urge again, and only small pieces come out.
This cycle has been ongoing for about four days.
Is this reasonable, Doctor? Should I increase the stool softener? Thank you.

Hihi, 40~49 year old female. Ask Date: 2023/01/25

Dr. Ke Fangxu reply Surgery


It is acceptable to increase the dosage of stool softeners in this situation.
In fact, having a bowel movement seven days post-surgery should not be a problem.
You may be experiencing psychological factors that make you hesitant to exert yourself.
If you are afraid of pain, you can try to have a bowel movement while sitting in a sitz bath; after you finish, change the water and soak again.

Reply Date: 2023/01/25

More Info


Post-surgery recovery, particularly after hemorrhoid treatment, can be a challenging experience, especially when it comes to managing pain and bowel issues. Based on your description, it seems you are experiencing a common issue known as "post-operative constipation" or difficulty in bowel movements, which can be exacerbated by pain and anxiety about straining during defecation.

Firstly, it is important to understand that after any surgical procedure, especially one involving the rectal area, the body goes through a healing process that can affect bowel habits. The pain and discomfort you are experiencing may lead to a fear of straining, which can create a cycle of constipation. This is often referred to as "pain-induced constipation," where the anticipation of pain during bowel movements leads to a reluctance to fully evacuate the bowels, resulting in incomplete bowel movements.

In your case, the fact that you are only able to pass small amounts of soft stool and then feel the urge to go again shortly after indicates that your bowel is not fully emptying. This can be frustrating and uncomfortable. Here are some recommendations to help manage your situation:
1. Increase Fluid Intake: Ensure you are drinking plenty of water throughout the day. Staying hydrated is crucial for softening stool and promoting regular bowel movements.

2. Dietary Adjustments: Incorporate high-fiber foods into your diet, such as fruits, vegetables, whole grains, and legumes. Fiber helps to bulk up stool and can facilitate easier passage. If you are not already doing so, consider adding foods like prunes or bran cereal, which are known for their laxative effects.

3. Softening Agents: If you are currently using a stool softener, it may be beneficial to discuss with your healthcare provider whether you should increase the dosage or try a different product. Sometimes, a combination of a stool softener and a mild laxative can be effective in promoting bowel movements without causing discomfort.

4. Warm Baths and Relaxation Techniques: Continue with warm sitz baths, as they can help soothe the area and promote relaxation, which may ease the process of bowel movements. Additionally, practicing relaxation techniques, such as deep breathing, can help reduce anxiety associated with bowel movements.

5. Avoid Straining: It is essential to avoid straining during bowel movements, as this can exacerbate pain and lead to complications. If you feel the urge to go but are unable to pass stool, it may be helpful to try again later rather than forcing it.

6. Follow-Up with Your Doctor: Since you are still within the early stages of recovery, it is advisable to keep your healthcare provider informed about your symptoms. If your bowel issues persist or worsen, or if you experience severe pain, bleeding, or any other concerning symptoms, you should seek medical attention promptly. Your doctor may want to evaluate your condition further and adjust your treatment plan accordingly.

In summary, while some discomfort and changes in bowel habits can be expected after hemorrhoid surgery, it is important to actively manage these symptoms to promote healing and comfort. By making dietary changes, staying hydrated, and using stool softeners as needed, you can help facilitate a smoother recovery process. Always keep an open line of communication with your healthcare provider to ensure you receive the best care tailored to your needs.

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