Post-Surgery Care for Hemorrhoids and Rectal Polyps: Key Insights

Post-hemorrhoid surgery

Hello Dr.
Ke: I underwent surgery for rectal polyps and mixed nevi on May 29, and I would like to ask you a few questions: 1.
Both the polyp and nevus wounds are internal; how can I determine if the wounds are healing properly? 2.
It has been 26 days post-surgery; is there a risk of the wounds reopening if I strain during bowel movements? 3.
Does the falling out of stitches indicate that the wounds have healed, or do they typically fall out on their own within 2-4 weeks without any significance?

Xiao Ling, 50~59 year old female. Ask Date: 2023/06/23

Dr. Ke Fangxu reply Surgery

1.
No pain and no discharge means it has healed.
2.
After so many days, it will not reopen.
3.
Sutures generally fall out 1 to 4 weeks after surgery, depending on the type of suture used.
The loss of sutures does not necessarily indicate that the wound has healed; absorbable sutures may also fall out on their own as they lose tension.

Reply Date: 2023/06/23

More Info

Post-surgery care for hemorrhoids and rectal polyps is crucial for ensuring proper healing and minimizing complications. Here are some key insights based on your questions and general medical knowledge.

1. Determining Wound Healing: After surgery for hemorrhoids and rectal polyps, the healing process can vary from person to person. Generally, you can assess healing by observing the following signs:
- Reduction in Pain: As the wound heals, you should notice a gradual decrease in pain and discomfort.

- Decreased Bleeding: Initially, some bleeding may occur, but this should diminish over time. If you notice persistent or heavy bleeding, it may indicate a problem.

- Absence of Infection: Signs of infection include increased redness, swelling, warmth around the wound, and discharge that may be foul-smelling. If you observe these symptoms, consult your healthcare provider.

- Follow-Up Appointments: Regular follow-ups with your surgeon are essential. They can provide a professional assessment of your healing progress.

2. Risk of Wound Opening with Straining: After surgery, especially within the first few weeks, there is a risk of the wound reopening if you strain during bowel movements. To minimize this risk:
- Avoid Straining: Straining can increase pressure in the rectal area, potentially leading to complications. It's essential to maintain soft stools to reduce the need for straining.

- Dietary Adjustments: Incorporate a high-fiber diet, including fruits, vegetables, and whole grains, to promote regular bowel movements. Staying hydrated is also crucial.

- Stool Softeners: Your doctor may recommend stool softeners to ease bowel movements and prevent straining.

- Gentle Techniques: If you feel the urge to push, try to relax and breathe deeply instead of forcing the movement.

3. Dissolving Sutures and Healing: The presence of dissolvable sutures is common in surgeries involving internal structures like hemorrhoids and rectal polyps. Here’s what you need to know:
- Suture Dissolution: Dissolvable sutures typically dissolve within 2-4 weeks post-surgery. Their disappearance does not necessarily indicate that the wound has fully healed. It is a normal part of the healing process.

- Wound Healing Timeline: Complete healing of the internal tissues may take longer than the visible signs of suture dissolution. It’s essential to continue monitoring your symptoms and follow your surgeon's advice regarding activity levels and care.

Additional Care Tips:
- Hygiene: Maintain good hygiene by gently cleaning the area with mild soap and water. Avoid harsh soaps or scrubbing, which can irritate the area.

- Pain Management: Use prescribed pain medications as directed. Over-the-counter pain relievers may also help, but consult your doctor before taking any new medications.

- Activity Level: Gradually increase your activity level as tolerated. Avoid heavy lifting and strenuous activities until your doctor gives you the green light.

- Watch for Complications: Be vigilant for signs of complications such as excessive bleeding, severe pain, or signs of infection. If you experience any of these, contact your healthcare provider immediately.

In conclusion, post-surgery care for hemorrhoids and rectal polyps involves careful monitoring of your healing process, maintaining a diet that promotes soft stools, and following your surgeon's recommendations. Regular follow-ups are essential to ensure that your recovery is on track and to address any concerns that may arise. Always consult your healthcare provider for personalized advice tailored to your specific situation.

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