Post-Surgery Hemorrhoid Care: Should You Remove Hemostatic Cotton? - Surgery

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Postoperative hemostatic cotton for hemorrhoid surgery?


The doctor said that the hemostatic cotton is in the anus and that bowel movements will occur.
Will the hemostatic cotton clog the toilet or septic tank? Should it be removed?

Mi Dou, 40~49 year old female. Ask Date: 2023/07/21

Dr. Zhang Shuhao reply Surgery


Hemostatic cotton that promotes platelet function to aid in hemostasis is mostly made of absorbable hydrogel materials, which will not clog toilets or septic systems.
However, regular gauze may not dissolve.

Reply Date: 2023/07/21

More Info


Post-surgery care for hemorrhoids, particularly regarding the use of hemostatic cotton, is an important topic that requires careful consideration. After hemorrhoid surgery, it is common for surgeons to place hemostatic materials, including hemostatic cotton, to control bleeding and promote healing. However, patients often have concerns about the management of these materials, especially regarding their potential to obstruct plumbing systems.

First and foremost, it is essential to follow your surgeon's post-operative instructions regarding the care and management of hemostatic cotton. Typically, hemostatic cotton is designed to absorb blood and promote clotting, and it is often intended to be absorbed by the body over time. However, if the cotton is not absorbed and remains in the rectal area, it can lead to complications such as infection or obstruction.

Regarding your specific question about whether hemostatic cotton will clog the toilet or septic system, it is generally advisable to avoid flushing any foreign materials down the toilet, including hemostatic cotton. While some types of hemostatic materials are designed to break down, others may not, and flushing them could potentially lead to plumbing issues. If you are concerned that the hemostatic cotton may cause a blockage, it is best to remove it manually, if possible, or consult your healthcare provider for guidance.

In terms of bowel movements, it is crucial to maintain soft stools to avoid straining, which can exacerbate bleeding or discomfort after surgery. Here are some recommendations for managing bowel movements post-surgery:
1. Dietary Adjustments: Increase your fiber intake by consuming fruits, vegetables, whole grains, and legumes. This will help soften your stool and make it easier to pass.

2. Hydration: Drink plenty of water throughout the day. Staying hydrated is essential for preventing constipation.

3. Stool Softeners: Your doctor may recommend over-the-counter stool softeners to help ease bowel movements.

4. Avoid Straining: When you feel the urge to have a bowel movement, try to go as soon as possible. Avoid sitting on the toilet for extended periods, as this can increase pressure on the rectal area.

5. Gentle Cleansing: After a bowel movement, clean the area gently with moist wipes or a bidet instead of rough toilet paper to minimize irritation.

If you experience excessive bleeding, severe pain, or any signs of infection (such as fever or unusual discharge), it is crucial to contact your healthcare provider immediately. They can assess your situation and provide appropriate care.

In conclusion, while hemostatic cotton is used to aid in recovery after hemorrhoid surgery, it is essential to manage it properly to avoid complications. Avoid flushing it down the toilet, and consult your healthcare provider if you have any concerns about its presence or your recovery process. By following post-operative care guidelines and maintaining a healthy diet and hydration, you can promote healing and minimize discomfort during your recovery.

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