Post-Surgical Discomfort After Hemorrhoid Ligation - Surgery

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Hemorrhoidal ligation pain and swelling?


The doctor had a vasectomy last Friday night and has been feeling quite uncomfortable since returning home, with some swelling and pain, especially noticeable during bowel movements.
Is this normal? There was some bleeding on Saturday, but less so afterward.
Should he continue taking pain medication? Currently, he still feels discomfort in the anal area while sitting in a chair.

Peng Peng, 30~39 year old female. Ask Date: 2023/09/11

Dr. Ke Fangxu reply Surgery


Mild swelling, pain, and a sensation of foreign body presence after hemorrhoid ligation are normal phenomena.
If there is only slight bleeding, there is no need for concern.
Pain medication is not mandatory; it can be taken based on the level of discomfort.
Additionally, taking warm sitz baths can help alleviate discomfort.

Reply Date: 2023/09/11

More Info


After undergoing hemorrhoid ligation, it is not uncommon for patients to experience discomfort, swelling, and pain in the anal region. These symptoms can vary in intensity and duration, depending on individual factors such as the extent of the procedure and the patient's overall health. Based on your description, it seems that your symptoms are within the range of normal post-operative experiences, but let’s break down your concerns further.

1. Post-Surgical Discomfort: It is typical to feel some degree of pain and swelling after hemorrhoid ligation. This procedure involves placing a rubber band around the base of the hemorrhoid to cut off its blood supply, leading to its eventual shrinkage and detachment. The area may be inflamed, and you might experience discomfort during bowel movements, especially if the ligation was done on larger hemorrhoids.
2. Bleeding: Light bleeding after the procedure can occur, especially during the first few days. If you experienced bleeding on Saturday but it has since decreased, this is usually not a cause for alarm. However, if the bleeding becomes heavy or is accompanied by severe pain, you should contact your healthcare provider.

3. Pain Management: Continuing to take pain medication as prescribed is advisable, especially if you are still experiencing discomfort. Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage pain and reduce inflammation. However, be sure to follow the dosage instructions and consult your doctor if you have any concerns about the medication.

4. Sitting Comfortably: It’s common to feel discomfort while sitting, especially if you have recently undergone a procedure in that area. Using a cushion or a specially designed donut pillow can help alleviate pressure on the anal region while sitting. Additionally, avoiding prolonged sitting can also help reduce discomfort.

5. Bowel Movements: To ease the pain during bowel movements, consider increasing your fiber intake through fruits, vegetables, and whole grains, or using a fiber supplement. Staying well-hydrated is also crucial to prevent constipation, which can exacerbate pain during bowel movements. If you find that you are straining, it may be beneficial to use a stool softener as recommended by your healthcare provider.

6. When to Seek Help: If your symptoms do not improve within a few days, or if you experience increased pain, significant bleeding, or signs of infection (such as fever or pus), it is essential to reach out to your healthcare provider. They can assess your condition and determine if any further intervention is necessary.

In summary, while some discomfort, swelling, and mild bleeding can be expected after hemorrhoid ligation, it is crucial to monitor your symptoms closely. Continue with your pain management regimen, maintain a high-fiber diet, and stay hydrated. If you have any concerns about your recovery or if your symptoms worsen, do not hesitate to contact your healthcare provider for further evaluation and guidance. Your comfort and health are paramount during this recovery period.

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