Navigating Recovery After Hemorrhoid Surgery: Tips and Insights

The Recovery Journey After Hemorrhoid Surgery

Hello, doctor.
I had surgery at the end of October and was hospitalized for two days before returning home to recover.
I have been very careful with my diet, eating low-residue foods and supplementing with probiotics.
I have been using sitz baths because using the toilet causes my surgical site to tear.
My symptoms have been fluctuating, sometimes better and sometimes worse.
I use suppositories every night and clean the area with ointment after using the toilet.
However, now that it is the end of December, I find it difficult to have a complete bowel movement and have to keep changing the water for the sitz bath to ensure it is clean.
The wound inside the anus improves with the suppositories, but after a few bowel movements, it tears again.
This cycle continues, and I am unsure how long it will take to heal.
I am quite frustrated and worried that using suppositories continuously may not be good.
The suppositories contain steroids, and I take sitz baths 3-4 times a day.
I am also cautious about eating too many vegetables for fear of tearing the anus, so I continue to eat low-residue foods.

Now, before using the toilet, I don't feel abdominal pain; instead, I feel a sense of heaviness in my anus, which indicates I need to go.
Before the surgery, I would feel slight abdominal pain to know it was time to use the toilet.
The sensation feels different now, and I am unsure if that is good or bad.
Sometimes, I just need to pass gas, and I become anxious about what to do to speed up my recovery.
By the way, I initially had good results with probiotics, but later switched to stool softeners.
I generally have a bowel movement every morning, but sometimes I don't feel completely empty and spend the entire morning trying to go.
Afterward, it sometimes feels like my anus hasn't returned to its normal state.
What should I do?

Jiang Hua, 50~59 year old female. Ask Date: 2023/12/17

Dr. Zhang Shuhao reply Surgery

After hemorrhoid surgery, it is sufficient to use ointment without the need for suppositories.
In addition to increasing fluid intake, dietary fiber can also be gradually increased, as well-formed, bulky stools will not cause additional irritation to the wound.
If there was no constipation prior to surgery, there is no need to specifically add stool softeners or probiotics.
It is recommended to return for a follow-up appointment to check the wound; if there are no issues, continue to care for it as directed by the physician without excessive worry.

Reply Date: 2023/12/17

More Info

Recovering from hemorrhoid surgery can be a challenging process, and it's understandable to feel frustrated with the ongoing symptoms and discomfort. Here are some insights and tips to help navigate your recovery more effectively.

Understanding the Recovery Process
After hemorrhoid surgery, it is common to experience discomfort, especially during bowel movements. The surgical site can be sensitive, and the healing process may take time. It’s important to remember that everyone's recovery timeline can vary based on individual health factors and the extent of the surgery.

Managing Symptoms
1. Dietary Adjustments: While you are currently on a low-fiber diet to avoid straining during bowel movements, it is crucial to gradually reintroduce fiber into your diet. Fiber helps to soften stools and can prevent constipation, which is a significant factor in straining and potential re-injury to the surgical site. Consider incorporating soluble fiber sources such as oats, apples, and bananas, which can help ease the transition.

2. Hydration: Ensure you are drinking plenty of water. Staying well-hydrated can help keep your stools soft and reduce the risk of straining during bowel movements.

3. Sitz Baths: Continuing with sitz baths is an excellent practice. Soaking in warm water for about 15-20 minutes several times a day can help soothe the area, promote healing, and reduce discomfort. Make sure the water is clean, and you can add Epsom salts for additional relief.

4. Topical Treatments: If you are using a steroid-containing suppository, it’s essential to follow your doctor’s recommendations regarding the duration of use. Overuse of topical steroids can lead to skin thinning and other complications. Discuss with your healthcare provider if you feel the need to continue or adjust your treatment plan.

5. Pain Management: If you experience significant pain, over-the-counter pain relievers like acetaminophen or ibuprofen can be helpful. However, consult your doctor before taking any medication to ensure it’s appropriate for your situation.

Monitoring Symptoms
- Bowel Movements: It’s good that you are aware of your bowel habits. If you notice that you are frequently feeling the urge to go but are unable to have a complete bowel movement, this could indicate that your stools are still too hard or that you may be experiencing some rectal spasms.
- Signs of Complications: Keep an eye out for any signs of complications, such as excessive bleeding, severe pain, or signs of infection (like fever or increased swelling). If you experience any of these symptoms, contact your healthcare provider immediately.

When to Seek Help
If your symptoms persist or worsen, or if you have concerns about your healing process, it’s important to reach out to your healthcare provider. They may want to evaluate your surgical site and assess whether there are any underlying issues that need to be addressed.

Recovery Timeline
Healing from hemorrhoid surgery can take several weeks to months. While some discomfort is normal, if you find that your symptoms are not improving or are affecting your quality of life, it may be time to discuss further treatment options with your doctor.

Conclusion
Recovery from hemorrhoid surgery requires patience and careful management of your symptoms. By making dietary adjustments, staying hydrated, and practicing good hygiene, you can support your healing process. Always communicate openly with your healthcare provider about your symptoms and concerns, as they can provide personalized advice and adjustments to your treatment plan. Remember, recovery is a journey, and taking proactive steps can help you feel better sooner.

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