Managing Hemorrhoids After Electrosurgery: Common Concerns and Solutions

Hemorrhoids after cauliflower electrosurgery?

Hello Dr.
Ke, I previously underwent two hemorrhoid surgeries with spinal anesthesia.
The first surgery used a harmonic scalpel (according to my attending physician, this method operates at a lower temperature and is less damaging to the tissue), while the second used a traditional electrocautery knife.
However, one month after the second surgery, I still experienced significant rectal bleeding after bowel movements, and a colonoscopy confirmed the presence of hemorrhoids (which I had never had before the surgeries).
The doctor mentioned that, given my situation, it is not possible to eliminate the hemorrhoids, only to manage them to prevent worsening.
Over the past six months, I have been using a suppository called Yizhiping to control the bleeding, but occasionally, when I strain during bowel movements, I still see blood when wiping, which makes me very upset.
I would like to ask Dr.
Ke: 1.
Is it true that the issue with hemorrhoids cannot be resolved? This affects my desire for anal intercourse, which is very troubling for me.
Is it still possible to engage in normal anal intercourse? 2.
Is it normal to have residual hemorrhoids after electrocautery surgery? Could this be a result of the physician's technique, and should I consider consulting another doctor?

Ethan, 20~29 year old female. Ask Date: 2024/02/01

Dr. Ke Fangxu reply Surgery

1.
Hemorrhoid issues can certainly be resolved, but the method of resolution is related to the severity and classification of the hemorrhoids.
If the bleeding is not severe, it should not affect anal intercourse.

2.
Hemorrhoids are not related to electrocautery; they likely existed prior to the procedure.
Electrocautery is mostly performed on external hemorrhoids, with a small portion occurring on low rectal tissue and hemorrhoidal tissue.
It is also a good idea to consult another physician to see if there are differing opinions.

Reply Date: 2024/02/01

More Info

Managing hemorrhoids after electrosurgery can be a challenging experience, especially when complications such as persistent bleeding occur. Your situation, involving two electrosurgical procedures and ongoing symptoms, raises several important considerations regarding the management of hemorrhoids and the potential for long-term effects.

Firstly, it’s essential to understand that hemorrhoids can be classified into internal and external types, and they can be exacerbated by various factors, including straining during bowel movements, constipation, and lifestyle choices. The fact that you developed hemorrhoids after your surgeries, despite not having them prior, suggests that the surgical procedures may have contributed to changes in your anal canal or rectal area, leading to the development of hemorrhoids.

1. Can hemorrhoids be resolved?
While it is true that some cases of hemorrhoids can be managed effectively with conservative treatments, complete resolution may not always be possible, especially if there are underlying factors contributing to their formation. The use of medications like suppositories (e.g., 宜痔平栓劑) can help control symptoms and reduce bleeding, but they may not eliminate the hemorrhoids entirely. It’s crucial to maintain a high-fiber diet, stay hydrated, and avoid straining during bowel movements to minimize the risk of exacerbating the condition. If your symptoms persist or worsen, it may be beneficial to consult with a colorectal specialist who can evaluate your situation more thoroughly and discuss potential surgical options, such as rubber band ligation or hemorrhoidectomy, which may provide a more definitive solution.

2. Is it normal to have complications after electrosurgery?
Complications such as persistent bleeding or the development of new hemorrhoids after electrosurgery can occur, but they are not necessarily indicative of a failure on the part of the surgeon. Electrosurgery, while effective, can sometimes lead to tissue changes that may predispose individuals to hemorrhoid formation. If you are experiencing significant discomfort or complications, it may be worthwhile to seek a second opinion from another qualified healthcare provider. They can review your medical history, the details of your surgeries, and your current symptoms to provide a fresh perspective on your treatment options.

Regarding your concerns about anal intercourse, it is essential to approach this with caution. If you are experiencing bleeding or discomfort, it may be advisable to avoid anal intercourse until your symptoms are under control and you have consulted with your healthcare provider. Engaging in anal intercourse while experiencing hemorrhoidal symptoms can exacerbate the condition and lead to further complications.

In summary, managing hemorrhoids after electrosurgery requires a multifaceted approach that includes lifestyle modifications, symptom management, and possibly further medical intervention. It is crucial to maintain open communication with your healthcare provider, discuss your ongoing symptoms, and explore all available treatment options. If necessary, don’t hesitate to seek a second opinion to ensure you receive the best care tailored to your specific needs. Remember, you are not alone in this, and many individuals face similar challenges after surgical procedures. With the right support and management, it is possible to improve your quality of life and address your concerns effectively.

Similar Q&A

Post-Surgery Concerns: Managing Bleeding After Anal Warts Electrosurgery

Hello doctor, I had a hemorrhoid electrosurgery last Thursday and have returned for follow-up twice. The doctors said I am recovering well and there is no need to worry. However, I experienced fresh red bleeding once yesterday and once today. It was not the typical post-operative...

Dr. Li Zhonghuai reply Surgery
Hello! Although it is difficult to maintain sterility around the anal area, it is recommended to use sterile gauze instead of toilet paper. You are currently waiting for the epidermis to heal, so bleeding from the tissue is a good sign. Please return for regular follow-up appoint...

Post-Surgery Concerns: Managing Bowel Issues After Hemorrhoid Surgery

Hello Dr. Ke: I am a long-term patient with hemorrhoids and also have issues with fistulas. I delayed treatment for a long time and finally underwent surgery in February of last year. I have been very worried about my recovery, but during several follow-up visits, my attending ph...

Dr. Ke Fangxu reply Surgery
After general anal surgery, we typically prescribe stool softeners for patients. If diarrhea occurs, the first step is to stop taking the stool softeners, as they can affect wound healing. Additionally, hemorrhoid ointment should be used to treat skin inflammation around the anal...

Post-Surgery Concerns: Understanding Hemorrhoids vs. Skin Tags

Hello, Doctor: In September, I consulted a physician and was confirmed to have a grade IV condition, and I underwent minimally invasive surgery. I understand that post-operative swelling is normal. After two follow-up visits, the doctor advised to continue monitoring. However, it...

Dr. Ke Fangxu reply Surgery
Grade IV hemorrhoids indicate that the external hemorrhoids are larger, and minimally invasive surgery is generally not recommended because the external hemorrhoidal tissue may not be completely removed. Your situation seems to resemble this condition. If there is no pain or disc...

Managing Hemorrhoids: Alternatives to Surgery and Post-Operative Concerns

Hello, doctor. I have had hemorrhoids for many years (about twenty years). Although I have never seen blood in my stool, I have to wash with clean water after each bowel movement and push the protruding hemorrhoids back into the anus, which is not very convenient. However, seeing...

Dr. Ke Fangxu reply Surgery
Hello, Xiao Qiang: Generally speaking, if hemorrhoids have already protruded outside during a bowel movement and need to be pushed back in by hand, surgical treatment is likely to be the most effective option. If you prefer not to undergo surgery, the various non-surgical treatme...