Post-hemorrhoid surgery
Hello Dr.
Chang, I underwent laser minimally invasive surgery for hemorrhoids under spinal anesthesia on July 10 at the Taoyuan General Hospital and was discharged on July 11.
It has now been four days.
I can only lie down or stay in bed.
When lying down, I do not feel any pressure from the hemorrhoids, but as soon as I stand up, I immediately feel bloating in my abdomen and a strong urge to have a bowel movement.
However, I am unable to pass stool on the toilet.
I find that warm sitz baths help with bowel movements, but I cannot empty my bowels completely in one go and need to change the water about 7 to 10 times.
The frequency varies each day, and every time I lie down and then stand up, I experience the same bloating sensation, even when I think about urinating.
This is very distressing.
Is this normal? How long will it take to recover? Thank you for your response, Dr.
Chang.
🙏
A Bu La, 50~59 year old female. Ask Date: 2024/07/15
Dr. Zhang Shuhao reply Surgery
Laser minimally invasive hemorrhoid surgery generally refers to laser ablation surgery.
The wound typically heals within three to five days post-operation, and while there may still be some localized swelling, it rarely affects gas or bowel movements.
It is advisable to take warm sitz baths and increase fluid intake.
If symptoms persist, a follow-up appointment should be scheduled to examine the wound, and medications for reducing swelling and gas may be prescribed.
Reply Date: 2024/07/15
More Info
After undergoing hemorrhoid surgery, particularly a minimally invasive procedure like laser treatment, it's common for patients to experience a variety of symptoms as they recover. Your description of feeling pressure in the abdomen and a sense of urgency to have a bowel movement upon standing is not unusual. Let's break down your concerns and provide some insights into the recovery process.
Common Post-Surgery Symptoms
1. Abdominal Discomfort: After surgery, especially in the pelvic region, it is typical to experience some degree of abdominal discomfort or pressure. This can be exacerbated by standing up or moving around, as the body adjusts to the changes following the procedure. The sensation of needing to have a bowel movement can also be heightened due to the surgical manipulation of the tissues in the area.
2. Bowel Movements: It’s not uncommon for patients to have difficulty with bowel movements after hemorrhoid surgery. The surgery can lead to temporary changes in bowel habits, including constipation or difficulty passing stool. The use of warm sitz baths, as you mentioned, is a beneficial practice to help relax the anal sphincter and promote bowel movements. It’s important to ensure that you are adequately hydrated and possibly consider a stool softener or a mild laxative if constipation persists.
3. Frequency of Bathroom Visits: The need to frequently change water during sitz baths and the inability to fully empty your bowels in one sitting can be frustrating. This is often due to the sensitivity of the area post-surgery and the healing process. As your body heals, these symptoms should gradually improve.
Recovery Timeline
Recovery from hemorrhoid surgery can vary significantly from person to person. Generally, you can expect:
- Initial Recovery: The first week post-surgery is often the most uncomfortable. You may experience pain, swelling, and changes in bowel habits. It’s crucial to follow your surgeon's post-operative care instructions during this time.
- Gradual Improvement: Most patients start to feel better within a week or two, but complete healing can take several weeks. By the end of the second week, many patients notice a significant reduction in discomfort and an improvement in bowel function.
- Full Recovery: Full recovery can take anywhere from 4 to 6 weeks, depending on the extent of the surgery and individual healing rates. During this time, it’s essential to maintain a high-fiber diet, stay hydrated, and avoid straining during bowel movements.
When to Seek Help
While some discomfort and changes in bowel habits are expected, you should reach out to your healthcare provider if you experience:
- Severe pain that is not relieved by prescribed medications.
- Signs of infection, such as fever, increased swelling, or discharge from the surgical site.
- Persistent constipation or inability to have a bowel movement after several days, despite using sitz baths and dietary changes.
Conclusion
In summary, your symptoms are within the realm of normal post-hemorrhoid surgery experiences. It’s essential to be patient with your recovery and to follow up with your healthcare provider if your symptoms do not improve or worsen. They can provide additional guidance tailored to your specific situation, including dietary recommendations and possible medications to ease your recovery. Remember, healing takes time, and taking care of your body during this period is crucial for a successful outcome.
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