Hemorrhoid ligation
Hello, Doctor: Last week, I underwent a hemorrhoid ligation for internal hemorrhoids.
Today is the sixth day, and after bowel movements, the hemorrhoids still retract on their own, but I still feel discomfort in the ligated hemorrhoids.
Additionally, the ligated hemorrhoids are very painful when I exert myself, and even slight straining during urination causes sharp pain.
How many days does it typically take for pain to subside after hemorrhoid ligation, and when can I expect the ligated hemorrhoids to fall off?
jerry, 30~39 year old female. Ask Date: 2004/06/16
Dr. Hou Yongji reply Surgery
Hello: It will take about a week for the pain to subside, and it will take two weeks for the complete detachment and healing of the wound.
Reply Date: 2004/06/16
More Info
After undergoing hemorrhoid ligation, it is common to experience discomfort and pain during the recovery process. Hemorrhoid ligation, also known as rubber band ligation, is a minimally invasive procedure used to treat internal hemorrhoids. During this procedure, a rubber band is placed around the base of the hemorrhoid to cut off its blood supply, causing it to shrink and eventually fall off. While this procedure is effective, it can lead to various sensations and discomfort during the healing phase.
Typically, patients can expect some level of discomfort for several days to a week following the procedure. The pain you are experiencing, especially during bowel movements or when straining, is not unusual. The ligated hemorrhoid may still be inflamed and sensitive, which can contribute to the pain you feel when using the bathroom or even during urination. It is important to remember that the ligated hemorrhoid will usually begin to shrink and may fall off within 7 to 10 days after the procedure. However, the timeline can vary from person to person based on individual healing rates and the extent of the hemorrhoids treated.
To help manage your pain and promote healing, consider the following recommendations:
1. Dietary Adjustments: Ensure you are consuming a high-fiber diet to soften your stools and reduce straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying well-hydrated is also crucial.
2. Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help alleviate discomfort. However, be sure to follow the recommended dosages and consult your healthcare provider if you have any concerns.
3. Warm Sitz Baths: Taking warm sitz baths can provide relief from pain and discomfort. Soaking the affected area for 10 to 15 minutes several times a day can help soothe irritation and promote blood flow to the area, aiding in healing.
4. Avoid Straining: It is essential to avoid straining during bowel movements, as this can exacerbate pain and discomfort. If you find it difficult to pass stools, consider using a stool softener or a mild laxative after consulting with your healthcare provider.
5. Follow-Up Care: Keep in close contact with your healthcare provider. If your pain persists beyond the expected recovery period or worsens, it is important to seek medical advice. Your doctor may want to assess the area to ensure there are no complications, such as infection or excessive swelling.
6. Rest and Recovery: Allow your body time to heal. Avoid heavy lifting or strenuous activities that could put pressure on the area.
In summary, while it is normal to experience discomfort after hemorrhoid ligation, the pain should gradually decrease as the ligated hemorrhoid shrinks and falls off. If you continue to experience significant pain or other concerning symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and management. Your comfort and recovery are paramount, and your doctor can provide personalized advice based on your specific situation.
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