Hemorrhoid Surgery: What to Expect Before Your Procedure

Q: Hemorrhoid Surgery: What to Expect Before Your Procedure

Hello： Based on your symptom description and age, an anal fissure seems to be a reasonable diagnosis. <br>However, it is best to confirm the diagnosis through a physician's examination. <br>If it is a chronic anal fissure, surgical treatment may be considered. <br>If it is an acu

Regarding hemorrhoid surgery?

Hello, doctor.
I would like to ask you about a concern.
I usually experience irregular bowel movements, such as diarrhea or constipation, and as a result, I have noticed a ring of small growths around my anus, which can be painful.
During a conversation with my neighbor, she mentioned that her husband had previously consulted you for hemorrhoids, so she recommended you to me.
This issue has been bothering me for about 3 to 4 weeks, and I am considering surgery for a permanent solution.
Could you please provide me with information regarding this matter to help me prepare mentally? I plan to schedule an appointment with you next week.

joan, 10~19 year old female. Ask Date: 2004/10/27

Dr. Wang Qichao reply Surgery

Hello: Based on your symptom description and age, an anal fissure seems to be a reasonable diagnosis.
However, it is best to confirm the diagnosis through a physician's examination.
If it is a chronic anal fissure, surgical treatment may be considered.
If it is an acute anal fissure, you might try oral pain relievers to avoid constipation and take warm sitz baths (10-15 minutes each time, three times a day), which usually provide good relief.
Sincerely, Dr.
Wang Qichao, Surgeon.

Reply Date: 2004/10/27

More Info

When preparing for hemorrhoid surgery, it’s essential to understand what to expect before the procedure, especially if you've been experiencing discomfort for an extended period. Hemorrhoids, which can be internal or external, often result from straining during bowel movements, chronic constipation, or diarrhea. The presence of painful lumps around the anus, as you described, is a common symptom of hemorrhoids.

Preoperative Considerations
1. Consultation: Before the surgery, you will have a consultation with your surgeon. This is an opportunity to discuss your symptoms, medical history, and any medications you are currently taking. Be honest about your bowel habits and any other health issues, as this information is crucial for your surgeon to plan the best approach for your treatment.

2. Physical Examination: The doctor will perform a physical examination, which may include a digital rectal exam to assess the severity of your hemorrhoids. This examination helps determine the appropriate surgical method.

3. Diagnostic Tests: In some cases, additional tests may be required to rule out other conditions. This could include a colonoscopy, especially if you are over 50 or have a family history of colorectal issues.

4. Preoperative Instructions: Your surgeon will provide specific instructions to follow before the surgery. This may include dietary changes, such as increasing fiber intake to ensure softer stools, and avoiding certain medications that can increase bleeding risk, like aspirin or non-steroidal anti-inflammatory drugs (NSAIDs).

5. Anesthesia Discussion: Hemorrhoid surgery can be performed under local anesthesia, sedation, or general anesthesia, depending on the complexity of the procedure and your comfort level. Your surgeon will discuss the options with you and help you decide what is best.

What to Expect During Surgery
Hemorrhoid surgery, also known as hemorrhoidectomy, typically takes about 30 to 60 minutes. The procedure involves the removal of the hemorrhoids, and it can be done using various techniques, including:
- Excisional Hemorrhoidectomy: The traditional method where the hemorrhoids are cut out.

- Stapled Hemorrhoidopexy: A less painful option that involves stapling the hemorrhoids back into place.

- Laser Surgery: A newer technique that uses laser energy to remove hemorrhoids.

Postoperative Care
1. Recovery: After the surgery, you will be monitored for a short period before being discharged. It’s common to experience some pain and discomfort, which can be managed with prescribed pain medications.

2. Dietary Adjustments: To prevent constipation, you should maintain a high-fiber diet and stay hydrated. Your doctor may recommend stool softeners as well.

3. Activity Restrictions: Avoid heavy lifting and strenuous activities for a few weeks post-surgery. Walking is encouraged to promote circulation and healing.

4. Follow-Up Appointments: Regular follow-ups with your surgeon are crucial to monitor your recovery and address any concerns.

Potential Risks and Complications
While hemorrhoid surgery is generally safe, there are potential risks, including:
- Bleeding: Some bleeding is normal, but excessive bleeding may require medical attention.

- Infection: As with any surgery, there is a risk of infection at the surgical site.

- Pain: While pain is expected, it should gradually improve. If it worsens, consult your doctor.

- Recurrence: Although surgery is effective, hemorrhoids can recur, especially if lifestyle changes are not made.

Conclusion
Preparing for hemorrhoid surgery involves understanding the procedure, following preoperative instructions, and being aware of what to expect during recovery. It’s essential to communicate openly with your healthcare provider about your symptoms and concerns. By taking these steps, you can help ensure a smoother surgical experience and a successful recovery. If you have any further questions or concerns, don’t hesitate to reach out to your surgeon during your upcoming appointment.

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