Post-Hemorrhoid Surgery Care: Healing, Pain Management, and Bowel Issues

Q: Post-Hemorrhoid Surgery Care: Healing, Pain Management, and Bowel Issues

Hello： 1. <br>Hemorrhoid surgery can generally be categorized into sutured, partially sutured, and non-sutured techniques. <br>If the wound has loosened but there is no bleeding, it is not a concern, and it will heal naturally. <br>Typically, depending on the condition of the wou

Post-hemorrhoid surgery?

Hello Dr.
Hou: After hemorrhoid surgery (traditional surgery), the sutures have come undone, and there is a wound measuring 3 cm in length, 1 cm in width, and 0.5 cm in depth.
When I returned to the hospital, the doctor said that sutures were not necessary and that it would heal naturally.
Is it true that sutures are not needed? Will the wound heal on its own? How long will it take to heal? It has been two weeks since the hemorrhoid surgery, and the wound still hurts.
I am unable to have a bowel movement without using a handheld showerhead for assistance.
Sometimes, shortly after having a bowel movement, I feel the urge to go again multiple times.
Why is this happening? After two weeks post-surgery, should I adopt a sitting or squatting position for bowel movements, or can I use either?

Mr. Hsu, 40~49 year old female. Ask Date: 2004/12/27

Dr. Hou Yongji reply Surgery

Hello: 1.
Hemorrhoid surgery can generally be categorized into sutured, partially sutured, and non-sutured techniques.
If the wound has loosened but there is no bleeding, it is not a concern, and it will heal naturally.
Typically, depending on the condition of the wound and the care provided, if properly managed (daily warm sitz baths and rinsing with warm water after bowel movements, avoiding local wiping), the wound will heal in about two weeks.
2.
Are you experiencing constipation or hard stools? Hard stools may be the cause.
Additionally, please consult your surgeon for a follow-up examination to check for anal stenosis.
3.
In general, try to minimize the time spent on bowel movements, but do not force it.
Thank you! (Please refer to the educational materials on our hospital's website.)

Reply Date: 2004/12/27

More Info

After undergoing hemorrhoid surgery, it is common for patients to have concerns regarding healing, pain management, and bowel issues. Based on your description, it appears that you are experiencing some complications post-surgery, including a wound that has opened up and ongoing pain during bowel movements. Let's address your concerns systematically.

Healing Process and Wound Care
In your case, the surgeon has indicated that the wound does not require suturing and is expected to heal naturally. This approach is not uncommon in hemorrhoid surgeries, especially if the wound is small and the surrounding tissue is healthy. The healing process can vary significantly from person to person, but generally, superficial wounds can take anywhere from a few days to several weeks to heal completely. Factors that influence healing include your overall health, nutrition, hydration, and adherence to post-operative care instructions.

While it may seem concerning that the wound is open, many wounds can heal well without stitches if they are kept clean and dry. It is crucial to follow your surgeon's advice regarding wound care. Keeping the area clean, using prescribed ointments, and avoiding any irritants can promote healing. If you notice increased redness, swelling, or discharge, or if the pain worsens, it is essential to contact your healthcare provider.

Pain Management
Experiencing pain two weeks post-surgery is not unusual, especially if the surgical site is still healing. Pain management is a critical aspect of recovery. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help alleviate discomfort. However, if the pain is severe or persistent, it is advisable to consult your doctor for further evaluation and possibly stronger pain management options.

Bowel Issues
The difficulty you are experiencing with bowel movements is also a common issue following hemorrhoid surgery. The pain associated with bowel movements can lead to a fear of straining, which may cause you to avoid having a bowel movement altogether. This can create a cycle of constipation and discomfort. Here are some strategies to help manage this issue:
1. Hydration: Ensure you are drinking plenty of fluids. Staying hydrated helps soften the stool, making it easier to pass.

2. Diet: Incorporate high-fiber foods into your diet, such as fruits, vegetables, and whole grains. Fiber can help bulk up the stool and promote regular bowel movements.

3. Stool Softeners: Your doctor may recommend stool softeners to ease the passage of stool without straining.

4. Warm Baths: Soaking in a warm bath can help relieve pain and promote relaxation, which may make bowel movements easier.

5. Positioning: Regarding your question about sitting or squatting during bowel movements, both positions can be effective. Some people find that squatting can help facilitate easier bowel movements, while others prefer sitting. You might experiment with both to see which is more comfortable for you.

Conclusion
In summary, while it is normal to experience pain and bowel issues after hemorrhoid surgery, it is essential to monitor your symptoms closely. Healing can take time, and following your surgeon's instructions is crucial for a successful recovery. If you have ongoing concerns about your wound, pain management, or bowel movements, do not hesitate to reach out to your healthcare provider for personalized advice and support. They can provide you with the best guidance tailored to your specific situation.

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