Post-Hemorrhoid Surgery Concerns: Pain and Recovery Insights - Surgery

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Postoperative issues after hemorrhoid surgery?


My husband underwent a hemorrhoidectomy for his hemorrhoids.
Compared to traditional methods, the surgery time was shorter, there was less blood loss, and it was less painful.
However, five days post-surgery, he is still experiencing about 70% pain.
He also experiences significant pain in his testicles after bowel movements.
Is it normal to have bowel movements four to five times a day? My husband is questioning the use of traditional surgery.

VV, 30~39 year old female. Ask Date: 2006/04/15

Dr. Hou Yongji reply Surgery


1.
The use of circular resection surgery is generally limited, especially if there are external complications involved, as this may cause pain.

2.
Based on your description, a proper assessment cannot be made.
Therefore, please seek consultation from a colorectal surgeon as soon as possible.
If the surgeon who performed your operation is already a specialist, you should discuss your condition with them for further evaluation and treatment.
Thank you.
The list of specialists can be found at the following link: [D:\2F\Taiwan Society of Colon and Rectal Surgeons.htm] Dr.
Hou Yong-ji.

Reply Date: 2006/04/15

More Info


Post-hemorrhoid surgery concerns, particularly regarding pain and recovery, are common among patients. It's important to understand that while hemorrhoidectomy (the surgical removal of hemorrhoids) can alleviate the discomfort associated with hemorrhoids, the recovery process can still involve significant pain and discomfort, especially in the initial days following the procedure.

Firstly, it is not unusual for patients to experience considerable pain after hemorrhoid surgery, even if the procedure was performed using a less invasive technique. The pain can be attributed to several factors, including the surgical trauma to the tissues, inflammation, and the healing process. It is also important to note that pain levels can vary significantly from person to person, influenced by individual pain tolerance, the extent of the surgery, and any underlying health conditions.

Regarding your husband's experience of pain five days post-surgery, it is essential to recognize that while some discomfort is expected, persistent or severe pain may warrant further evaluation. The pain experienced during bowel movements, particularly if it radiates to the testicles, could be indicative of several factors. One possibility is that the surgical site is still healing, and the act of straining during bowel movements can exacerbate pain. Additionally, the pelvic region is interconnected, and irritation or inflammation in one area can lead to referred pain in another, such as the testicles.

As for the frequency of bowel movements, having four to five bowel movements a day can be considered normal for some individuals, especially if they are consuming a high-fiber diet or if they have increased fluid intake post-surgery. However, if your husband is experiencing diarrhea or loose stools, this could contribute to increased discomfort and should be addressed. It is crucial to maintain soft stools to minimize straining, which can aggravate pain and hinder the healing process. Stool softeners or a high-fiber diet may be recommended to facilitate this.

Your husband's concerns about the surgical method used are understandable, especially if he feels that his pain levels are not aligning with the expected outcomes of the procedure. It is essential to have an open dialogue with the surgeon or healthcare provider about these concerns. They can provide insights into the specific technique used, the expected recovery timeline, and any potential complications that may arise from the surgery.

In terms of managing pain, several strategies can be employed. Over-the-counter pain medications, such as acetaminophen or ibuprofen, can help alleviate discomfort. Additionally, sitz baths (soaking the anal area in warm water) can provide relief and promote healing. Applying ice packs to the area can also help reduce swelling and numb pain.

If the pain persists or worsens, or if there are any signs of complications such as excessive bleeding, fever, or signs of infection (increased redness, swelling, or discharge), it is crucial to seek medical attention promptly. The healthcare provider may need to assess for potential complications such as abscess formation or issues related to the surgical technique.

In conclusion, while pain after hemorrhoid surgery is common, it should gradually improve over time. Open communication with the healthcare provider is vital for addressing concerns and ensuring a smooth recovery. If your husband continues to experience significant pain or has questions about his recovery, it is advisable to schedule a follow-up appointment for a thorough evaluation and tailored advice.

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