Surgery Risks and Recovery for Hemorrhoids: What to Expect

Q: Surgery Risks and Recovery for Hemorrhoids: What to Expect

Hello： Your issue may be clearer if you consult a colorectal surgeon. <br>It is likely that you need to assess the severity of your hemorrhoids to determine if surgery is necessary, as well as the potential complications of the procedure. <br>Currently, if you undergo surgery, yo

Are there any potential complications after surgery?

I have had constipation since I was young, and when I feel the urge to go, I tend to hold it in until I get home, which has worsened my constipation and led to hemorrhoids.
Now, every time I use the restroom, the hemorrhoids become very large and sometimes painful.
A few years ago, I even experienced rectal bleeding, but I have been too afraid to see a doctor, and this has troubled me for a long time.
I heard that if surgery is not done properly, there could be complications (for example, unintentional fecal incontinence).
If there are no complications, how much does the surgery typically cost? How long would I need to stay in the hospital? How long would it take before I can return to work?

Xiao Yu, 20~29 year old female. Ask Date: 2006/05/25

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello: Your issue may be clearer if you consult a colorectal surgeon.
It is likely that you need to assess the severity of your hemorrhoids to determine if surgery is necessary, as well as the potential complications of the procedure.
Currently, if you undergo surgery, you will need to pay 10% of the costs out of pocket.
The hospital stay is typically 2-3 days, with an estimated cost of around 3,000 NTD.
After the surgery, you should experience less pain in the anal area within a week.
Sincerely, Dr.
Lin Ming-Hui, Internal Medicine.

Reply Date: 2006/05/25

More Info

When considering surgery for hemorrhoids, it is essential to understand the risks, recovery expectations, and potential complications associated with the procedure. Hemorrhoids, or swollen veins in the lower rectum and anus, can cause discomfort, pain, and bleeding, particularly if they become thrombosed or inflamed. Your history of chronic constipation and the habit of delaying bowel movements can exacerbate the condition, leading to more severe symptoms.

Understanding Surgery Risks
Surgical options for hemorrhoids typically include procedures such as rubber band ligation, sclerotherapy, or more invasive surgeries like hemorrhoidectomy. Each option carries its own set of risks:
1. Infection: As with any surgical procedure, there is a risk of infection at the surgical site.

2. Bleeding: Post-operative bleeding can occur, which may require additional treatment.

3. Pain: While some discomfort is expected after surgery, severe pain may indicate complications.

4. Incontinence: Although rare, there is a risk of nerve damage during surgery that could lead to fecal incontinence.

5. Recurrence: Hemorrhoids can recur after surgery, particularly if lifestyle changes are not implemented.

Recovery Expectations
Recovery from hemorrhoid surgery varies depending on the type of procedure performed:
- Rubber Band Ligation: This is a minimally invasive procedure with a quick recovery time. Patients can often return to normal activities within a few days.

- Hemorrhoidectomy: This is a more invasive procedure that typically requires a longer recovery period. Patients may need to stay in the hospital for a day or two, and full recovery can take several weeks. During this time, it is crucial to manage pain and follow post-operative care instructions.

Post-Operative Care
After surgery, you will likely be advised to:
- Increase Fiber Intake: To prevent constipation, which can strain the surgical site.

- Stay Hydrated: Drinking plenty of fluids can help soften stools.

- Use Pain Management: Over-the-counter pain relievers or prescribed medications can help manage discomfort.

- Avoid Straining: It’s important to avoid straining during bowel movements to allow for proper healing.

Return to Work
The time it takes to return to work after hemorrhoid surgery depends on the type of procedure and your job's physical demands. For minimally invasive procedures, you may return to work within a few days. However, if you undergo a hemorrhoidectomy, you might need to take one to two weeks off, especially if your job involves heavy lifting or prolonged sitting.

Cost Considerations
The cost of hemorrhoid surgery can vary widely based on factors such as the type of procedure, the facility where the surgery is performed, and your insurance coverage. It is advisable to check with your healthcare provider and insurance company to get an estimate of out-of-pocket expenses.

Conclusion
While surgery for hemorrhoids can provide significant relief from symptoms, it is essential to weigh the risks and benefits carefully. Consulting with a qualified healthcare provider can help you understand the best options for your situation and what to expect during recovery. Additionally, addressing lifestyle factors such as diet and bowel habits can play a crucial role in preventing future issues.

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