Post-Polypectomy Bleeding: When to Seek Medical Attention? - Surgery

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After undergoing a polypectomy, it is not uncommon to experience some bleeding, especially in the days following the procedure. However, the presence of fresh blood on toilet paper, particularly if it is accompanied by any other symptoms, should be taken seriously.
In your case, since you are noticing fresh blood and the presence of what appears to be a thread, it is advisable to seek medical attention. While minor bleeding can occur after a polypectomy, especially if the area is irritated or if there is residual tissue that may be healing, any significant or persistent bleeding warrants a professional evaluation.
Here are some key points to consider regarding post-polypectomy bleeding:
1. Normal vs. Abnormal Bleeding: Light spotting or a small amount of blood on toilet paper can be normal, especially if it occurs shortly after the procedure. However, if the bleeding is more than just spotting, or if it continues over several days, it may indicate a complication such as a delayed bleeding or an issue with the healing process.

2. Signs of Complications: If you experience any of the following, you should seek immediate medical attention:
- Heavy bleeding (soaking through a pad or toilet paper quickly)
- Blood clots in the stool
- Severe abdominal pain or cramping
- Dizziness or fainting
- Fever or chills, which could indicate an infection
3. Follow-Up Care: Since your polyp was benign, the risk of serious complications is lower, but it is still important to follow up with your healthcare provider. They may want to perform a physical examination or possibly a colonoscopy to ensure that there are no issues at the site of the polypectomy.

4. Monitoring Symptoms: If you decide to wait and observe, keep a close eye on your symptoms. Note any changes in the amount or color of the blood, and be aware of any new symptoms that may arise. If the bleeding increases or if you develop any concerning symptoms, do not hesitate to return to your doctor.

5. Diet and Activity: After a polypectomy, it is generally recommended to avoid heavy lifting, straining during bowel movements, and consuming very spicy or irritating foods for a short period. This can help minimize irritation to the surgical site.

In summary, while some bleeding can be expected after a polypectomy, the presence of fresh blood, especially if it is accompanied by a thread or any other unusual symptoms, should prompt you to consult your healthcare provider. It is always better to err on the side of caution when it comes to your health. Your doctor can provide the best guidance based on your specific situation and medical history.