Post-Surgery Care and Concerns After Hemorrhoidectomy: Your Questions Answered

Post-hemorrhoidectomy

I had surgery for internal and external hemorrhoids and to address an anal fissure at the beginning of September.
I have been taking sitz baths 2 to 3 times daily.
1.
The wound no longer hurts, but sometimes when I walk for a while, I experience a sharp pain near the anus.
However, after resting, the pain subsides, and I can continue walking.
Is this normal? 2.
Sometimes after having a bowel movement and cleaning myself with water, I notice a slight discharge from the anus after being active for a while.
Is this also normal? 3.
How long after surgery can I engage in aerobic exercises, such as jogging or cycling? 4.
The doctor prescribed me "New York" Neomycin ointment, which I apply after my sitz baths.
Is it still necessary to continue using it? 5.
When having a bowel movement, should I push hard to expel the stool quickly, or should I let it come out slowly without straining? 6.
How can I know if the doctor has completely removed my internal and external hemorrhoids? 7.
As a gay man, will I be unable to engage in any anal intercourse after the surgery? I hope the doctor can answer these questions.
Thank you!

xxxpeter2000, 10~19 year old female. Ask Date: 2010/09/26

Dr. Ke Fangxu reply Surgery

1.
Pain after hemorrhoid surgery will significantly decrease two weeks post-operation, but mild stinging may persist for one to two months.

2.
It is normal to experience slight discharge until the wound is fully healed.

3.
As long as the pain is manageable, engaging in physical activity is permissible after surgery.

4.
Antibiotic ointment can be discontinued as long as there is no redness, swelling, or pain at the wound site.

5.
It is recommended to have quick bowel movements, but excessive straining should be avoided; maintaining regular bowel habits is sufficient without excessive concern.

6.
The surgery can be considered successful as long as there is no significant bleeding or prolapse of the tissue.

7.
Anal intercourse is not recommended until the surgical wound is completely healed, as prolonged dilation and friction can lead to poor wound healing.
Wishing you well and safe recovery.

Reply Date: 2010/09/26

More Info

After undergoing a hemorrhoidectomy, it’s completely normal to have questions and concerns regarding your recovery. Here’s a detailed response to your inquiries based on medical knowledge and common post-operative experiences.

1. Pain and Discomfort: Experiencing a sharp pain or a stinging sensation around the anal area after walking for a while is not uncommon. This can be attributed to the healing process of the surgical site. As the tissues heal, they may become sensitive, especially with increased activity. It’s essential to listen to your body; if the pain subsides with rest, it’s generally a sign that your body is adjusting. However, if the pain becomes severe or persistent, it’s advisable to consult your surgeon.

2. Discharge After Bowel Movements: Noticing a slight discharge after bowel movements can also be part of the healing process. This may include mucus or a small amount of blood, especially if the area is still healing. As long as the discharge is minimal and not accompanied by significant pain, fever, or foul odor, it is usually considered normal. However, if you notice an increase in discharge or any signs of infection (such as increased redness, swelling, or pus), you should reach out to your healthcare provider.

3. Resuming Aerobic Exercise: Generally, patients are advised to wait at least 4 to 6 weeks post-surgery before engaging in aerobic exercises like running or cycling. This timeframe allows for adequate healing of the surgical site. However, it’s crucial to follow your surgeon's specific recommendations, as individual recovery times can vary based on the extent of the surgery and your overall health.

4. Use of Topical Ointments: If your doctor prescribed "New York" Neomycin ointment, it’s typically used to prevent infection and promote healing. If your surgical site is healing well and there are no signs of infection, you may not need to continue using the ointment. However, if you have any concerns or if the area appears irritated, it’s best to consult your doctor for personalized advice.

5. Bowel Movements: It’s important to avoid straining during bowel movements. Straining can increase pressure on the surgical site and lead to complications. Instead, aim for a gentle, relaxed approach. If you’re experiencing difficulty with bowel movements, consider dietary adjustments to include more fiber and hydration, or discuss the use of stool softeners with your healthcare provider.

6. Confirmation of Complete Removal of Hemorrhoids: The best way to know if the hemorrhoids were completely removed is through follow-up appointments with your surgeon. They may perform a physical examination to assess the surgical site and ensure that healing is progressing as expected. If you have concerns about residual hemorrhoids, don’t hesitate to bring this up during your follow-up visits.

7. Engaging in Anal Intercourse: After a hemorrhoidectomy, it is generally recommended to avoid anal intercourse for at least 6 to 8 weeks or until you have fully healed. Engaging in such activities too soon can lead to complications, including pain, bleeding, or reopening of the surgical site. It’s essential to discuss this with your healthcare provider, who can give you tailored advice based on your recovery progress.

In summary, while some discomfort and discharge can be normal after a hemorrhoidectomy, it’s crucial to monitor your symptoms and maintain open communication with your healthcare provider. They can provide guidance tailored to your specific situation and ensure that your recovery is on track. Remember to prioritize your healing and avoid any activities that could jeopardize your recovery.

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