Post-Surgery Care Tips for External Hemorrhoid Removal - Surgery

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Post-operative care following hemorrhoidectomy for external hemorrhoids?


Hello Dr.
Hou,
I have been experiencing symptoms of internal hemorrhoids combined with external hemorrhoids for a long time.
Recently, I underwent a ligation procedure to address the internal hemorrhoids, and the physician advised that I should consider surgical excision for the external hemorrhoids at a later date.
This procedure does not require hospitalization, and the recovery period is approximately one month.

I would like to inquire about any restrictions during the recovery period if I proceed with the excision surgery.
Can I engage in running, cycling, or sexual activity? Are there any other important considerations I should be aware of? Thank you in advance!

reirei, 20~29 year old female. Ask Date: 2011/03/14

Dr. Hou Yongji reply Surgery


Hello: The detailed precautions are related to the type of surgery you will undergo.
You should discuss this with your surgeon.
Generally, it is advised to avoid running and cycling for 3-4 weeks.

Reply Date: 2011/03/14

More Info


Post-surgery care for external hemorrhoid removal is crucial for a smooth recovery and to minimize complications. After undergoing surgery for external hemorrhoids, patients should adhere to specific guidelines to ensure proper healing and avoid discomfort. Here are some essential care tips and considerations:

1. Rest and Recovery
- Initial Rest: After the surgery, it is vital to allow your body to rest. Avoid strenuous activities for at least a week or as advised by your surgeon. This includes heavy lifting, vigorous exercise, and any activities that put pressure on the surgical site.

- Gradual Return to Activities: After the initial recovery period, you can gradually return to light activities. However, high-impact exercises such as running or cycling should be avoided until you receive clearance from your healthcare provider.


2. Pain Management
- Medications: Your doctor may prescribe pain relief medications or recommend over-the-counter pain relievers. Take these as directed to manage discomfort effectively.

- Cold Compresses: Applying a cold compress to the affected area can help reduce swelling and alleviate pain.


3. Hygiene Practices
- Gentle Cleaning: Keep the surgical area clean. After bowel movements, gently clean the area with mild soap and water. Avoid using harsh soaps or scrubbing the area.

- Sitz Baths: Taking warm sitz baths several times a day can help soothe the area and promote healing. Ensure the water is warm, not hot, to avoid irritation.


4. Dietary Considerations
- High-Fiber Diet: To prevent constipation and straining during bowel movements, consume a diet rich in fiber. Include fruits, vegetables, whole grains, and plenty of fluids.

- Stool Softeners: Your doctor may recommend stool softeners to ease bowel movements and reduce strain on the surgical site.


5. Activity Restrictions
- Avoid Strenuous Exercise: As mentioned, avoid running, cycling, or any high-impact activities for at least a few weeks post-surgery. Light walking is encouraged to promote circulation but should be done cautiously.

- Sexual Activity: It is generally advised to avoid sexual intercourse for at least two to four weeks post-surgery or until you feel comfortable and have received clearance from your healthcare provider.


6. Monitoring for Complications
- Watch for Signs of Infection: Monitor the surgical site for signs of infection, such as increased redness, swelling, discharge, or fever. If you notice any of these symptoms, contact your healthcare provider immediately.

- Follow-Up Appointments: Attend all scheduled follow-up appointments to ensure proper healing and address any concerns.


7. Emotional Well-Being
- Manage Stress: Recovery can be a challenging time, both physically and emotionally. Engage in relaxation techniques such as deep breathing, meditation, or gentle yoga to help manage stress.


Conclusion
In summary, after external hemorrhoid removal surgery, it is essential to prioritize rest, maintain proper hygiene, follow a high-fiber diet, and avoid strenuous activities, including running and cycling, for a specified period. Always consult with your healthcare provider for personalized advice and to address any specific concerns you may have during your recovery. By adhering to these guidelines, you can promote healing and minimize the risk of complications, leading to a smoother recovery process.

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