Post-Surgery Concerns: Managing Gas and Bowel Issues After Hemorrhoid Surgery - Surgery

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Post-hemorrhoid surgery


Hello, Dr.
Ke: I underwent traditional excision surgery for internal and external moles on July 17, and about a week later, I became sensitive to the stool softeners prescribed by the doctor.
On the 20th and 21st, I had bowel movements over ten times each day.
One of the suture ends fell off on the 23rd, but the area where it fell off was red and swollen; after applying ointment, the condition has improved.
I would like to know if this could harm the wound.

Additionally, I am experiencing severe abdominal bloating and a constant urge to have a bowel movement, with the sensation that stool is right at the anus.
When I rush to the toilet, sometimes I can only pass a small amount of stool, and often, nothing comes out at all.
I find myself needing to go to the bathroom many times a day.
Is this a normal phenomenon, or is it caused by the bloating? How can I relieve the bloating? Due to the bloating, I have been eating very little and am hesitant to drink too much water for fear of needing to use the restroom frequently.
Thank you, doctor.

Xiao Q, 30~39 year old female. Ask Date: 2012/07/24

Dr. Ke Fangxu reply Surgery


After hemorrhoid surgery, patients may experience a persistent urge to have a bowel movement within about a week due to irritation from the surgical site.
Sometimes, the surgeon may prescribe stool softeners, which can exacerbate this sensation.
If bowel movements become too frequent, it is advisable to discontinue the stool softeners to prevent swelling of the surgical site.
Additionally, hemorrhoid surgery should not cause bloating; if bloating is severe, it may be necessary to consult a physician for medication.
It is recommended to maintain a normal diet to support healthy gastrointestinal motility.

Reply Date: 2012/07/24

More Info


Post-surgery concerns, especially after procedures like hemorrhoid surgery, can be quite common and often distressing for patients. It’s important to understand that the body undergoes significant changes after surgery, and these changes can lead to various gastrointestinal symptoms, including gas, bloating, and altered bowel habits.

Firstly, the symptoms you are experiencing, such as severe bloating and frequent urges to defecate, can be attributed to several factors. After surgery, particularly in the case of hemorrhoid removal, the body may react to the trauma of the procedure. The surgical site can be sensitive, and the healing process can lead to inflammation, which may contribute to discomfort and altered bowel function. The fact that you experienced a high frequency of bowel movements shortly after surgery could indicate that your body is adjusting to the medications prescribed, such as stool softeners, which can sometimes lead to diarrhea or loose stools.

Regarding the concern about the thread from the surgical site falling out, it is generally not uncommon for absorbable sutures to dissolve or fall out on their own. If the area is red and swollen but has improved with topical treatment, it suggests that the healing process is underway. However, it is crucial to monitor the site for any signs of infection, such as increased redness, swelling, or discharge. If you notice any concerning symptoms, it would be wise to consult your surgeon.

As for the bloating and gas, these symptoms can be exacerbated by several factors, including dietary choices, the use of medications, and the surgical procedure itself. After surgery, the gastrointestinal tract can become sluggish, leading to gas buildup and discomfort. Here are a few strategies to help manage these symptoms:
1. Dietary Adjustments: Start with a bland diet that is easy on the stomach. Gradually reintroduce fiber-rich foods, as they can help normalize bowel movements. However, be cautious with high-fiber foods initially, as they can sometimes exacerbate gas. Foods like bananas, rice, applesauce, and toast (the BRAT diet) can be good starting points.

2. Hydration: While you may be hesitant to drink too much water due to the urge to use the restroom, staying hydrated is essential for overall recovery and can help prevent constipation. Aim for small sips throughout the day rather than large amounts at once.

3. Gentle Movement: Engaging in light physical activity, such as walking, can stimulate bowel function and help alleviate gas. It’s important to listen to your body and not overexert yourself, especially in the early stages of recovery.

4. Over-the-Counter Remedies: If gas is a significant issue, over-the-counter medications such as simethicone (Gas-X) can help reduce bloating and discomfort. However, consult your doctor before starting any new medication.

5. Relaxation Techniques: Stress and anxiety can exacerbate gastrointestinal symptoms. Techniques such as deep breathing, meditation, or gentle yoga can help reduce stress and improve overall well-being.

6. Follow-Up with Your Doctor: If your symptoms persist or worsen, it’s crucial to follow up with your healthcare provider. They can assess your situation more thoroughly and may recommend further interventions or adjustments to your medication regimen.

In summary, while the symptoms you are experiencing post-hemorrhoid surgery can be concerning, they are not uncommon. With appropriate management and communication with your healthcare provider, you can work towards alleviating these symptoms and supporting your recovery. Always prioritize your comfort and well-being, and don’t hesitate to seek medical advice if you have any doubts or concerns.

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