Hemorrhoids: Treatment Options and Recovery Insights - Surgery

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Hemorrhoids, commonly known as piles, are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding. They can be classified into two main types: internal hemorrhoids, which occur inside the rectum, and external hemorrhoids, which develop under the skin around the anus. After childbirth, many women experience hemorrhoids due to increased pressure on the pelvic region, hormonal changes, and straining during labor.

In your case, it seems you have been diagnosed with two hemorrhoids, one of which has been treated with rubber band ligation. This is a common and effective procedure for treating internal hemorrhoids. During this procedure, a small rubber band is placed around the base of the hemorrhoid, cutting off its blood supply. Over time, the hemorrhoid shrinks and falls off, usually within a week or two. It is normal to still feel a protrusion after the procedure, especially in the initial days, as the tissue may still be inflamed or healing.
Regarding your question about straining during bowel movements, it is generally advisable to avoid excessive straining, as this can exacerbate hemorrhoids and lead to further complications. Instead, focus on maintaining a soft stool through a high-fiber diet, adequate hydration, and possibly the use of stool softeners if recommended by your healthcare provider.
As for the rubber band ligation, while it is effective, there is a possibility that the band may slip off if not placed correctly or if there is excessive movement. However, this is relatively uncommon. If you notice any unusual symptoms, such as increased pain, bleeding, or if the hemorrhoid does not seem to improve, you should consult your doctor.

Regarding the second hemorrhoid, which is described as a mixed hemorrhoid (part internal and part external), the treatment approach your doctor suggested—rubber band ligation with local anesthesia—is appropriate. While it may be more painful due to the sensitivity of the area near the dentate line (the line that separates the rectal mucosa from the anal skin), this method can still be effective. The use of a topical anesthetic can help minimize discomfort during the procedure.

In terms of recovery, after rubber band ligation, you may experience some discomfort, mild pain, or bleeding, which is usually manageable with over-the-counter pain relief. It is important to follow your doctor's post-procedure care instructions, which may include dietary recommendations, activity restrictions, and signs to watch for that would warrant immediate medical attention.

In summary, while it is normal to feel some protrusion after the rubber band ligation, it is crucial to manage bowel movements carefully to avoid straining. The treatment for your mixed hemorrhoid seems appropriate, and with proper care, you should expect a gradual improvement. If you have any concerns or if symptoms persist, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.