Post-Hemorrhoid Surgery Complications: Treatment and Risks - Surgery

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After hemorrhoid surgery, two weeks later, there was a rupture of blood vessels causing bleeding, and anti-inflammatory injections were administered?


After undergoing surgery for internal hemorrhoids, I experienced a rupture and bleeding from the blood vessels two weeks later.
When I visited a clinic and informed them about the internal hemorrhoids and the rectal bleeding, the doctor administered an anti-inflammatory injection instead of a hemostatic injection.
What impact could this have on my health? Shouldn't I have received a hemostatic injection? After receiving the injection, I fainted while riding my bike less than 50 meters and had to be taken to the emergency room.
The emergency physician administered hemostatic injections and did not mention the anti-inflammatory injection.
When I later returned to the clinic, the doctor said he forgot to inform me that my pale complexion indicated I might faint due to anemia, and he only mentioned this afterward.
Additionally, he did not advise me to rest in the clinic but instead told me to go home and rest.
Could this situation constitute medical negligence?

A Yuan, 20~29 year old female. Ask Date: 2012/10/04

Dr. Yu Mingchang reply Surgery


Hello! After abdominal surgery, sometimes difficulty in bowel movements can cause friction and lead to bleeding at the incision site.
Generally, it will stop bleeding on its own, and it is not always necessary to administer a hemostatic injection.
Thank you!

Reply Date: 2012/10/04

More Info


Post-hemorrhoid surgery complications can be quite concerning, especially when they involve unexpected bleeding and subsequent medical treatment. In your case, it appears that after undergoing surgery for internal hemorrhoids, you experienced a significant complication where a blood vessel ruptured, leading to bleeding. The treatment you received, which involved an anti-inflammatory injection rather than a hemostatic (stop bleeding) injection, raises several important points regarding medical management and potential complications.

Firstly, it is essential to understand that after hemorrhoid surgery, patients may experience some bleeding, which can be a normal part of the healing process. However, if the bleeding is significant or recurrent, it may indicate a complication such as a hematoma, infection, or inadequate surgical technique. In such cases, the appropriate response would typically involve assessing the source of the bleeding and managing it accordingly, which may include the use of medications to promote clotting or surgical intervention if necessary.

The administration of an anti-inflammatory injection instead of a hemostatic agent in the context of active bleeding is concerning. Anti-inflammatory medications can sometimes exacerbate bleeding by affecting platelet function or causing gastrointestinal irritation, which could lead to further complications. If you were experiencing significant blood loss, the expectation would generally be to stabilize your condition first, potentially with fluids and medications aimed at controlling the bleeding.

Your experience of fainting shortly after receiving the anti-inflammatory injection and subsequently being involved in a car accident is alarming. Fainting can result from a variety of factors, including significant blood loss leading to hypovolemia (low blood volume), which can cause a drop in blood pressure and result in syncope (fainting). The fact that you were not advised to rest in the clinic after receiving treatment, especially given your pale complexion and the potential for anemia, raises questions about the standard of care provided.

In terms of medical negligence, several factors would need to be considered. Medical malpractice typically requires proof that the healthcare provider deviated from the accepted standard of care, and that this deviation directly resulted in harm to the patient. In your case, if it can be demonstrated that the physician failed to provide appropriate treatment for your bleeding, did not adequately assess your condition before allowing you to leave, or neglected to provide proper post-operative care instructions, there may be grounds for a claim of medical negligence.

It is crucial to follow up with your healthcare provider regarding your ongoing symptoms and any complications you may be experiencing. If you continue to have issues with bleeding or other symptoms, seeking a second opinion from a specialist, such as a colorectal surgeon, may be beneficial. They can provide a thorough evaluation of your condition and recommend appropriate management strategies.

In summary, your experience highlights the importance of proper post-operative care and the need for healthcare providers to respond appropriately to complications. If you believe that your care was inadequate, it may be worth discussing your situation with a legal professional who specializes in medical malpractice to explore your options. Always prioritize your health and safety by seeking timely medical attention for any concerning symptoms following surgery.

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