Post-Hemorrhoid Surgery Concerns: Managing Hygiene and Discomfort

Postoperative issues related to hemorrhoid surgery?

Hello Doctor: It has been over three months since my hemorrhoid surgery.
After having a bowel movement, I always wash thoroughly with water, but sometimes I still find feces on my underwear.
Occasionally, when I wipe my anus, there is also feces, which makes me very worried.
What should I do, Doctor? Thank you.

Xiao Q, 30~39 year old female. Ask Date: 2012/11/30

Dr. Ke Fangxu reply Surgery

After hemorrhoid surgery, as long as there is no pain or bleeding, it can be considered healed.
Stains on underwear may be related to stool consistency being too soft or insufficient contraction strength of the anal sphincter.
If there has been frequent coughing or heavy lifting recently, it may also cause mild fecal incontinence due to increased abdominal pressure.
If the above factors cannot be eliminated, medication to enhance the contraction strength of the sphincter may be considered.

Reply Date: 2012/11/30

More Info

After hemorrhoid surgery, it's not uncommon for patients to experience concerns regarding hygiene and discomfort, especially in the initial recovery period. The fact that you are three months post-surgery indicates that you are likely in the later stages of recovery, but some issues can still arise.

Firstly, it's important to understand that after hemorrhoid surgery, the area around the anus can be sensitive and may not function as it did prior to the procedure. This sensitivity can lead to difficulties in maintaining cleanliness, especially after bowel movements. Here are some recommendations to help manage your hygiene and discomfort:
1. Gentle Cleaning: While you mentioned that you are using water to clean yourself, ensure that you are doing so gently. Using a handheld showerhead or a peri-bottle can help you clean the area without causing irritation. Avoid using harsh soaps or wipes that may contain alcohol or fragrances, as these can further irritate the sensitive skin.

2. Wipe Carefully: When wiping after a bowel movement, use soft toilet paper or moistened wipes that are free from alcohol and fragrances. Pat the area dry instead of rubbing, which can cause irritation.

3. Dietary Adjustments: To prevent constipation and straining during bowel movements, maintain a high-fiber diet. Incorporate fruits, vegetables, whole grains, and plenty of fluids into your diet. This can help ensure that your stools are soft and easier to pass, reducing the risk of further irritation.

4. Use of Barrier Creams: Consider applying a barrier cream or ointment around the anal area to protect the skin from irritation caused by stool. Products containing zinc oxide or petroleum jelly can be effective.

5. Monitor for Symptoms: If you notice persistent discomfort, bleeding, or any signs of infection (such as increased redness, swelling, or discharge), it is crucial to contact your healthcare provider. They can assess whether there are any complications from the surgery or if further treatment is needed.

6. Pelvic Floor Exercises: Engaging in pelvic floor exercises can help improve muscle control in the area, which may assist in better bowel control and reduce the likelihood of leakage.

7. Follow-Up Appointments: Ensure that you are attending any scheduled follow-up appointments with your surgeon or healthcare provider. They can provide personalized advice based on your recovery progress and address any specific concerns you may have.

8. Consider Professional Help: If the issue persists and is significantly affecting your quality of life, consider consulting a gastroenterologist or a colorectal specialist. They can provide further evaluation and management options.

In summary, while some level of discomfort and hygiene concerns can be expected after hemorrhoid surgery, there are several strategies you can implement to manage these issues effectively. Maintaining a gentle cleaning routine, adjusting your diet, and monitoring your symptoms are key steps in ensuring a smoother recovery. If you have ongoing concerns, do not hesitate to reach out to your healthcare provider for further guidance.

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