Postoperative Wound Healing after Hemorrhoid Surgery
Hello, last Friday (February 7th), I had a minor procedure in the clinic to drain a blood clot from an external hemorrhoid.
For the past few days, I experienced pain in the anal area, making it difficult to walk normally.
Since yesterday (February 13th), the pain has subsided, but I am still experiencing continuous bleeding.
I am unsure how long the wound will take to heal.
What type of medication can I apply? Additionally, I have been unable to have a normal bowel movement for the past few days.
I had one painful bowel movement the day before yesterday, which resulted in quite a bit of bleeding.
Now, I feel bloated, and when I try to pass gas, it feels blocked.
I'm not sure what to do.
Ahao, 30~39 year old female. Ask Date: 2014/02/14
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: After hemorrhoid surgery, please pay attention to the following: 1.
Diet: Follow a low-residue diet, drink plenty of water, and avoid irritating foods such as tobacco, alcohol, and spicy foods.
Limit foods that cause bloating.
2.
Take warm sitz baths for 10 minutes at a time and change the dressing on the wound.
3.
Clean the anal area with plain water to maintain local hygiene.
4.
Use a cotton swab to clean any discharge from the wound, then apply antibiotic ointment.
5.
If there is slight bleeding and mild swelling at the wound site, increase the frequency of sitz baths to reduce discomfort.
6.
Avoid prolonged sitting (no more than 2 hours) to prevent poor blood circulation in the anal area.
7.
Prevent constipation.
8.
Return to the clinic for follow-up.
Wishing you safety and health.
Department of Gastroenterology, Taoyuan Hospital, Ministry of Health and Welfare, Dr.
Lin Ming-Hui.
Reply Date: 2014/02/14
More Info
After undergoing hemorrhoid surgery, particularly for an external hemorrhoid, it's common to experience pain and discomfort during the initial recovery phase. The healing time can vary significantly from person to person, but generally, you can expect the following:
1. Healing Time: The initial pain and discomfort usually subside within a few days to a week, as you've already experienced. However, complete healing of the surgical site can take anywhere from two to six weeks. It's important to monitor the area for any signs of infection, such as increased redness, swelling, or discharge.
2. Bleeding: It's not uncommon to experience some bleeding after the procedure, especially if you are having difficulty with bowel movements. If the bleeding is persistent or heavy, it's crucial to consult your healthcare provider. They may want to check for any complications that could arise from the surgery.
3. Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage discomfort. However, always follow the dosage instructions and consult your doctor if you have any concerns about medication interactions or side effects.
4. Topical Treatments: You may consider using topical anesthetics or creams specifically designed for post-hemorrhoid surgery care. These can help alleviate pain and discomfort. However, it's best to consult your doctor before applying any medication to ensure it's appropriate for your situation.
5. Bowel Movements: Difficulty with bowel movements is a common issue after hemorrhoid surgery. To ease this, focus on a high-fiber diet, which includes fruits, vegetables, and whole grains. Staying hydrated is also essential, as it helps soften the stool. If you're still experiencing pain during bowel movements, consider using a stool softener or a fiber supplement, but again, consult your doctor before starting any new medication.
6. Avoid Straining: Straining during bowel movements can exacerbate pain and lead to further complications. If you're having trouble, try to relax and give yourself time. If necessary, you can also use a sitz bath to soothe the area and promote healing.
7. Follow-Up Care: It's essential to have a follow-up appointment with your healthcare provider to assess your healing progress. They can provide personalized advice based on your recovery and any complications you may be experiencing.
8. When to Seek Help: If you notice any signs of infection, such as fever, increased pain, or unusual discharge, or if the bleeding does not stop or worsens, seek medical attention immediately. Additionally, if you experience severe abdominal pain or are unable to pass gas or stool, this could indicate a more serious issue that requires prompt evaluation.
In summary, while some discomfort and bleeding can be expected after hemorrhoid surgery, proper care and attention to your body's signals are crucial for a smooth recovery. Maintain open communication with your healthcare provider, adhere to their recommendations, and prioritize your comfort and well-being during this healing process.
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