Post-Hemorrhoid Surgery: Managing Incomplete Bowel Movements and Hygiene Concerns

Inadequate cleaning after hemorrhoid surgery?

Currently, it has been twelve to thirteen days since my hemorrhoid surgery.
Sometimes I feel like I haven't fully evacuated my bowels and have a persistent urge to defecate (at times, I feel a strong urgency to go).
However, when I go to the bathroom, I don't always have a bowel movement, and I often can't distinguish whether I need to pass gas or have a bowel movement.
Is this considered normal? How can I improve this situation? Additionally, after bowel movements, even after rinsing with water or taking a warm sitz bath, I still sometimes feel like there is residual stool that hasn't been cleaned properly.
What potential impact could this have on my surgical site?

w, 30~39 year old female. Ask Date: 2014/04/05

Dr. Ke Fangxu reply Surgery

Abnormal bowel control may occur within two weeks after hemorrhoid surgery due to irritation from the surgical site.
This condition does not require special treatment and will resolve on its own.
After bowel movements, rinsing with clean water or taking a warm sitz bath is acceptable.
If stool is not completely cleared, there is no need for excessive concern; simply increasing the frequency of warm sitz baths can help.
It is important to note that the anal area is not a sterile environment, and excessive cleaning may actually irritate the area and hinder wound healing.

Reply Date: 2014/04/05

More Info

After hemorrhoid surgery, it is not uncommon for patients to experience changes in bowel habits and sensations related to bowel movements. The feelings of incomplete evacuation and urgency you describe can be attributed to several factors, including postoperative swelling, changes in bowel function due to surgery, and even anxiety about bowel movements after surgery.

Understanding Postoperative Symptoms
1. Incomplete Bowel Movements: After surgery, the body undergoes a healing process that can affect bowel function. Swelling in the anal area can lead to a sensation of fullness or urgency without the ability to pass stool. This can be exacerbated by the use of pain medications, which may cause constipation or alter bowel habits.

2. Difficulty Distinguishing Between Gas and Stool: This sensation can occur due to changes in the anal sphincter function or sensitivity after surgery. The surgical site may still be healing, and the nerves in that area can be more sensitive, leading to confusion about whether you need to pass gas or stool.

3. Hygiene Concerns: It is crucial to maintain proper hygiene after hemorrhoid surgery to prevent infection and promote healing. If you feel that you are not cleaning yourself adequately after bowel movements, it can lead to irritation or infection at the surgical site.

Recommendations for Improvement
1. Dietary Adjustments: Ensure that you are consuming a high-fiber diet to promote regular bowel movements. Foods rich in fiber, such as fruits, vegetables, whole grains, and legumes, can help soften stool and make it easier to pass. Staying well-hydrated is also essential.

2. Gentle Laxatives or Stool Softeners: If you are experiencing constipation or difficulty passing stool, consider using over-the-counter stool softeners or gentle laxatives as recommended by your healthcare provider. This can help ease the passage of stool and reduce straining.

3. Regular Bathroom Routine: Establish a regular time for bowel movements, allowing yourself enough time to relax and not rush. This can help train your body to have more predictable bowel habits.

4. Pelvic Floor Exercises: Engaging in pelvic floor exercises can help strengthen the muscles involved in bowel control. Consult with a physical therapist specializing in pelvic health for guidance.

5. Post-Bowel Movement Hygiene: After bowel movements, using a handheld bidet or a peri-bottle with warm water can help clean the area gently without irritation. If you prefer toilet paper, opt for soft, unscented options to minimize irritation.
6. Warm Sitz Baths: Taking warm sitz baths can provide relief and promote healing. This can also help with cleanliness after bowel movements.

Potential Risks of Incomplete Cleaning
Failing to clean the area adequately after bowel movements can lead to several complications, including:
- Infection: Residual stool can irritate the surgical site and increase the risk of infection.

- Delayed Healing: Irritation from stool can impede the healing process of the surgical site.

- Discomfort: Inadequate cleaning can lead to ongoing discomfort or pain in the anal area.

When to Seek Medical Advice
If you continue to experience significant discomfort, persistent feelings of incomplete evacuation, or if you notice any signs of infection (such as increased redness, swelling, or discharge), it is essential to consult your healthcare provider. They can assess your situation and provide tailored advice or treatment options to help manage your symptoms effectively.

In conclusion, while some postoperative symptoms are normal, it is essential to monitor your condition and take proactive steps to manage your bowel health and hygiene. With appropriate care and adjustments, most patients can return to normal bowel function and achieve comfort after hemorrhoid surgery.

Similar Q&A

Post-Hemorrhoid Surgery: Managing Bowel Movements and Leakage Issues

Hello, doctor. I would like to ask you a few questions. I underwent ultrasound knife surgery to remove three hemorrhoids on July 21. Starting the day after the surgery, I began attempting to have bowel movements. I have been taking stool softeners daily, but I am experiencing the...

Dr. Ke Fangxu reply Surgery
1. It is normal for the frequency of bowel movements to increase after hemorrhoid surgery due to heightened sensitivity around the anal area caused by wound irritation, as long as there is no pain or bleeding during defecation. 2. It is also normal for the surgical site to have...

Post-Surgery Concerns: Managing Bowel Issues After Hemorrhoid Surgery

Hello Dr. Ke: I am a long-term patient with hemorrhoids and also have issues with fistulas. I delayed treatment for a long time and finally underwent surgery in February of last year. I have been very worried about my recovery, but during several follow-up visits, my attending ph...

Dr. Ke Fangxu reply Surgery
After general anal surgery, we typically prescribe stool softeners for patients. If diarrhea occurs, the first step is to stop taking the stool softeners, as they can affect wound healing. Additionally, hemorrhoid ointment should be used to treat skin inflammation around the anal...

Post-Hemorrhoid Surgery: Understanding Bowel Movement Difficulties

I had hemorrhoid surgery at the beginning of July, and since then, I have been experiencing difficulty with bowel movements. If I go a day without a bowel movement, it feels like the stool is right at the anal opening, and I have to exert a lot of effort to pass it. Additionally,...

Dr. Ke Fangxu reply Surgery
It has been over two months since the surgery, and the surgical wound should have healed by now. However, if there was a history of constipation prior to the surgery, the constipation may not improve due to the surgery. It is still important to pay attention to dietary habits and...

Post-Surgery Care: Managing Bowel Issues and Hygiene Tips

Hello Doctor: I have been experiencing difficulty in having well-formed bowel movements after surgery, and I am wondering if this is related to the stool softeners. Additionally, after using the toilet, I do not have a bidet for cleaning, and using a handheld shower does not seem...

Dr. Xu Kaixi reply Surgery
If the wound after hemorrhoid surgery is not clean, you can rinse it with warm water. A short sitz bath (a few minutes) can also be considered. The water used does not need to be boiled for disinfection; clean water is sufficient. For swelling, oral anti-inflammatory medications ...