Post-Procedure Care for Internal Hemorrhoid Ligation: What to Know - Surgery

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Postoperative care after hemorrhoid ligation?


I would like to ask the doctor: 1.
I just had a rubber band ligation for internal hemorrhoids today, and the doctor prescribed a suppository called Yizhi Kang.
Should I use it now, or should I wait until the hemorrhoid falls off? 2.
Is it normal to experience a burning sensation in the anus when using the Yizhi Kang suppository?

Zeng, 20~29 year old female. Ask Date: 2015/08/07

Dr. Yu Mingchang reply Surgery


Hello: The shedding is in the plug & #34910; The Ministry of Health and Welfare Changhua Hospital cares about you.

Reply Date: 2015/08/07

More Info


After undergoing a procedure for internal hemorrhoid ligation, it's essential to understand the post-procedure care to ensure a smooth recovery and minimize discomfort. Here’s a comprehensive overview addressing your questions and providing additional insights into post-procedure care.

1. Use of Suppositories (益痔康塞劑): After the ligation procedure, your doctor has prescribed a suppository to aid in recovery. It is generally advisable to start using the suppository as directed by your physician. The purpose of the suppository is to help reduce inflammation, promote healing, and alleviate discomfort. However, if your doctor has specifically instructed you to wait until the ligated hemorrhoids fall off (which usually occurs within a week), then you should follow that guidance. The ligation process involves placing a rubber band around the base of the hemorrhoid, cutting off its blood supply, and causing it to shrink and eventually fall off. If you experience significant discomfort or have questions about when to start using the suppository, it’s best to consult your healthcare provider for personalized advice.

2. Burning Sensation with Suppository Use: Experiencing a burning sensation after using the suppository can be common, especially in the initial days following the procedure. This sensation may occur due to the irritation of the sensitive tissues in the anal area, particularly after a procedure that involves manipulation of these tissues. If the burning is mild and subsides shortly after application, it is typically not a cause for concern. However, if the burning sensation is severe, persists, or is accompanied by other symptoms such as increased pain, bleeding, or signs of infection (such as fever or unusual discharge), you should contact your healthcare provider promptly.


Additional Post-Procedure Care Tips:
- Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage discomfort. Always follow the dosage instructions and consult your doctor if you have any concerns about medication interactions or side effects.

- Dietary Adjustments: To prevent constipation and straining during bowel movements, it’s crucial to maintain a high-fiber diet. Incorporate plenty of fruits, vegetables, whole grains, and adequate hydration. This will help ensure softer stools and ease the passage during recovery.

- Avoid Straining: Straining during bowel movements can increase the risk of complications and prolong recovery. If you feel the urge to go, try to respond promptly rather than waiting, as this can help prevent hard stools.

- Hygiene: Keep the anal area clean to prevent infection. Gentle cleansing with warm water after bowel movements is recommended. Avoid using harsh soaps or wipes that may irritate the area.

- Activity Level: While it’s important to stay active, avoid heavy lifting or strenuous activities for a few weeks post-procedure. Gentle walking can promote circulation and aid in recovery.

- Follow-Up Appointments: Ensure you attend any scheduled follow-up appointments with your healthcare provider. They will monitor your recovery, assess the healing process, and address any concerns you may have.

In conclusion, while the ligation procedure for internal hemorrhoids is generally safe and effective, proper post-procedure care is vital for a smooth recovery. If you have any uncertainties or experience unusual symptoms, do not hesitate to reach out to your healthcare provider for guidance. They are best equipped to provide personalized recommendations based on your specific situation.

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