Risks and Recovery from Hemorrhoid Surgery - Surgery

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Fever due to internal hemorrhoids?


Hello Dr.
Ke, about six months ago I was diagnosed with internal hemorrhoids and have been taking medication.
However, recently the medication hasn't been very effective, and I've been experiencing significant bleeding after bowel movements (the same goes for diarrhea), although there is no pain at all.
I am considering hemorrhoid surgery; could you please tell me if there are risks associated with this surgery? How long do I need to stay in the hospital for recovery? Additionally, I've noticed that if I don't apply medication to the internal hemorrhoids after a bowel movement, I experience burning sensations for about six hours.
Is this normal? Thank you for your time, Dr.
Ke.

Mr. Zheng, 20~29 year old female. Ask Date: 2015/12/26

Dr. Ke Fangxu reply Surgery


If medication treatment for internal hemorrhoidal bleeding is ineffective, rubber band ligation can be performed first.
If the bleeding still cannot be controlled, surgical excision can be considered later.
Generally, hemorrhoid surgery carries a relatively low risk, and hospitalization typically lasts about 2-3 days.
Hemorrhoids are usually not related to fever, so it is best to consult a physician to determine the cause of the fever.

Reply Date: 2015/12/26

More Info


Hemorrhoid surgery, also known as hemorrhoidectomy, is a common procedure performed to treat symptomatic hemorrhoids, particularly when conservative treatments such as dietary changes, medications, and topical treatments have failed. Understanding the risks and recovery associated with this surgery is crucial for making an informed decision.


Risks of Hemorrhoid Surgery
Like any surgical procedure, hemorrhoid surgery carries certain risks. These may include:
1. Bleeding: Post-operative bleeding is one of the most common complications. While some bleeding is expected, excessive bleeding may require additional medical intervention.

2. Infection: There is a risk of infection at the surgical site, which can lead to further complications. Proper hygiene and following post-operative care instructions can help mitigate this risk.

3. Pain: Although many patients report relief from their hemorrhoid symptoms post-surgery, some may experience significant pain during the recovery period. Pain management strategies, including medications, will be discussed with your healthcare provider.

4. Recurrence: There is a possibility that hemorrhoids may recur after surgery, especially if lifestyle changes are not implemented post-operatively.

5. Anal Stenosis: This is a rare complication where the anal canal narrows, potentially leading to difficulties with bowel movements.

6. Fecal Incontinence: Although very rare, some patients may experience temporary or permanent issues with controlling bowel movements following surgery.


Recovery Time
Recovery from hemorrhoid surgery can vary from person to person, but generally, patients can expect to spend a few days in the hospital for monitoring, especially if there are any complications. Most individuals can return to normal activities within one to two weeks, but full recovery may take up to six weeks. During this time, it is essential to follow your surgeon's post-operative care instructions, which may include:
- Dietary Changes: Increasing fiber intake and staying hydrated to prevent constipation.

- Pain Management: Using prescribed pain medications as needed.

- Wound Care: Keeping the surgical area clean and dry to prevent infection.

- Activity Restrictions: Avoiding heavy lifting and strenuous activities for a specified period.


Post-Operative Symptoms
Regarding your experience of feeling a burning sensation for about six hours after bowel movements when not applying medication, this could be related to irritation or inflammation of the anal area, especially if you have internal hemorrhoids. It is not uncommon for patients to experience discomfort or a burning sensation after bowel movements, particularly if they are straining or if the stool is hard. However, if this sensation is severe or accompanied by other symptoms such as significant pain, bleeding, or changes in bowel habits, it is essential to consult your healthcare provider for further evaluation.


Conclusion
In summary, while hemorrhoid surgery can effectively alleviate symptoms, it is essential to be aware of the associated risks and recovery process. If you are considering this surgery, discussing your concerns and symptoms with your healthcare provider will help you make an informed decision. They can provide personalized advice based on your medical history and current condition. Additionally, implementing lifestyle changes post-surgery can significantly reduce the risk of recurrence and improve your overall quality of life.

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