Hemorrhoid ligation, Surgery FAQ

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Severe Pain After Hemorrhoid Ligation: What to Do Next?

Severe pain after hemorrhoid ligation? Hello Doctor, three days ago I underwent a hemorrhoid ligation surgery at the Taipei City Hospital Zhongxiao Branch. I am experiencing severe pain, and prior to the surgery, I had repeatedly requested a minimally invasive procedure, but the ...


Dr. Ke Fangxu Reply:
Typically, severe pain after hemorrhoid ligation is caused by insufficient depth of the ligation. In such cases, the rubber band should be removed, and the patient should wait for the wound to heal before proceeding with the next stage of treatment planning.

[Read More] Severe Pain After Hemorrhoid Ligation: What to Do Next?


Understanding Post-Banding Discomfort and Care for Internal Hemorrhoids

Rubber band ligation for internal hemorrhoids? Hello Dr. Ke, I have some questions to ask you. Yesterday, I underwent hemorrhoid ligation. 1. Is it normal for the internal hemorrhoid to be more painful because it is located closer to the outside (not an external hemorrhoid)? 2. T...


Dr. Ke Fangxu Reply:
1. Theoretically, internal hemorrhoid ligation should not be painful because the area below the dentate line lacks somatic nerve distribution; however, if the ligation is too close to the outer side, it may cause pain. 2. It is possible. 3. The ligation site may differ from the p...

[Read More] Understanding Post-Banding Discomfort and Care for Internal Hemorrhoids


Post-Surgery Concerns: Is My Hemorrhoid Recovery Normal?

Is it abnormal to have symptoms after hemorrhoid ligation? Hello, doctor. I had a third-degree hemorrhoidectomy on March 12, and it has been extremely painful for many days, but I managed to endure it. Currently, it is about day 10-11 post-surgery. Starting from around day 8, I n...


Dr. Zhang Shuhao Reply:
Internal hemorrhoid ligation usually does not cause significant pain. Based on your description, it is possible that the external hemorrhoid has become swollen after the ligation of the internal hemorrhoid. You can start by taking warm sitz baths and using anti-inflammatory and s...

[Read More] Post-Surgery Concerns: Is My Hemorrhoid Recovery Normal?


Can Anal Abscess Coexist Without Surgery? Understanding the Risks

Can an anal abscess coexist with other conditions? In January, I discovered a hard lump and initially thought it was an inflamed abrasion. Later, I noticed it had grown larger and was painful when pressed, which prompted me to see a doctor. I was subsequently diagnosed with a sus...


Dr. Zhang Shuhao Reply:
Based on the description, it appears that there has been no pain or other discomfort for some time, indicating that the anal abscess may have resolved. Tissue inflammation or fibrosis can also present as a lump, so the doctor's suggestion to coexist with the mass is reasonab...

[Read More] Can Anal Abscess Coexist Without Surgery? Understanding the Risks


Understanding Painful Bowel Movements: When Surgery is Necessary for Hemorrhoids

Painful bowel movements with bleeding? Hello, doctor. I have third-degree internal and external hemorrhoids, as well as anal fissures. I experience sharp pain every time I have a bowel movement, and this has been ongoing for nearly ten years. I have had internal hemorrhoids bande...


Dr. Zhang Shuhao Reply:
Based on the description, the persistent pain and bleeding issues caused by internal and external hemorrhoids as well as anal fissures have affected your quality of life, and surgical treatment should be considered. Hemorrhoid ligation is only applicable to internal hemorrhoids a...

[Read More] Understanding Painful Bowel Movements: When Surgery is Necessary for Hemorrhoids


Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery

Severe pain during bowel movements after hemorrhoid surgery? Doctor, I apologize for the interruption; my statement is quite complex. I underwent minimally invasive surgery at the clinic on December 27, 2023. The next morning, I experienced tearing pain while having a bowel movem...


Dr. Zhang Shuhao Reply:
Most minimally invasive surgeries available in the market primarily address internal hemorrhoids, but postoperative venous return obstruction can lead to swelling of external hemorrhoids. Taking warm sitz baths and using anti-inflammatory medications can help alleviate symptoms. ...

[Read More] Post-Surgery Anal Pain: Understanding Recovery After Hemorrhoid Surgery


Understanding Complications After Hemorrhoid Ligation: What to Do?

Hemorrhoid ligation issues? Hello, Dr. Ke! I have a question regarding my hemorrhoid ligation issue. I have had external hemorrhoids for 20 years. Initially, they would only protrude after a bowel movement and I could push them back in with my hand. However, after undergoing liga...


Dr. Ke Fangxu Reply:
It is recommended to visit the colorectal surgery outpatient clinic for evaluation. Thank you.

[Read More] Understanding Complications After Hemorrhoid Ligation: What to Do?


Post-Band Ligation Care: Essential Medications and Recovery Tips

Internal hemorrhoid surgery, internal hemorrhoid ligation? Hello Doctor, today I underwent a rubber band ligation procedure. The doctor prescribed Lisinopril capsules, hemostatic gel, and magnesium oxide tablets. 1. I would like to ask if I need to take all of these medications...


Dr. Zhang Shuhao Reply:
1. These medications include antibiotics, hemostatic agents, and stool softeners, which should be used as prescribed by the physician if deemed necessary. 2. After undergoing hemorrhoid ligation, there may be localized swelling and irritation, but it typically does not reach a ...

[Read More] Post-Band Ligation Care: Essential Medications and Recovery Tips


Is Bleeding Normal After Rubber Band Ligation for Internal Hemorrhoids?

Rubber band ligation for internal hemorrhoids? Hello, I underwent rubber band ligation for internal hemorrhoids on October 12, 2023. On October 13, I noticed bright red blood during bowel movements, and on October 14, there was both dark red and bright red blood. I would like to ...


Dr. Zhang Shuhao Reply:
After hemorrhoid ligation, it is common to experience a small amount of bleeding for a few days, which is considered normal. You can return for your scheduled follow-up appointment. However, if you experience heavy bleeding, passage of blood clots, feelings of dizziness or palpit...

[Read More] Is Bleeding Normal After Rubber Band Ligation for Internal Hemorrhoids?


Post-Banding Discomfort After Hemorrhoid Surgery: What to Expect

Issues After Hemorrhoid Banding for Internal Hemorrhoids Hello Doctor: I underwent a hemorrhoid ligation procedure on September 21 this year. I felt a bit uncomfortable at the time, but aside from experiencing significant pain during bowel movements on one particular day, I didn&...


Dr. Zhang Shuhao Reply:
After the ligation of internal hemorrhoids, scar tissue will form in the local area, securing the internal hemorrhoids at a higher position in the anal canal. As a result, there may be a sensation of tightness in the anus, but it usually does not cause pain. It is advisable to ta...

[Read More] Post-Banding Discomfort After Hemorrhoid Surgery: What to Expect


Post-Hemorrhoid Banding: Understanding Symptoms and Changes in Bowel Habits

Post-operative care after hemorrhoid ligation? Hello, doctor. I underwent a vasectomy on September 15th of this year. 1. I have been experiencing itching and a feeling of swelling or foreign body sensation in the anal area since the surgery, and it has been 9 days. Is this a norm...


Dr. Zhang Shuhao Reply:
1. After hemorrhoid ligation surgery, patients may experience anal itching and a sensation of anal swelling, which can sometimes persist for up to two weeks. It is recommended to take warm sitz baths, and the outpatient clinic usually prescribes oral medications and suppositories...

[Read More] Post-Hemorrhoid Banding: Understanding Symptoms and Changes in Bowel Habits


Understanding Post-Surgical Discomfort After Hemorrhoid Ligation

Hemorrhoidal ligation pain and swelling? The doctor had a vasectomy last Friday night and has been feeling quite uncomfortable since returning home, with some swelling and pain, especially noticeable during bowel movements. Is this normal? There was some bleeding on Saturday, but...


Dr. Ke Fangxu Reply:
Mild swelling, pain, and a sensation of foreign body presence after hemorrhoid ligation are normal phenomena. If there is only slight bleeding, there is no need for concern. Pain medication is not mandatory; it can be taken based on the level of discomfort. Additionally, taking w...

[Read More] Understanding Post-Surgical Discomfort After Hemorrhoid Ligation


Understanding Rectal Prolapse and Hemorrhoid Ligation: Key Insights

Hemorrhoid ligation / Rectal prolapse Hello Dr. Chang, 1. I have been experiencing a protrusion of a mass during bowel movements for at least four to five years, which is a fleshy lump at least four to five centimeters in size that I have to push back in manually. It is not pai...


Dr. Zhang Shuhao Reply:
1. Based on your description, it seems more like rectal prolapse, and the severity has affected your quality of life. Surgical intervention is recommended. If there is a full-thickness bowel wall prolapse, it is not merely a hemorrhoid surgery; rather, it requires suspension or p...

[Read More] Understanding Rectal Prolapse and Hemorrhoid Ligation: Key Insights


Understanding Anal Pain During Bowel Movements: Causes and Solutions

Anal pain during bowel movements? Current Condition: Since around the age of 20, I have experienced a slight stabbing pain during bowel movements, located at the 12 o'clock position, which has gradually worsened over the years. In recent years, the pain has become sharp, aki...


Dr. Ke Fangxu Reply:
1. Cannot be ruled out. 2. A personal examination is necessary to make a determination; online consultations may not be conclusive. 3. It is likely not primarily related to body size. 4. First, consider whether surgery can truly address your concerns; if the surgery exacerbates t...

[Read More] Understanding Anal Pain During Bowel Movements: Causes and Solutions


Post-Surgery Complications: Swelling and Fluid Leakage After Hemorrhoid Ligation

Swelling on the lateral side of the anus and tissue fluid exudation after sterilization surgery? Hello, I would like to inquire about the following issues regarding swelling and pain on one side of the anus, as well as a protruding internal hemorrhoid, for which I am undergoing t...


Dr. Ke Fangxu Reply:
1. The duration for the rubber band to fall off can vary; if the ligation is shallow, it may fall off the next day. 2. Swelling and pain may be due to the location being too lateral; if it does not improve after a week, a follow-up visit is necessary. 3. It is likely an unhealed ...

[Read More] Post-Surgery Complications: Swelling and Fluid Leakage After Hemorrhoid Ligation


Is Pain and Bleeding Normal After Hemorrhoid Banding?

Rubber band ligation for internal hemorrhoids? Doctor, I had a hemorrhoid ligation a week ago, and I experience a sharp pain during bowel movements. Is this normal? Occasionally, there is some bleeding.


Dr. Zhang Shuhao Reply:
After rubber band ligation for internal hemorrhoids, there may be slight swelling, pain, and bleeding for one to two weeks, but it should not be severe. It is advisable to take warm sitz baths and increase fluid intake to aid in bowel movements. If symptoms are more severe, a fol...

[Read More] Is Pain and Bleeding Normal After Hemorrhoid Banding?


Blood in Stool After Hemorrhoid Surgery: Causes and Remedies

Blood in the stool? Hello, doctor. I recently underwent a hemorrhoid ligation surgery (three hemorrhoids), but in the past few days, I've noticed bright red blood on the toilet paper after straining during bowel movements. I went to see the doctor who performed the ligation ...


Dr. Ke Fangxu Reply:
If there is mild bleeding, it is usually not a concern as long as a colonoscopy has been performed to rule out the possibility of tumors. High-fiber foods can be consumed, but spicy and irritating foods should be avoided. Additionally, it is important to shorten the duration of b...

[Read More] Blood in Stool After Hemorrhoid Surgery: Causes and Remedies


Understanding Recovery After Hemorrhoid Ligation: Common Concerns

Recovery issues after hemorrhoid banding? Hello Dr. Chang: After about a week since my last inquiry, I noticed that approximately half of the prolapse has resolved, while the other half remains. I have now undergone the third ligation, and it is currently the second week. I often...


Dr. Zhang Shuhao Reply:
After hemorrhoid ligation, the tissue will gradually become ischemic and fall off. It is normal to experience a sensation of fullness or pressure during this time, but it typically does not reach the level of pain. Prolapse may not completely resolve depending on the location of ...

[Read More] Understanding Recovery After Hemorrhoid Ligation: Common Concerns


Managing Aspirin Use Before Hemorrhoid Surgery: Key Considerations

Rubber band ligation for internal hemorrhoids? Hello, doctor. I have an issue with elevated antiphospholipid levels and have been taking aspirin and quinine for about three months. I have two questions: First, do I need to stop taking aspirin before undergoing hemorrhoid ligati...


Dr. Zhang Shuhao Reply:
1. Hemorrhoid ligation is considered a safe procedure, but there is still a small risk of bleeding or the formation of rectal ulcers. If there is no history of thrombosis, stroke, or myocardial infarction, it is recommended to discontinue aspirin for one week. However, if there i...

[Read More] Managing Aspirin Use Before Hemorrhoid Surgery: Key Considerations


Understanding Rubber Band Ligation for Internal Hemorrhoids: Effectiveness and Diagnosis

Hemorrhoid ligation surgery Hello Doctor, since the beginning of this year, I have undergone three rubber band ligation procedures for grade II hemorrhoids. Today, I still noticed blood streaks when wiping after a bowel movement and returned for a follow-up. I would like to ask: ...


Dr. Ke Fangxu Reply:
1. Rubber band ligation is not a curative procedure; its primary aim is to reduce significant bleeding. If the bleeding is reduced to a minor oozing, it can be considered an effective treatment. 2. After hemorrhoid ligation, it is possible for compensatory swelling to occur in ...

[Read More] Understanding Rubber Band Ligation for Internal Hemorrhoids: Effectiveness and Diagnosis


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