What to expect after Haemorrhoid Surgery

1. PAIN

-The majority of patients get moderate pain for the first two to three days. Some patients can get severe pain while some get none at all. Your levels of pain will depend on the exact nature of your  procedure and the degree of correction required. Unfortunately some degree of pain or discomfort is unavoidable.

-Dr McGregor will insert long acting local anaesthetic around you bottom to block the nerves during the operation. This will last most of the day. You will also be given a prescription for several pain killers. You should take them as required.

-Severe pain if present usually occurs only on the first and second day and then improves very rapidly. It is important to rest and maintain your fluids during this time.

2.  USING YOUR BOWELS

- It is important that you are opening your bowels during the days after your procedure. Constipation is a real issue that patients have run into trouble with after surgery as the pain medicine is very constipating.

-Dr McGregor will give you a prescription for Movicol to be taken once or twice a day for the first few days after your operation. It is important that you do not have diarrhoea on this medication. If your bowels are opening easily and you are comfortable please cease the movicol and return to a high fibre diet promptly. To re-establish a normal bowel habit daily Metamucil can be very helpful.

-It is not unusual to see some blood with your bowel motions just after your procedure and at stages during healing. This is normal and of no concern. Please let Dr McGregor know if bleeding is persistent or excessive. Bleeding normally settles spontaneously.

-Ladies especially may find that in the few weeks after surgery that they have to open their bowels immediately. This improves over the first few weeks.

 

3. PASSING URINE

-The most common issue people have after haemorrhoid surgery in difficulty passing urine. We have found the best way forward after surgery is to take only enough fluids orally to make you comfortable until your body catches up. Having a shower or bath or running a tap can help as well. Patients should NEVER drink to excess to try and force a result. By waiting for the body to catch up the rate of catheter insertion in our patients has dropped to about 1/50 patients. If you are having issues after surgery please let Dr McGregor know immediately.

 4.LUMPS AND BUMPS

 -Patients can often get swelling and lumps and bumps while healing. People often worry they have another haemorrhoid. While the skin on the outside of the bottom can be a bit unpredictable these lumps generally resolve over the first couple of months.

 

5. RETURNING TO WORK

 

- Patients should have at least a week off after surgery and longer if in a very physical job. Please let us know if you need a certificate.

 

6. EXERCISE AND PHYSICAL ACTIVITY

-Patients can resume activities that do not involve excessive strain after a week or so. Caution should be used for the first month at least.

 

7. PROBLEMS

-Patients who have a concern should immediately advise Dr McGregor by ringing his rooms during the day on 3910 5150 or by mobile phone which patients will receive as the time of surgery.

 

 

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