The first is dietary considerations. If you use spinal anesthesia on the day after surgery for perianal hemorrhoids and fistula, you need to control drinking on the day after surgery. You can drink normally after urination to avoid urine retention. You are usually too worried about stool and try to control your diet and even drink soup and porridge or completely. No contraindication diet is not advisable. After perianal hemorrhoid fistula, it is necessary to avoid eating cold, spicy and other irritating foods, such as peppers, peppers, garlic, beef and mutton, etc., so as to avoid excessive or hard defecation that may cause secondary incisions Bleeding and infection affect wound healing. Perianal hemorrhoids can eat and drink normally on the first day after surgery. Patients should eat more fresh fruits and vegetables, such as bananas and spinach.
Followed by the defecation precautions. Perianal hemorrhoids and fistulas need to have normal bowel movements after hemorrhoids, so there is no need to fear bowel movements after hemorrhoids. You can sit in warm water after defecation (only warm water or with medicines, the water temperature is about 40 degrees, it is not hot or cold to the touch, every time 5-10 minutes), just cover the post-anal wound with gauze to protect the wound. After hemorrhoid surgery, defecate once a day as much as possible. Some patients are afraid of defecation due to anal pain after the operation, or end up defecation without emptying the stool due to anal edema and pain, which causes the feces to become dry and difficult to discharge. There are also some patients with perianal hemorrhoids and fistula after surgery, due to the stimulation of incisions, ligatures or inflammation, causing insufficiency of bowel movements and repeated use of the toilet to defecate. These are very harmful and may lead to wound dehiscence, bleeding and local edema and pain. Therefore, you should avoid frequent defecation after hemorrhoids. The time for each defecation should be controlled within 5 minutes. Do not squat for a long time or defecate too hard. If you have difficulty in defecation or have repeated defecation, you can consider using Kaisailu or enema to assist defecation. , Or use Fusong powder or lactulose liquid to assist defecation, but the dosage should be small to avoid diarrhea. Diarrhea can also cause wound bleeding, pain and other complications and affect the recovery of the disease.
Secondly, it takes about 4 weeks for wounds to heal completely. Perianal wounds are generally open wounds. Patients are generally hospitalized for about 1 week. After discharge, they need to come to the hospital for regular review and change of dressings to observe wound healing.
Finally, matters needing attention in daily life habits. There is no need to stay in bed after the operation of the perianal hemorrhoid fistula, and normal life will not be affected. However, after the operation of the perianal hemorrhoid fistula, you still need to rest properly, especially to avoid sitting for a long time. It is necessary to avoid driving and cycling for a long time, and pay attention to rest after the operation of perianal hemorrhoid fistula. Staying up late and being too tired should be avoided. These will affect the recovery of the disease.
After surgery to cure perianal hemorrhoids and fistula, diet and maintenance are equally important. Patients with constipation need to heal constipation, because long-term constipation is hard and dry, and hard work often causes the pelvic floor and rectum to move down repeatedly. Repeated constipation may lead to recurrence. Anal skin laceration, blood in the stool and pain, leading to recurrence of the disease. At the same time, excessive pressure when going to the toilet and long defecation time are high-risk factors for recurrence of hemorrhoids after healed. It is necessary to completely abandon the bad habits of reading books and newspapers in the toilet. In short, hemorrhoids treatment and prevention of recurrence is a long-term process. Never think that hemorrhoids can be cured after surgery. Good life and work habits are an important guarantee for maintaining health.