Most of the wounds after anal surgery are open wounds, and there will be bleeding after the operation, so the wounds are usually filled with hemostatic gauze or hemostatic biological sponge. Packing hemostatic gauze or hemostatic sponge is used to compress the wound to stop bleeding. Which one to use depends on the habits of the surgeon. Packing hemostatic gauze causes more obvious postoperative pain than packing hemostatic sponge. Premature defecation will cause the packing gauze or sponge to fall off, which will affect the bleeding of the wound within 24 hours after surgery. Therefore, in principle, it is recommended to defecate after 24 hours after surgery, but a small number of patients have a strong sense of defecation on the day after surgery, and they can also defecate. Before defecation, you must inform the doctor and nurse on duty to observe the bleeding of the wound and the wound after defecation in time. deal with.
If there is no bowel movement for 48 to 72 hours after the operation, the stool stays in the large intestine for too long, the water is reabsorbed back into the body, and the stool will dry up, causing the first defecation wound to be more painful. Therefore, the diet within 2-3 weeks after surgery should be based on the principles of semi-liquid, high-calorie, rich fiber, and nutritious. Keeping the stool soft and unobstructed is very important for postoperative bowel movements. Therefore, it is necessary to start to consume certain fruits and vegetables early after the operation, to give laxative drugs early after the operation, and to get out of bed properly or massage the abdomen to promote defecation after the operation.
The opening of the wound and the contraction of the sphincter during defecation will increase the pain in the anus. Therefore, how to relieve the pain in the anus during defecation is very important. Before defecation after surgery, you must prepare the bath potion and temperature in advance. You can take a bath for a few minutes before defecation to relieve the tension of the anal muscles. When the sensation of defecation is strong, defecate immediately and take regular deep breaths during defecation. During defecation, you can also wash your anus with warm water from the shower while defecation. On the one hand, you can rinse the fecal residue on the wound in time to reduce the irritation of the feces to the wound. On the other hand, the warm water from the shower can also relieve the tension of the sphincter. Pain. After defecation, be sure to rinse the anus with a shower (paper towels are not recommended), and then take a bath in the medicine prepared in advance. Prepare sitz bath syrup in advance-first sitz-then defecate-then rinse-then sitz, the whole process should be coherent, and the waiting time in the middle should be reduced as much as possible, because every step can relieve the pain of defecation wounds. Some patients did not prepare the potion and temperature for the sitz bath in advance. They lie on the bed after defecation and only start to prepare the potion and temperature for the sitz bath half an hour later. The half an hour before the sitz bath will be very painful. Some patients even reported that sitting in a bathtub of warm water to defecate is the best way to relieve bowel pain. Is this principle somewhat similar to childbirth in water?
It takes at least 4-5 weeks to heal the wound after anal surgery, and the healing time of large wounds is longer. Therefore, it is normal to see a small amount of red blood stains during postoperative defecation or wipe the anus with tissues. This phenomenon will continue until the wound is completely healed. Before healed, this kind of blood stains sometimes occurred. If a large amount of blood stains or blood clots appear during defecation, it is an abnormal phenomenon. This situation is generally seen in bleeding from the ligation wound when the internal hemorrhoid ligature falls off within 7-14 days after surgery, and it is also more common in bleeding from the anastomosis in the rectum during hemorrhoid PPH surgery. It can also be seen that the hemostatic gauze was removed for the first time after surgery. Once this happens, the doctor and nurse must be notified in time. If you have been discharged, you need to return to the hospital for treatment immediately. If the journey is far away, you can go to a nearby hospital for treatment. Therefore, it is very important for the doctor to completely stop bleeding during the operation. After the operation, there must be a reasonable diet, the stools should not be too dry or hard, and do not do vigorous exercises or lift heavy objects within 2 weeks after the operation.
There will be a lot of secretions in the wound tissue after surgery, which is generally normal. If the secretion increases and the pain gets worse, you must inform the doctor in time to check whether the wound has unobstructed drainage, false healing, or potential undiscovered lesions. If the above situation exists, it needs to be dealt with in time.