2021年11月10日星期三

Common questions about hemorrhoids surgery Changsha Dongda anorectal experts will answer them in detail

1. Is it really so painful after hemorrhoids operation?

Xie Lizi said that no matter what type of hemorrhoid surgery, there will be more or less discomfort or pain after hemorrhoid surgery. However, with the progress of medical technology, the pain after hemorrhoid surgery can be controlled within the tolerable range, which is not as terrible as the legend. Usually, regular hospitals have standardized perioperative methods, such as intraoperative anesthetics, medium and long-term analgesics and postoperative analgesic tablets, analgesic needles and analgesic pumps, as well as a series of effective methods such as hot compress package of traditional Chinese medicine, hip bath of traditional Chinese medicine and oral administration of integrated traditional Chinese and Western medicine, which can greatly improve and reduce postoperative pain, bleeding and other complications.

2. Is postoperative defecation pain and bleeding normal?

Xie Lizi said that this is a common phenomenon after hemorrhoids operation, which can be significantly alleviated in about 7-10 days after operation. From the perspective of anatomy, there are abundant blood vessels and nerves around the anus, so the postoperative pain may be higher and bleeding is easier. In addition, one of the characteristics of anorectal surgery is that the wound surface is open. Pain and bleeding will inevitably occur when feces touch the wound surface and exert force outward during defecation, but the amount of pain and bleeding are within an acceptable range.

If you find more than blood flow or severe pain, you must inform the doctor in time. In order to avoid pain and bleeding, you should prevent constipation and diarrhea. Do not use excessive force during defecation and avoid too long defecation time. If you have a history of habitual constipation in the past, you can add stool softening drugs to assist defecation every day.

3. Will hemorrhoids recur after operation?

Xie Lizi reminded that if you do not develop good living habits after hemorrhoid surgery, such as often sitting and standing for a long time, eating too spicy and stimulating food, often staying up late, the disease will come uninvited. Therefore, we should try our best to maintain good defecation and living habits, so as to avoid the recurrence of hemorrhoids.

4. Will anal incontinence or difficult defecation occur after hemorrhoids operation?

Xie Lizi said that the part removed by hemorrhoid surgery is only excess mucosa and skin, and the operation will not hurt the anal muscle. Therefore, theoretically, hemorrhoid surgery will not cause the change of anal size.

However, for some patients with particularly serious hemorrhoids, even if doctors have been cutting off perianal tissue as much as possible, because there are too many hemorrhoids, more perianal skin will inevitably be cut off, resulting in scars. Therefore, the possibility of small anus after operation will be higher than that of ordinary people. In addition, patients with scar constitution are less likely than normal people after operation, which is caused by hard scar and poor elasticity. After this situation occurs, it can be slowly alleviated by expanding the anus and other methods.

For patients with anal stenosis, doctors will try to expand the anus to normal size. In this way, the anus is more relaxed after operation than before operation, which will give people the illusion of anal incontinence. But in fact, this is only temporary. When the patient adapts to the normal anal size, he will return to normal.

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