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Recovery From Hemorrhoidectomy

A hemorrhoidectomy involves the surgical removal of hemorrhoids. A surgeon performs the operation as an outpatient procedure or may require a hospital stay, depending on the severity of the hemorrhoids. Although a hemorrhoidectomy is a successful surgery to get rid of hemorrhoids, the operation comes with possible complications and a long recovery time. Proper treatment and care after a hemorrhoidectomy helps ensure an easier recovery.

  1. Postoperative Care

    • After release from the surgery, take it easy for the return home. Use any provided cushions to sit comfortably. Normally, a donut-shaped cushion makes sitting more comfortable. Once at home, sitz baths help the surgical area heal, decrease swelling and are comforting. A sitz bath consists of sitting the affected area in a shallow, warm bath of saltwater.

      Some surgeons choose to close the incision with sutures, and others opt to leave incisions open to heal. The surgical facility may provide bandages to catch any drainage from the surgery. Apply ice packs to the area to decrease swelling and pain levels. Lie down with the feet elevated to relieve pressure on the affected area.

    Risks and Complications

    • The biggest potential risks associated with a hemorrhoidectomy are bleeding and infection. At times, scar tissue causes a narrowing of the anal canal. This causes difficulty in defecation. During the healing phase, the tissue may adhere to the wall of the anus, causing a fistula or fusion. Slight bleeding may occur when passing stool. This bleeding is normal and not a cause for concern. Spontaneous bleeding is a serious complication.

    When to Call the Doctor

    • Report any signs of fever, swelling, redness or drainage at the surgical site to the doctor immediately. These symptoms are signs of possible wound infection. In addition, report an increase in severe pain to the surgeon, as this is also an indicator of possible infection. Bleeding may occur in the postoperative period. If there is an inability to urinate or defecate, notify the surgeon right away.

    Diet

    • Immediately after a hemorrhoidectomy, you consume a clear liquid diet. After tolerating clear liquids, slowly introduce solid foods. Taking stool softeners aids in making stool manageable to pass. An increased fluid intake is encouraged to decrease the possibility of constipation. High-fiber foods, like beans and whole-grain breads, are also encouraged to avoid constipation.

    Recovery Time

    • A complete hemorrhoidectomy recovery varies among individuals. Anywhere from 6 to 8 weeks is the typical time frame. A return to work is safe after approximately 10 days, and after you are cleared by the surgeon. Avoid heavy lifting for 2 to 3 weeks.

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