After you have hemorrhoids removed, you can expect to feel pain, bleeding, swelling in the first week. This is most likely when you have a bowel movement. It is important to keep stool soft and do Sitz bath, and you will feel much better in the second week. It is common to have some light bleeding and clear or yellow fluids from your anus in the first 2 weeks. You will notice the swelling of wound edges and hardness of the tissue around anus, and it may last for 1 to 2 months after surgery.
After the first few days, you should be able to do most of your normal activities. But don’t do things that require a lot of effort. It is important to avoid heavy lifting and straining with bowel movements while you recover.
1. You may shower in the evening or next morning. Good hygiene is essential for proper healing.
2. Water is your best friend. It is important to take a sitz bath after each bowel movement or at least three times a day.
3. Wearing soft gauze pads or Maxi pads in your underwear helps to control bleeding, fluid /mucous drainage.
4. Avoid foods which make you constipated. Be sure to include wheat bran, fresh fruits and plenty of vegetables in your diet.
5. Take Metamucil to increase fiber intake.
6. Take stool softener, such as Colace.
7. Drink plenty of water, otherwise, fiber and stool softener won’t work.
8. Avoid straining, especially the first week after surgery.
9. If you develop hard stool or constipation, A laxative, Miralax is recommended.
10. Mild to Moderate exercise is encouraged. You may walk as much as you like.
11. Avoid heavy lifting.
12. You are able to drive right after the surgery, and you may return to work with restriction in 2 days.
13. You may take Tylenol or Ibuprofen (Advil, motrin, etc.) for mild pain. Should these not be effective in relieving the pain, prescription pain medications will be given on an individual basis.
14. Please call the office to report any of the following: excessive bleeding, fever, Signs of wound infection, persistent moderate to severe pain, and constipation.