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My father had hemorrhoid surgery 45 days ago, since then he had pain and blood in stool. He was given various antibiotics and laxatives, sitz bath etc but they were not helping much. Finally someone recommended movicol. Since then his stool is soft and pain has reduced a bit but still it feels painful after bowel movements and while sitting etc. Also there is bleeding while bowel movements. His surgeon, after colonoscopy said since he had 5-6 nodes, both internal and external, so it is taking longer to heal after surgery. He recommended self dilation with size 4,5 and eventually 6 for a month so that anal canal looses out and stool does not rub much with walls, giving it time to heal. I want to know does dilation really help? He fear it would make scar bleed more due to forced stretching? Also how to get rid of pain, blood etc. He thinks initial part of his stool is hard which rubs off his anal walls, thus causing bleeding. Movicol makes rest of the stool soft but not initial part. My questions: 1: does filation help in increasing anal canal size or it makes wound worse? 2: how to make initial part of stool soft? 3: how to get rid of pain and bleeding? How long does it usually take in such cases? My dad is always sad and depressed due to this. Please help. Thanks.

1 Doctor Answered
Hi there ~ however, I believe you need to see a surgeon / proctologist for your problem. If the initial part of the stool is hard and rubs off the mucosa causing bleeding then it most likely is an anal fissure which is easily treated by an expert surgeon or a proctologist. Using enema to make initial part of the stool soft using per anal dulcolax may be useful, however you need to consult a surgeon for definitive treatment. The pain and bleeding will be better once a surgical procedure is performed.
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