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Piles Surgery Tips

Haemorrhoids - When To Opt For A Surgery?

Haemorrhoids - When To Opt For A Surgery?

The anus is a highly vascular area, and these blood vessels dilate, leading to a condition called hemorrhoids, which are external and protrude into the anus (external) or into the rectum (internal). While most hemorrhoids are self-limiting and can be managed with conservative care, about 10% to 20% of the hemorrhoids may require surgical removal.

When is surgery needed?

  1. Thrombosed hemorrhoid
  2. Prolapsed hemorrhoids
  3. Relentless bleeding (maybe painless also)
  4. Recurrent hemorrhoids

Types of surgery required

The exact location of the hemorrhoid and the severity will dictate the type of surgery required. Read on to know some of the common techniques are used to treat hemorrhoids.

  1. MIPH (minimal invasive surgery for haemorrhoids): Also known as hemorrhoidopexy, it involves the use of surgical staples to keep a recurrently prolapsing hemorrhoid in place. These staples ensure they do not prolapsed again. It also cuts off blood supply, so the growth is curtailed. This is done as a same-day procedure under local or general anesthesia. This is the procedure of choice for grade 2 and grade 3 bleeding piles. It is a totally painless procedure and is widely accepted by patients.
  2. Hemorrhoidectomy: It is done under general anaesthesia or spinal anaesthesia in people where conservative and in-office procedures have failed. The hemorrhoids are often large, prolapsed, and cause bleeding. This requires hospitalization and may need about a week to recover completely. This was the standard procedure earlier. It is still very useful for prolapsed large piles.

Post surgery, there could be rectal pain and discomfort. In addition, the patient should drink water adequately, eat a high-fiber diet, and use a stool softener to prevent a recurrence.

Stapler Piles Operation - What Should You Know?

Stapler Piles Operation - What Should You Know?

Piles or haemorrhoids are one of the most common and painful anal disorders. It refers to a collection of veins and tissues that become swollen and inflamed. The size may differ and are found either outside or inside the anus. Haemorrhoids or piles usually result from chronic diarrhoea, constipation, or heavy weight lifting. Timely treatment is essential to cure the condition. Otherwise, piles may affect your routine activities and lead to anal bleeding, infections, or anal fistula

Various surgical methods are available to treat piles. One such surgery is the Stapler Piles Operation. It is an advanced, minimally invasive procedure, mainly performed to cure third or fourth-degree haemorrhoids.

What is the procedure?

Stapler Piles Operation is performed under general anaesthesia. The steps to the procedure are as follows –

  • The surgeon inserts a circular hollow tube into the anal canal. A long woven thread, known as the suture is circumferentially placed within the anal passage and above the internal piles through the tube.

  • Next, the stapler – a disposable instrument with an attached circular stapling device – is placed through the tubes. The ends of the thread are pulled. 

  • The stapler finally cuts off the circumferential ring of enlarged haemorrhoidal tissues trapped within the stapler. The device staples the lower and upper edges of the cut tissues simultaneously. 

  • The surgery disconnects the supply of blood to the piles, causing them to shrink

The entire procedure takes about 30 minutes. 

Advantages of Stapler Piles Operation 

The surgery has gained immense popularity owing to several advantages –

  • Less pain

  • Minimal loss of blood

  • Faster recovery

  • Shorter hospital stay

  • Smaller incisions

  • Higher accuracy

Stapler Piles Operation does not involve the risks of major complications, like in the case of traditional surgery. The procedure is preferably used by Gastroenterologists far and wide. In most cases, patients have shown improvement in the condition and the overall quality of life following the operation. Patients are advised to strictly follow the doctor’s instructions immediately after the surgery for a speedy recovery. 

 

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Piles - How Efficient Is Surgery In It?

Piles - How Efficient Is Surgery In It?

Many people suffer from hemorrhoids or piles at some point in their life. This condition affects the rectum. It is rarely dangerous but it can be extremely painful. Hemorrhoids can be described as swollen veins in the walls of the lowest section of the rectum and anus. This is the most common cause of rectal bleeding. This may also be a symptom of rectal or colon cancer and hence should never be ignored. A doctor must be consulted if the rectal pain lasts longer than a week or if there is severe swelling and pain around the anus. Hemorrhoids can be treated in a number of different ways but the best form of treatment is surgery.

The procedure to remove hemorrhoids completely is known as a hemorrhoidectomy. A hemorrhoidectomy can be used to treat internal and external piles. This surgery aims at relieving the pain, bleeding, discharge and itchiness caused by piles by cutting away the hemorrhoids. A hemorrhoidectomy is performed while the patient is under general anesthesia. The doctor will begin by making one or many incisions around the anus. The hemorrhoids are them cut off and the incisions are closed. In some cases, the patient may need to stay overnight in the hospital but in most cases, he or she can go back home on the same day. Recovering from a hemorrhoidectomy can take 2-3 weeks.

One of the biggest advantages of surgery to treat this condition is the permanent removal of the swollen blood vessels. This makes passing stool painless and also relieve all the other associated symptoms. Thus, the patient will not have to deal with hemorrhoids on a daily basis. Surgery can be used to treat small or large hemorrhoids. Thus, when all other modes of treatment fail, surgery is often the last resort. As compared to other forms of treating hemorrhoids, only surgery offers long-term results. In 95% of cases, piles do not recur once surgically removed.

However, to ensure this, the patient must follow aftercare instructions and make a few lifestyle changes. For example, it is essential to have a well-balanced diet with plenty of fibre to prevent piles. The patient must also drink at least 8-10 glasses of water a day to ensure that undigested waste can pass through the digestive system smoothly and that stools are soft. Exercise is also very important for the prevention of piles.

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Internal Hemorrhoids - How To Get Rid Of Them?

Internal Hemorrhoids - How To Get Rid Of Them?

Hemorrhoids or piles are diagnosed by swelling of veins in the lower part of anus and rectum. Due to swelling, the walls of rectum and anus are stretched and thus become irritated. Hemorrhoids are of two types: Internal and External hemorrhoids.

Internal Haemorrhoids: As the name suggests, the piles are not visible from outside. These are present deep inside the rectum, located above the pectinate line and these are covered with the cells that are present through the rest of intestines. Internal hemorrhoids are normally painless. The first sign of internal hemorrhoids is rectal bleeding. However, straining can push internalhemorrhoid and it protrudes through the anus and this can be painful.

Causes of Haemorrhoids
The swelling of hemorrhoid occurs only when the pressure in the small vessels of rectum and anus is increased and is engorged with blood. The size of the hemorrhoids is also increased. The increased pressure may be due to various factors:

  • Consuming low fiber diet and pushing or straining while passing stools, thus blood vessel pressure is increased.
  • Pregnancy also is a cause of swelling as there is the increased pressure of the uterus on rectum and anus.
  • Sitting for long on toilet also increases pressure.
  • Obesity is also a cause of hemorrhoids.
  • People suffering from diarrhea, both acute and chronic.
  • A person having colon cancer might have hemorrhoids.

Signs and Symptoms of Haemorrhoids:

  • The most common symptoms of hemorrhoids are painless bleeding, itching in anal, swelling and feeling of the presence of lump at the anus.
  • All these symptoms are associated with inflamed hemorrhoid.
  • Inflamed internal hemorrhoid can cause swelling, but is painless as there are no fibers attached to veins above the pectinate line that cause pain. However, passing hard stools can scrape off the thin lining of hemorrhoid, which can cause the painless bleeding.
  • Spasms of the rectum and anal muscles caused by these swollen hemorrhoidscause pain, especially when they are protruded through the anus.
  • Internal hemorrhoids can form a clot or thrombose resulting in severe pain.
  • The presence of inflammation, stool, and constant moisture and these can lead to itching and burning sensation in the anus among patient of internal hemorrhoid.

Treatment of Haemorrhoids

  • Diet: Haemorrhoids can be treated when individuals consume a fiber-rich diet in order to soften the stools and ease their bowel movements. Fiber-rich foods include fresh fruits, dry fruits, grains, vegetables, and cereals. About 20 to 30 grams per day of fibrous foods is recommended. Dietary fiber will help create bulk in the intestines which will help in softening of stools and ease bowel movement. Supplemental fiber available in the marketincludes psyllium husk, methylcellulose, and calcium polycarbophil. Other recommendations include increased intake of liquids and having stool softeners. Drinking enough water and liquids will prevent stool from hardening.
  • Over-the-counter topical treatment: There are various products available to treat hemorrhoids, such as gels, hydrocortisone creams, ointments, foams, pads, and suppositories.
  • Home remedies: Soaking anus in a warm sitz bath might also help in hemorrhoids for about 10 to 15 minutes per day. One should practice good hygiene and clean anus with warm water while showering. Avoid using soap and dry toilet paper. One can also use a cold compress on the anus.

Minimally Invasive Procedure for Hemorrhoids (MIPH)

Out of the various types of medical and surgical interventions available to treat Piles, Minimally Invasive Procedure for Hemorrhoids (MIPH) 0r painless stapler surgery is known to be very popular since it acts an alternative approach to surgical interventions made for piles.

MIPH is defined as a minimally invasive surgical technique in which a band of loose or prolapsed mucosa and sub mucosa in the rectum is excised, proximal to the piles and disrupted mucosa is fixed by ‘stapled end to end mucosal anastomosis.

This will ultimately occlude the blood supply to the superior hemorrhoidal artery above the hemorrhoidal tissue, resulting in the retraction of prolapsed mucosa back to its original anatomical position. A special circular stapler known as PPHO3 is used in the anastomosis and the whole maneuver will take around 30–45 minutes.

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Piles - Why Non Surgical Treatment Graded Ksharsutra Therapy Is Better Than Surgery?

Piles - Why Non Surgical Treatment Graded Ksharsutra Therapy Is Better Than Surgery?

Piles are engorged veins in the anal area. They can be internal or external depending on their location; external being outside the anal opening and internal inside rectum. External always remain outside while internal piles are inside but as the disease progresses; they start coming out from anal opening while passing stool.

Treatment for Internal Piles:

For external Piles; Ksharsutra ligation of Pile mass is the treatment of choice. Internal Piles: Treatment is given according to the stage of Piles. In 1st and 2nd stage Piles Kshar Karma along with oral medicine is advised. While in 3rd and 4th stage Ksharsutra ligation of Pile mass is the treatment of choice.

Why Graded Ksharsutra Therapy is Better than Surgery?

Graded KsharsutraTM Therapy refers to a minimally invasive Para surgical procedure in Ayurveda. It is a tried and tested Ayurvedic technique, which helps in managing Anorectal disorders. In this treatment; Graded KsharsutraTM - A specialized medicated thread is ligated at the root of Pile mass. As a result Pile mass shrinks and sheds off in a week or 10 days interval. No hospitalization; No bed rest required in this treatment and patient can continue his normal routine activities as usual.

Graded KsharsutraTM Treatment is better than surgery in Piles for the reasons as below:

1. Hemorrhoids treated by Ksharsutra do not recur while after surgery incidences of recurrence are very high.

2. Complications like stool incontinence (inability to hold stool) etc. are reported in many cases in surgery for Piles which is not seen in Graded KsharsutraTM Treatment.

3. In Ksharsutra therapy there is no cutting of tissues hence the chance of post operative bleeding are not there however after surgery; the chances of post operative bleeding or infection are always there.

4. Ksharsutra therapy is done under Local Anesthesia which is always safer than general anesthesia/ Spinal Anesthesia required for surgery.

5. Ksharsutra therapy is also more economical than Surgery.

6. Patient can continue his normal routine activities as usual during Graded Ksharsutra Treatment which is not possible in surgery.

Hence, it is being concluded that Ksharsutra Treatment is the best treatment for Piles in all its stages.

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Piles - How Laser Proctology Can Treat It?

Piles - How Laser Proctology Can Treat It?

Proctology refers to the study of the structure and diseases of the anus, rectum, and sigmoid colon. Laser surgery in proctology field enables excellent cutting, limiting thermal damage to the surrounding tissues reducing the post-operative pains. Piles are also called hemorrhoids. They are swellings in blood vessels found in or around the rectum and anus. Piles manifest symptoms like bleeding after passing stool, itchy bottom, hemorrhoid mass hangs out of the anus that pushes back in after passing of stool (prolapse), a mucus discharge, soreness, redness and swelling around the anus. Proctology conditions like piles might not be life-threatening, but they’re associated with poor quality of life and embarrassment.

Laser Treatment for Piles
Piles are classified into grades based on their severity.

  • Grade one is the initial stage where a person has bleeding or itching but no prolapse. At this stage conservative measures are recommended.
  • In grade two, the mass of hemorrhoids begins prolapse during defecation but goes back in, on completion of the act. 
  • In Grade three, the prolapsed haemorrhoidal mass does not go back on its own, and manually pushed back. LHP is recommended for early stages of Grade 3; however, stapler surgery is recommended for advanced stages.

The LHP process
A laser fiber is passed through the anal opening and laser energy is applied to the haemorrhoidal mass. The controlled emission of laser energy reaches the submucosa zone, causing the haemorrhoidal mass to shrink. Fibrosis reconstruction generates new connective tissue, ensuring the mucosa adheres to the underlying tissue preventing the recurrence of prolapse.

Benefits

  • Reduced pain, faster healing, higher outcome, and shorter procedures.
  • Optimal treatment and outcomes.
  • Presets enabling ease of use improved surgical control and accurate dosage.
  • Requires no incisions and suturing.
  • The procedure leaves no foreign material in the body.
     
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Haemorrhoids - How Can Surgery Be Of Help?

Haemorrhoids - How Can Surgery Be Of Help?

The anus is a highly vascular area, and these blood vessels dilate, leading to a condition called hemorrhoids, which are external and protrude into the anus (external) or into the rectum (internal). While most hemorrhoids are self-limiting and can be managed with conservative care, about 10% to 20% of the hemorrhoids may require surgical removal.

When is surgery needed?

  1. Thrombosed hemorrhoid
  2. Prolapsed hemorrhoids
  3. Relentless bleeding (maybe painless also)
  4. Recurrent hemorrhoids

Types of surgery required:

The exact location of the hemorrhoid and the severity will dictate the type of surgery required. Read on to know some of the common techniques are used to treat hemorrhoids.

  1. MIPH (minimal invasive surgery for haemorrhoids): Also known as hemorrhoidopexy, it involves the use of surgical staples to keep a recurrently prolapsing hemorrhoid in place. These staples ensure they do not prolapsed again. It also cuts of blood supply, so the growth is curtailed. This is done as a same-day procedure under local or general anesthesia. This is the procedure of choice for grade 2 and grade 3 bleeding piles. It is a totally painless procedure and is widely accepted by patients.
  2. Hemorrhoidectomy: It is done under general anaesthesia or spinal anaesthesia in people where conservative and in-office procedures have failed. The hemorrhoids are often large, prolapsed, and cause bleeding. This requires hospitalization and may need about a week to recover completely. This was the standard procedure earlier. It is still very useful for prolapsed large piles.

Post surgery, there could be rectal pain and discomfort. In addition, the patient should drink water adequately, eat a high-fiber diet, and use a stool softener to prevent recurrence.

2711 people found this helpful

बवासीर के मस्से का इलाज - Bawasir Ke Masse Ka Ilaj!

बवासीर के मस्से का इलाज - Bawasir Ke Masse Ka Ilaj!

बवासीर का मस्सा एक बहुत ही दुख और तकलीफ देने वाला रोग होता है जिसमें अत्यधिक दर्द होने के कारण रोगी बहुत अधिक परेशान और दुखी हो जाता है. बवासीर के मस्से की बीमारी के दौरान गुदा के अंदर और गुदा के आसपास की जगह पर सूजन होती है. गुदा, बड़ी आंत के नलिका का अंतिम हिस्से को कहते हैं. आपको बता दें कि ये लगभग 4 सेमी लंबा होता है जो गुदा नलिका के निचले सिरे पर बाहर की ओर खुलता है. आपको बता दें कि इसी के माध्यम से मल निष्कासित होता है. मुख्य रूप से बवासीर 2 प्रकार की होती है - आंतरिक और बाहरी. आंतरिक बवासीर वो होती है जो गुदा नलिका के अंदर 2-3 सेंटीमीटर ऊपर होती है. आंतरिक बवासीर आम तौर पर पीड़ारहित होती है, क्योंकि ऊपरी गुदा नलिका में कोई दर्द तंत्रिका फाइबर नहीं होता है. आइए इस लेख के माध्यम से बवासीर के मस्से के इलाज पर प्रकाश डालें.

बवासीर के मस्से का इलाज के लिए बदलें अपना खानपान-

अधिकांश स्थिति में, बिना किसी उपचार के ही बवासीर ठीक हो जाता है. बहुत सारे रोगियों ने यह देखा हैं कि उपचार कराने से बहुत हद तक दर्द और खुजली से राहत मिलता है. कब्ज़ के कारण मल त्याग करने में बहुत ज़ोर लगाना पड़ता है जिसकी वजह से बवासीर होता है. डाइट में बदलाव करने से मल नियमित और मुलायम हो सकता है. अपने खाने में ज़्यादा से ज़्यादा फाइबर, जैसे की फल और सब्जियां शामिल करना चाहिए और नाश्ते में अनाज की जगह चोकर शामिल करना चाहिए. इसके अलावा पानी सबसे उपयुक्त पेय पदार्थ है और रोगी को यह सलाह दी जाती है कि वह ज़्यादा से ज़्यादा पानी का सेवन करें. वह खाद्य पदार्थ जिनमें कैफीन अधिक होता है, उनका सेवन सिमित करें. अगर मरीज़ मोटापे से पीड़ित है तो, वज़न कम करने से बवासीर की तीव्रता को रोका जा सकता है. कुछ आसान चीज़ों को अपना कर आप खुद को बवासीर होने से बचा सकतें है, जैसे मल त्याग करने के दौरान अधिक जोर ना लगाएं, जुलाब से दूर रहें और एक्सरसाइज करें.

अन्य दवाइयां और उपाय-
1. कुछ दवाइयों के इस्तेमाल से मलाशय के आस-पास होने वाली लालिमा और सूजन में आराम मिलता है. इसमें विच हेज़ल, हीड्रोकॉर्टिसोने जैसी सक्रिय सामग्री होती है जो खुजली और दर्द में राहत प्रदान करता है. in दवाइयों से पाइल्सठीक नहीं होता है केवल लक्षण ठीक किये जातें हैं. इन्हे सात दिन तक लगातार इस्तेमाल करने के बाद, इस्तेमाल न करें - ज़्यादा समय तक इस्तेमाल करने से मलाशय में परेशानी और उसके आस-पास की त्वचा पतली हो सकती है. डॉक्टर से परामर्श लिए बिना दो या दो से ज़्यादा दवाइयों का एक साथ इस्तेमाल न करें.

2. कॉर्टिकॉस्टेरॉइड्स: - यह जलन और दर्द को कम करने में मदद करता है.

3. दर्द निवारक दवाइयां: - पैरासिटामोल जैसी दर्द निवारक दवाइयों का भी इस्तेमाल कर सकते हैं.

4. बैंडिंग: - डॉक्टर मलाशय के अंदर, पाइल्स के आस-पास इलास्टिक बैंड लगा देंगे, जिससे ब्लड की आपूर्ति रुक जाएगी और कुछ दिन बाद बवासीर झड़ कर निकल जाएगा. यह इलाज बवासीर की ग्रेड 2 और 3 के लिए काम करेगा.

सर्जरी #12;
1. स्क्लेरोथेरपी: -
इसमें एक दवा दी जाती है जिससे पाइल्स सिकुड़ जाता है और फिर सूख जाता है. यह बवासीर के ग्रेड 2 और 3 में प्रभाव दिखाता है, यह बैंडिंग का विकल्प है.

2. इंफ्रारेड कोएगुलशन: - इसे इंफ्रारेड लाइट कोएगुलशन भी कहतें हैं. इसका इस्तेमाल बवासीर की ग्रेड 1 और 2 में किया जाता है. यह एक तरह का यन्त्र है जिससे बवासीर के मस्सों की जमावट को रोशनी द्वारा जला दिया जाता है.

3. जेनेरल सर्जरी: - इसे बड़ी बवासीर में इस्तेमाल किया जाता है या ग्रेड 3 या 4 की बवासीर में इस्तेमाल किया जाता है. अधिकतर सर्जरी तब की जाती है जब दूसरी प्रकिरियाओ से आराम नहीं पड़ता. कभी-कभी सर्जरी आउटपेशेंट प्रक्रिया की तरह की जाती है, यानी जिसमें मरीज़ सर्जरी की प्रक्रिया पूरी होने पर घर जा सकता है.

4. हेमोर्रोइडेक्टमी: - बहुत सारे ऊतक जिनकी वजह से खून आ रहा है उसे सर्जरी द्वारा हटा दिया जाता है. इसे बहुत सारे तरीकों से किया जाता है. इसमें स्थानीय एनेस्थेटिक, बेहोश करने की प्रक्रिया, रीढ़ की हड्डी में दिया जाने वाला एनेस्थेटिक और सामान्य अनेस्थेटिक का मेल इस्तेमाल किया जा सकता है. इस तरह की सर्जरी बवासीर को जड़ से मिटाने में कारगर है, लेकिन इसमें जटिलताएं पैदा होने का जोखिम है, जैसे की मल निकलने में दिक्कत और मूत्र पथ में संक्रमण.

5. हेमोर्रोइड को बांधना: - बवासीर की ऊतक की तरफ हो रहे खून के बहाव को रोक दिया जाता है. यह प्रक्रिया हेमोर्रोइडेक्टमी से कम दर्दनाक होती है. लेकिन बवासीर के फिर से होने का और मलाशय के आगे बढ़ना का जोखिम बढ़ जाता है.

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Piles Surgery - What Should You Know About It?

Piles Surgery - What Should You Know About It?

Do you bleed or feel pain during bowel movements, or the skin around your anus feels sore or itches? Or maybe there's a lump in or around your anus, or you feel as if your bowels haven't emptied completely? Then you may be suffering from piles. Piles or hemorrhoids are essentially swollen veins and muscles in your anal canal or around your anus. And they may stay inside your anus or come outside depending on the severity of the affliction.

Often, piles can be successfully treated with high-fiber diet, proper hygiene, and topical medicines or ointments. But in situations where non-surgical methods don't achieve desired results, surgery becomes the only option. And this may be particularly necessary for those suffering from large painful or bleeding hemorrhoids. The different surgical options are given below:

  • Hemorrhoidectomy - In this procedure, the surgeon makes incisions around the anus to remove the piles formations. Local or general anesthesia is offered during the operation, and you can usually return home on the same day. After the procedure, the area might require stitches and commonly remains very tender and painful for quite some time.
  • PPH or Procedure for Prolapse and Hemorrhoids - This method is minimally invasive and makes use of a stapler-like machine for repositioning the hemorrhoids and cutting off their blood supply. So eventually, the piles shrink and die without blood supply and your pain diminishes greatly. With this process, you can expect a faster recovery, less itching and bleeding, and minimal complications, if any.
  • Laser - An accurate and special laser beam is used in this method, to burn off the hemorrhoids.
  • Rubber Band Ligation - This procedure can be used for areas with fewer pain receptors. In this, a rubber band is tied around the base of hemorrhoid to stem the blood supply and destroy the affected tissue.
  • Sclerotherapy - This method involves the injection of a chemical solution around the blood vessel which supplies the hemorrhoid tissues, to shrink and kill them. Though non-invasive methods are preferred by many since they create less pain, hemorrhoidectomy may provide more long-lasting benefits. Here are some other aspects you need to consider regarding piles surgery:

Risks - Infection, bleeding, reaction to anesthesia, trouble with urination, fecal incontinence are some of the risks involved, though the surgery is usually quite safe.

Ways of treating pain - Pain, especially during and after a bowel movement, can be an issue for several days after the surgery. But it can be dealt with by taking prescribed pain medications, stool softeners, and soaking in a warm bath. Recovery can take up to 3 to 6 weeks after the procedure.

Avoiding recurrence - Following a high-fiber diet, maintaining good hygiene, taking lots of fluids, and avoiding straining or constipation can prevent piles from coming back.

 

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Piles - Recovery Tips After The Surgery!

Piles - Recovery Tips After The Surgery!

Piles or Hemorrhoids is a common condition that can affect a man or woman at any stage of their life. This is not life-threatening but it can be extremely painful and uncomfortable. Therefore, seeking the proper treatment at the right time is necessary. Surgery is one of the best forms of treatment for this condition. This is known as a hemorrhoidectomy. It ensures that the problem does not recur. Recovering from a surgery to remove piles can take 2-3 weeks. Here are a few tips to ensure fast healing.

Take a sitz bath A sitz bath can help relieve pain and discomfort after a hemorrhoidectomy. This involves filling a shallow tub with warm water and sitting in it. It is important not to add anything to this water. A sitz bath can be taken multiple times in a day in the first week following surgery. The warm water helps relax the muscles and reduces swelling and pain. Once the water cools down, you may follow a sitz bath with an ice pack. This should not be placed in direct contact with the skin and should be held in place for not longer than 5-10 minutes.

Use a handheld shower to keep the area clean It is important to keep the surgery site clean at all times. However given the sensitivity around the area, this can be difficult especially after passing stool. Using a handheld shower or bidet attachment can make this process easier and less painful. Air dry the area or pat it dry with a soft towel. Do not rub the area as it may damage the skin.

Use medication wisely Your doctor will probably prescribe painkillers after the surgery. This prescription must be followed strictly as overuse of opioid painkillers can result in constipation. Along with this, a laxative or stool softener may also be prescribed. The instructions given with this medication must be followed strictly. Taking excessive doses can lead to diarrhoea that may, in turn, slow down the healing process.

Eat Right To prevent constipation and speed up the healing process, the patient must have a well-balanced diet. This should be rich in fibre to enable waste to travel smoothly through the digestive system. The patient must also drink a minimum of 8-10 glasses of water a day. This does not include soft drinks, juices, tea, coffee etc. This keeps stools soft and makes their excretion less painful.

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