Do you want to pay attention to some what after hemorrhoid surgery?

As the saying goes [ten people and nine hemorrhoids], and I am one of these nine people, and I am also the more serious one.

The main causes of hemorrhoids are as follows: congenital anal canal skin or rectal mucosa relaxation, constipation, bad toilet habits, sedentary standing, lack of exercise, eating more irritating food, etc.

Although I am a doctor, But because of congenital deficiency + the day after tomorrow don’t work hard, the above reasons basically account for the whole, over time got hemorrhoids. At first it was only a small amount of hematochezia, no anal pain, I also didn’t care. Results hematochezia is frequent, and bleeding more and more, so that I have serious anemia. Anemia causes heart discomfort again, taking medicine conservative treatment is ineffective.

It is said that hemorrhoid surgery is not very painful and can be recovered in a few days. I also thought that I had seen a patient die of massive hemorrhoids hemorrhage, so I made up my mind to perform surgery to kill this annoying hemorrhoids.

Selection of surgical methods

Before the operation, I heard that there is a minimally invasive operation called PPH operation. The operation time is short, the postoperative pain is light, and the recovery is quick. Although the price is expensive, I want to choose this one. After all, it is not so painful! However, the surgeon said that I was a severe mixed hemorrhoid and PPH surgery was not suitable. Finally, the traditional hemorrhoid external dissection and internal ligation were adopted.

The operation time is very fast, plus anesthesia, a total of half an hour. In the process, apart from feeling something tampering in the anal canal, there is really no other feeling.

Postoperative analgesia and catheterization

Considering that the pathological changes are serious and there are many nerves near the anus, the pain sensation is sensitive, so the anesthesiologist was specially asked to arrange an analgesic pump for me.

After returning to the ward, The nurse asked me if I should insert a catheter. Because I know spinal anesthesia + analgesic pump can cause urinary retention, It is possible that I cannot urinate, which will be as painful as prostatic hyperplasia. In addition, the surgical wound is pressurized and bandaged, urinating will pollute gauze and anal wound, and taking gauze immediately will cause bleeding, so I became the only person in our four-person ward who inserted the catheter.

The following facts prove that I am very wise, because my elder sister, who operated on the next bed one day earlier, endured the pain and went to the toilet over and over again with her buttocks covered, more than 10 times a day, with poor urination, severe abdominal distension and uncomfortable whole people.

Before the anesthetic effect receded, I was still talking and laughing with my family. But after an hour, As the effect of the anesthetic diminishes, Anus pain immediately appeared, And gradually worsened, Not only is there the kind of burning pain that everyone says, There was also a burst of knife-like pain on the persistent burning pain. The pain caused me to press the analgesic button all the time. At first, I doubted that the analgesic pump might be just a placebo and would not work much, but through the communication with my patients, I thought the analgesic pump was still very useful because I slept the longest on the first night after the operation.

First dressing change after operation

According to the principle, when the anesthetic recedes after the operation, it should be the most painful. However, I am still too naive. The most painful thing should be the first dressing change.

Reminded by the surgeon, pour warm water into the basin before dressing change, sit directly in the basin and soak the operation area. Why do you want to do this? Because the blood will solidify, stick together with the gauze, directly uncover the gauze, that is simply… Unfortunately, I didn’t think of this immediately at that time, only removed the gauze outside, stuffed in the anus gauze didn’t soak well on the dressing table. As a result, the pain tore the heart and split the lung ah, when I came down, I felt fainted.

Not joking, the elder sister in the next bed fainted. Apart from pain, she also suffered from hypoglycemia caused by not eating. Many people don’t eat much after surgery for fear of defecation, even drink less water, and stay in bed all the time after surgery. Therefore, some people will suffer from hypotension and hypoglycemia, and may faint when getting out of bed.

Therefore, if friends who are going to undergo hemorrhoid surgery, if they do not resume eating, they must get up slowly and move slowly. It is better to have someone to accompany or even hold them wherever they go.

How to eat after hemorrhoids surgery?

1. Must eat something, not to eat

In the first few days after the operation, the wound swelling is the most obvious. At this time, even if the stool is soft and the outlet is small, defecation difficulties will still occur. However, if you don’t eat it, it will cause the aforementioned hypotension and hypoglycemia, which is not conducive to edema regression and wound healing.

Some people say that I will not eat, I will give nutrient solution. This is also not desirable, because the intestines have no food stimulation and insufficient activities, which will easily cause abdominal distension and constipation, and defecation will be more painful in the future.

2. Gradually restore from semi-liquid diet to normal diet

Based on the above reasons, 1 ~ 3 days after the operation, it is recommended to have a semi-liquid diet, such as porridge, noodles, wonton, rice paste, etc. After that, it will return to a normal light diet. Increase the intake of vegetables and fruits appropriately, but pay attention to the vegetables that are not digested normally or eat less.

Some people have been eating semi-liquid because they are afraid of defecation pain, which is also wrong. Because the place where the operation is performed also requires the formed stool to expand the local area when it is discharged. If the diet is semi-liquid all the time, the stool volume is not large, and the expansion time and degree are not enough, it is easy to increase the chance of anastomotic stenosis during the operation, resulting in poor defecation in the future, which may require another operation.

Step 3 Drink water normally

Do not drink less water because you are afraid of urinating, because drinking too little water is easy to cause constipation.

Step 4 Avoid spicy food

To avoid spicy and irritating food, I know this very well. One day one week after the operation, I didn’t stop my mouth and ate chili. As a result, my stool was dry and hard to discharge. The wound pain caused urinary retention. After two days, my urine was not smooth and my stomach swelled like pregnancy. My colleague joked that he would insert a catheter for me again.

5. Proper increase of protein

Can appropriately increase protein intake, conducive to wound healing. However, in the first few days after surgery, the amount should not be too much, because protein produces gas, and eating too much fart will be too much, and at that time, smooth fart will be very luxurious.

Medication after hemorrhoid surgery

Postoperative pain is certain. If you can’t stand it, you can use painkillers.

In the first few days after the operation, there must be a little poor defecation. At this time, you can use a proper amount of laxative drugs or Kaisailu to help defecate.

Note that it must be used in an appropriate amount. Don’t learn from me, because constipation is serious at ordinary times, and you are smart enough to increase the amount of laxatives. As a result, you can relieve it several times a day, which means pain several times.

Other Precautions after Hemorrhoid Surgery

In addition to medication, hemorrhoids friends should also pay attention to self-care.

Step 1: Abdominal massage

Do not defecate too hard to reduce bleeding. Abdominal massage can be done, clockwise massage from right to left to help intestinal activities facilitate defecation.

STEP 2 Warm Water Sit Bath

After defecation, take a warm water sit bath to keep the wound clean.

3. Exercise of levator anus

Doing anal lifting exercise every day is beneficial to the recovery of anal canal function and reduces the chance of fecal incontinence in the future.

Step 4 Exercise moderately

After the operation can get out of bed activities. But must do as much as possible, because of excessive exercise, anal skin mucosa repeated friction, will also cause wound edema and even bleeding again. If the wound edema is obvious, the early stage is still bed rest, abdominal massage is the main, and then gradually increase,

Prevention of hemorrhoids

No matter whether the operation is performed or not, attention should be paid to the prevention of hemorrhoids at ordinary times: eat more vegetables and fruits, eat less spicy and stimulating food, exercise more, avoid sitting for a long time, improve constipation, and develop good defecation habits (do not read books or play with mobile phones when going to the toilet).

After the baptism of this operation, I really realize the importance of these nonsense at ordinary times. Although timely medication and even surgery can control the symptoms of hemorrhoids, good living habits can avoid hemorrhoids attacks at ordinary times. Therefore, important things are said three times, and attention must be paid to them at ordinary times! At ordinary times must pay attention! At ordinary times must pay attention!