Consulting Surgeons

POST OPERATIVE INSTRUCTIONS FOR HEMORRHOIDECTOMY,
ANAL SPHINCTEROTOMY, ANAL FISTULECTOMY

  1. Pain medication. You may experience discomfort or pressure in the anal region. Extra Strength Tylenol is all that is usually required, though you may need to add ibuprofen (Motrin, Advil, Nuprin, or equivalent.). Vicodin or Tylenol #3 can be taken as prescribed if needed.

  2. Activity. You need not restrict your activities except for your comfort. In general, you may return to work as soon as you feel able.

  3. Wound care. You may have an open wound in the anal area, which will gradually close in 4-6 weeks. It is important to keep the wound clean, and this is done with sitz baths. You should take a sitz bath at least three times a day for the first 2 weeks. It is especially important to cleanse the wound after bowel movements with a sitz bath. You may notice a small amount of drainage or blood, which will persist for 2-3 weeks. If there is bleeding to the extent that it comes out in formed blood clots, contact the doctor immediately. If you experience severe pain, especially if associated with fever and chills, you must also contact the doctor immediately. A feminine pad may be necessary to catch any drainage.

  4. Constipation. It is common to experience mild constipation after this surgery. This normally resolves without treatment within 2 days. If you are not already taking psyllium (Metamucil and others), you should begin taking it, one dose twice daily to prevent and minimize constipation. If after 2 days, you still have not had a bowel movement, you may take a laxative. Dulcolax, Milk of Magnesia, and mineral oil are acceptable laxatives. If you do not have results with these medications, then you may drink a bottle of Citrate of Magnesium which is available without a prescription. This will usually produce several bowel movements.

  5. Follow-up. The doctor will need to see you again 2-3 weeks after surge to make sure that the wound is healing appropriately. Call the office to set up an appointment. You may of course call at anytime with additional questions.

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Updated 10-5-06 Id

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