Post-operative Instructions
Excision of thrombosed hemorrhoid
A thrombosed hemorrhoid is a hemorrhoid that has a
blood clot in it. This is usually an external hemorrhoid. The symptoms
include pain and swelling on the outside. On occasion it may rupture
and bleeding will occur. The treatment of this condition is to remove
the blood clot, which provides relief from the pain. This is done under local
anesthesia. After the procedure is completed a pressure dressing is
applied. This dressing is left in place until the next day. The dressing
is then removed and warm sitz baths are taken about three to four times a
day for about 15 minutes. You will also asked to come to the office for a
follow up within a week to examine the operative area. If there is
excessive bleeding please call the office so that you can be seen on an emergency
basis. Please remember this is very slow healing area and it may take
over a month for this area to heal.
Rubber band Ligation of hemorrhoids
Hemorrhoids are very common. Hemorrhoids are
varicose veins filled with liquid blood. Withe the passage of time,
these veins get larger and start to protrude and cause different kinds of
problems. They can cause irritation, discomfort, and soilage which makes
it difficult to keep the area clean. They may bleed and the bleeding
is usually bright red with or without bowel movements. After a detailed
history is taken, Dr. Tootla will examine you. A small rubber
band is placed over the hemorrhoid, cutting off its blood supply. The
hemorrhoid and band will fall of in a few days and the wound usually heals
in a week or two. At the time of your treatment you may feel some discomfort
or pain, which usually lasts 24-48 hours. Mild to moderate pain medication
may be necessary and soaking in a warm tub or sitz bath for about 15 minutes
will be helpful. Usually only one hemorrhoid will be banded at a time
to prevent excess pain and swelling. Typically the banding treatment
can be completed on the third visit. After your treatment you may resume
your normal activity. We recommend that you do not strain or get constipated.
You may notice mild bleeding 3-5 days later, but if the bleeding is
severe, call us immediately. One out of 200 patients may experience
with type of bleeding. Allow 2-3 weeks after your last visit for the
area to heal up. There is no special diet necessary but avoid constipation
or diarrhea. A fiber supplement, such as Metamucil, may be recommended.
Ano-rectal surgery, including rectal abscess, anal
fistula, anal fissures and both internal and external hemorrhoidectomy
(for an explanation of these procedures follow the
link to the American
Society of Colon and Rectal Surgeons
)
The procedure will be explained to you before you are scheduled for surgery.
These procedures are done as an outpatient. At the time of completion
of surgery, a local anesthetic will be injected into the operative site so
that no pain will be felt for at least 4-6 hours. A prescription for
oral pain medication will be given to you at discharge. If enough relief is
not achieved ice packs may be applied to the operative area. Dressings
are to be removed the next day and warm sitz baths are started 4-6 times a
day for about 15 minutes.
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