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Caring for the patient after hemorrhoidectomy is a very important stage that determines the patient's healing and recovery. Some of the following patients often experience difficulty in defecation after hemorrhoidectomy. So after cutting hemorrhoids, can I go to the toilet? Find out through the article below.1. What is hemorrhoidectomy?
Hemorrhoids are diseases related to the vascular system around the anal canal, including arterioles, veins, venous anastomosis to smooth muscle and connective tissue lined by normal epithelium.
Hemorrhoids appear often due to the cause of the patient straining when having a bowel movement, continuous blood stasis due to sitting for a long time, these causes will lead to a common result that is enlarged and dilated to create hemorrhoids into the lumen of the anal canal. With hemorrhoids in the elderly, the supporting connective tissue is getting weaker and weaker, the hemorrhoids gradually fall out of the anal opening, this condition is called internal hemorrhoids. With hemorrhoidal status at level 3 and 4 (hemorrhoids protruding), hemorrhoidectomy will be indicated.
Hemorrhoidectomy is a surgery to remove the patient's hemorrhoids. Hemorrhoidectomy surgery will usually be performed by a number of methods such as:
Injecting hemorrhoids: Injecting alcohol or fibrous material into the hemorrhoid, causing the hemorrhoid to shrink or shrink over time. This is a commonly used method because it causes less complications and less pain than straight removal of hemorrhoids. Hemorrhoid ligation: Hemorrhoids will be lied to the bottom with a rubber ring, after a while, the hemorrhoid will shrink and fall off by itself. gradually. The limitation of this method is that it has to be performed many times, the patient sometimes suffers from pain, and the hemorrhoidal ligation method can only be performed with small-sized bunions. Hemorrhoidectomy with PPH: PPH is a method using a clamping machine. PPH is inserted into the rectal mucosa and then removed the hemorrhoids. This modern method only takes 20-30 minutes and there are almost no cases of hemorrhoids recurrence after treatment. Longo thread trimming: This is a method that uses an automatic cutter, stitches and pulls the hemorrhoid. The vein that supplies blood to the hemorrhoid will then be sutured. By this method, hemorrhoids will after a while will shrink and fall off by themselves. The Longo method only applies to cases of hemorrhoids grade 3 and 4.
2. Complications after hemorrhoid surgery that patients often encounter
Complications after surgery are inevitable, hemorrhoidectomy is no exception. However, with good care after hemorrhoid surgery, complications may be less likely or even absent.
2.1. Bleeding after hemorrhoidectomy Usually, when hemorrhoidectomy does not stop bleeding well, it can easily lead to heavy bleeding during the recovery period. Of course, if it is found that this condition does not decrease, you must immediately notify the doctor for surgical intervention to stop the bleeding.
2.2. Anal infections It is very important to clean the anus after each bowel movement. Therefore, patients need to pay attention to this or have a good post-operative care regimen for hemorrhoids to avoid swelling, inflammation and festering in the anus.
2.3. Unable to defecate after hemorrhoidectomy Hemorrhoid surgery is a type of anal intervention, when performing hemorrhoidectomy, the smooth muscle groups include internal sphincter and external sphincter (striated muscle). The external sphincter along with the pubic rectal bundle of the levator anal is one of the muscle groups that help people control bowel movements. After surgery to remove hemorrhoids, the muscle group around the anus is more or less affected, leading to the patient having difficulty controlling bowel movements or not being able to go. Here are some methods to solve the above situation
3. What to do when it's difficult to defecate after hemorrhoid removal?
In fact, the condition after hemorrhoidectomy is not able to defecate in many cases of patients. However, this symptom will soon go away after a few days, when the muscle groups around the anus recover. If constipation, no defecation persists after hemorrhoidectomy, the patient should try to apply some of the methods below
3.1. Diet after hemorrhoid surgery After cutting hemorrhoids, the patient should only use dilute and easily digestible foods such as porridge or soup within the first 4 days. In the following days, you can eat soft foods, avoid acidic or spicy, spicy, greasy foods.
If the condition of constipation is not able to defecate after prolonged hemorrhoidectomy, the patient needs to add vegetables such as green vegetables, laxative foods that are easier to defecate.
Note, drink lots of water for good recovery. Drinking less water will also make the stool dry, making it difficult to have a bowel movement
3.2. Proper hygiene and defecation mode Do not defecate many times a day, do not strain or sit for a long time on the toilet. This can cause damage to the wound after hemorrhoidectomy. You can consult your doctor to use an enema or take a laxative. In addition, it is necessary to avoid riding a motorbike for 2 weeks to prevent wound bleeding.
Inability to defecate after hemorrhoidectomy is a fairly common complication after hemorrhoidectomy. Therefore, patients need to have a reasonable diet and appropriate post-operative care to limit the above situation.
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