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Smooth Recovery: A Simple Guide to Hemorrhoid Surgery

Allen Kamrava, MD, MBA, FACS, FASCRS· Board-certified in Colon & Rectal Surgery and General Surgery· Published · Reviewed
Play: Smooth Recovery: A Simple Guide to Hemorrhoid Surgery

This video guides patients through recovery after hemorrhoid surgery, focusing on pain management and healing. Pain is manageable using a layered approach: long-acting local anesthetic used during surgery, followed by non-narcotic medications like ibuprofen at home, with stronger pain meds reserved for breakthrough pain. Warm sitz baths are highly soothing. Preparing for the first bowel movement is critical, requiring significant hydration (at least 64 ounces of water daily) and fiber supplements to ensure soft stool, and the use of a footstool is recommended. Potential, usually temporary, complications include urinary retention (1% to 15% of patients). Patients are advised to distinguish between normal spotting (common) and heavy bleeding or passing blood clots (requires immediate medical attention). The surgery has "excellent results," with surgeons actively working to prevent scarring and narrowing of the anal canal by leaving "bridges of normal tissue".

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