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Hemorrhoid surgery is the removal of swollen veins around the anus. Hemorrhoids can be surgically removed using a special stapler or sutures (stiches). After the hemorrhoid is removed, you may have stitches that dissolve on their own and gauze packing to reduce bleeding.
Other treatments may include:
A shot into the hemorrhoid to reduce swelling (sclerotherapy)
A rubber band around the hemorrhoid to cut off its blood supply
Shrinking the hemorrhoid with heat, or freeze it with liquid nitrogen
Smaller hemorrhoids may not need surgery.
Patients with severe pain or bleeding who have not responded to other therapy.
Removal of hemorrhoids with clots.
Severe bleeding may occur in cases of piles. This calls for a surgery.
If hemorrhoid symptoms do not improve with hemorrhoid creams with lidocaine, stool softeners, sitz baths etc.
Treatments: Most small hemorrhoids can be managed with lifestyle changes and diet.
Your doctor may recommend hemorrhoid surgery if lifestyle and diet changes and medicines have not worked.
Before the Procedure:
Always tell your doctor or nurse if you could be pregnant and about medicines you are taking, even those you bought without a prescription
Several days before surgery, you may be asked to stop taking aspirin, ibuprofen, warfarin and any other drugs that make it hard for your blood to clot.
On the day of the surgery:
If you are having general anaesthesia, you will usually be asked not to drink or eat anything after midnight the night before the surgery.
Take any medicines your doctor told you to take with a small sip of water.
After the Procedure:
You may have a lot of pain after surgery as the area tightens and relaxes. You may be given medications to relieve pain. (1)(2)
Haemorrhoidectomies are usually carried out under a general anaesthetic.
A traditional haemorrhoidectomy involves gently opening the anus so the haemorrhoids can be cut out. It is a major operation and you will need to take a week or so off work to recover.
It is likely you will experience significant pain after the operation, but you will be given painkillers to help. You may still have pain a few weeks after the procedure, which can also be controlled with painkillers.
Avoid lifting, pulling, or strenuous activity until your bottom has healed. This includes straining during bowel movements or urination.
To avoid straining, you will need to use stool softeners.
Eat more fiber to ease bowel movements. Drink 8 to 10 glasses of water a day.
Soaking in a warm bath (sitz bath) can help relieve pain. Sit in 3 to 4 inches of warm water a few times a day for 10 to 15 min at one go.
The operated site is sore so be careful and wear cotton clothing adequately loose
Avoid use of scented toilet paper and wipes. Using baby wipes is recommended. Keep the area clean and dry.
You should have a complete recovery in about 2 weeks.
Most people do very well after hemorrhoid surgery. You will still need to take steps to help prevent the hemorrhoids from coming back. Eating a high-fiber diet, drinking plenty of water, and avoiding constipation may help.
Side-effects or risks found due to hemorrhoidectomy Risks for any surgery are:
Risks for any anesthesia are: Rarely,
Reactions to medications
Breathing problems, pneumonia
Risks for hemorrhoid surgery are:
Haemorrhage (bleeding) around six days after surgery or banding. It is a small risk. If it occurs, go to the nearest accident and emergency (A&E) department immediately.
Faecal incontinence, where you involuntarily pass stools (faeces); it is a small risk and can sometimes be corrected with another operation.
Infection is rare and occurs in less than 3 out of every 100 people who have a haemorrhoidectomy.
Anal fistula is where a small channel develops between the anal canal and the surface of the skin, near the anus.
Exercises that are recommended post surgery aim at strengthening pelvic floor muscles and help managing incontinence either faecal or urinary.
Do daily pelvic floor exercises
Pelvic floor exercises can be really effective at reducing leakage, but it's important to do them properly.
You may have to do pelvic floor exercises for three months before you see any benefits.
Pelvic floor exercises strengthen perineal muscles and You can do this exercise either sitting or standing.
Squeeze and draw in your back passage at the same time.
Close up and draw your front passage upwards.
Do it quickly, tightening and releasing the muscles immediately.
Then do it slowly, holding the contractions for as long as you can (but not more than 10 seconds) before you relax.
Repeat each exercise 10 times, four to six times a day.
Do the right exercises
High-impact exercise puts pressure on your pelvic floor muscles and can increase leakage. Sit-ups can also make you leak by straining your pelvic floor muscles. If you want to strengthen your pelvic floor to relieve symptoms, replace jogging and aerobics classes with Pilates. This gentle method of stretching and strengthening core muscles is becoming more popular as a treatment for incontinence.
Avoid lifting if you have incontinence
Lifting puts strain on your pelvic floor muscles so avoid it wherever you can. When you do need to lift something, such as when picking up children or shopping bags, tighten your pelvic floor muscles before and during the lift.
Fight incontinence by losing weight
Being overweight can weaken your pelvic floor muscles and can cause incontinence because of the pressure of fatty tissue on the bladder. Your symptoms may improve, and could clear up completely, if you lose the excess weight.
Walking is a good form of exercise and one can gradually increase from 1K to 5K a day. Even a 20-30 minute brisk walk four times a week can improve your bowel function.
Leading a healthy life is not at all difficult if you tune-in your lifestyle a bit. Recovery is faster and recurrence of hemorrhoids can be prevented.
Make it a habit and try new forms to avoid boredom. Walking, swimming, dancing are some of good exercises. Strengthen your pelvic floor muscles by doing Pilates and pelvic floor exercises
Eat high on fibre
-A diet rich in fiber can help digestion and prevent constipation. For a healthy bowel, you need a variety of fiber such as whole grain bread, brown rice, fruit and veg, beans and oats.
- It is also recommended that you empty your bowels when you need to. Delaying going to the toilet can make your stools harder and drier
Say no to smoking and alcohol
Both ruin your body and cough due to smoking strain pelvic floor muscles causing leakage. Alcohol causes acid reflux and loss of appetite and leads to many digestive errors
Sleep well and rest enough for speedy recovery
Drink plenty of fluid
- It's important to keep drinking, especially water. It encourages the passage of waste through your digestive system and helps soften stools. Fiber acts like a sponge, absorbing water, and without fluid the fiber can't do its job and you'll get constipation.
- A good way to make sure you are getting enough fluids is to drink a glass of water with every meal.
To sum up follow few tips below to prevent hemorrhoids:
Eating plenty of fresh fruit and vegetables - at least five portions a day
Cutting down on fat - particularly fat in meat, sugary food, and refined and processed food
Eating plenty of pulses, such as peas, beans and lentils
Drinking plenty of fluid - you should drink at least one to two liters (six to eight glasses) of water a day to help keep your stools soft
Losing weight - being overweight can be a contributing factor to having hemorrhoids; use the healthy weight calculator to find whether you are a healthy weight for your height
Exercising regularly - can help prevent constipation, reduce your blood pressure, and help you lose weight
Avoiding medication that causes constipation, such as painkillers that contain codeine
Stay away from stress, take things easy and keep positive attitude. (5)
It is very easy to spend our working lives eating on the move or at our desks, gulping down food between meetings and then crashing out in front of the TV with a takeaway in the evenings. But eating this way can play havoc with our digestive system.
Following some basic rules can prevent problems:
Don't rush your food. Take the time to eat slowly. Try putting your fork down between bites and chew each mouthful well.
Don't overeat. Reduce the size of your portions at mealtimes, or try eating four to five small meals instead of three large ones.
Eat regularly and try not to skip meals.
Avoid eating a big meal just before you go to bed. Eat your last meal at least two to three hours before lying down.
Make sure you have plenty to drink. Try to have at least one and a half litres (two and a half pints) of liquid a day.
Fill up on fibre
It's a good idea to try and eat more fibre or 'roughage' as a diet rich in fibre can help digestion and prevent constipation. For a healthy bowel, you need a variety of fibre such as wholemeal bread, brown rice, fruit and veg, beans and oats.
Swap your white loaf for wholemeal or multigrain bread.
Try brown rice and wholemeal pasta for a change.
Eat more nuts and seeds for example, add them to breakfast cereals and sprinkle them on salads.
Eat at least five portions of fruit and vegetables every day.
Pulses, including baked beans, kidney beans, lentils and chickpeas, can be added to soups, casseroles and salads.
Drink plenty of fluids
It's important to keep drinking, especially water. It encourages the passage of waste through your digestive system and helps soften stools. Fibre acts like a sponge, absorbing water, and without fluid the fibre can't do its job and you'll get constipation.
A good way to make sure you are getting enough fluids is to drink a glass of water with every meal. Avoid caffeine drinks as they can cause heartburn.
Cut down on fat
Fatty foods, such as chips, burgers and fried foods, are harder to digest and can cause stomach pain and heartburn. Cutting back on greasy, fried foods eases your stomach's workload. Try to eat more lean meat and fish, drink skimmed or semi-skimmed milk and grill rather than fry foods.
Go easy on the spice
Many people love spicy food and it doesn't bother their digestive system. Others find their tummy is upset when they have spicy food. Avoiding is a better option rather than indulging into it.
Try tummy-friendly yoghurt
Probiotics like yoghurt are so-called 'friendly bacteria' that also occur naturally in the gut and which have been linked to all sorts of health benefits.