ADVICE AFTER HAEMORRHOID PROCEDURE

HAEMORRID BANDING:

Rubber band is applied to the base of the haemorrhoid, resulting in cutting the blood supply, necrosis and fall off the haemorrhoid. The procedure can be done both at the rooms or in theatre

This procedure is not associated with significant pain. Although some discomfort is usual Panadol tablets are usually all what is required.

Most patients experience a feeling of "the need to pass a bowel motion" although the bowel is empty. This feeling is a reflus feeling due to the stretching of the bands on the inner lining of the bowel. This feeling usually lasts for 48-72 hours. 

After the banding ensure you have normal meals with extra fibre (Vegtables & Fruits) as well as plenty of fluids. This will keep the bowel motion soft.

You might experience a show of blood few days after the banding that indicates the fall off the haemorrhoids, this usually lasts for few days. Excessive bleeding is rare, if it happens present to the Emergency Department in the public hospital for the initial management. The ED staff will inform Mr. Haddawi as required

 

EXCISION OF HAEMORRHOIDS:

This is surgical removal of the haemorrhoids, usually indicated for larger size haemorrhoids.

The haemorrhoid is removed surgically under general anaesthesia.

Local anaesthesia is applied to the area during the operation, this would keep the patient comfortable for the first 6-8 hours after the operation, after which time intravenous then oral pain relief would be required.

Patients will be sent home with a prescription for oral antibiotics, laxatives and pain relief.

The following points would help you during the recovery period:

  • Ensure you take the pain relief tablets as advised.

  • Ensure you take the antibiotics as studies has shown it reduces the pain.

  • Ensure you take the prescribed laxatives to soften the bowel motion.

  • Take a high fibre diet (Vegetables & Fruits). Those with the laxatives prescribed create looser stools. this will prevent strainingduring bowel movement.

  • Drink at least 8 glases of fluids ( water, juice, milk, soup etc.). This will help to keep stools soft. 

  • Avoid sternuous activities, including lifting andpulling untill you are fully healed.

  • Clean the area with waer after bowel movement, takefrequent warm baths. Avoid wipes with chemicals as it may burn.

 

Some points to be aware and prepare for:

  • Expect a show of blood with bowel movement, this might last for 1-2 weeks.

  • Expect some discharge from the area during the healing, this come from the raw area after the excision of the haemorrhoid. The discharge gradually reduces over the 2-3 weeks after the operation then stops.

  • Make sure you have appropriate time off work. Our advise is around 2 weeks.

  • Excessive bleeding occur very rarely, if it happens prease present to the Emergency Department at the public hospital for the initial management. The ED staff will inform Mr Haddawi as appropriate.

 

 

Mr Falah El-Haddawi

General Surgeon