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Recovery After Piles Surgery: Timeline, Diet, and Medications

Recovery from piles surgery is a gradual process. Recovery time varies depending on the procedure, anesthesia type, overall health, and other factors. Knowing what to expect as you recover after the surgery will help you focus on returning to your everyday life sooner. Contact Pristyn Care to consult our expert doctors for a smooth and faster recovery.

Recovery from piles surgery is a gradual process. Recovery time varies depending ... Read More

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  • Recovery After Piles Surgery

    Surgery is one of the most effective ways to treat piles when symptoms are severe or conservative treatments fail to provide adequate relief. Although piles surgery has a high success rate, recovery takes time and needs changes in diet and lifestyle to help you heal properly. Pain medications and stool softeners may also be required to recover after piles surgery. Preparing for piles surgery can lead to stress, but knowing what to expect during recovery can help reduce anxiety.

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    Timeline Of Recovery After Piles Surgery

    Recovery from piles surgery can last anywhere from 4 to 8 weeks. The timeline of recovery changes based on the size and severity of the medical condition, the type of surgery, and the general health and mobility level.

    For the first 2 weeks after your surgery, you must relax, stay home, and avoid strenuous activities, including heavy lifting. After 2 weeks, you should be able to return to everyday activities. However, you still need to avoid activities requiring much effort.

    You can expect pain and discomfort for 2 to 4 weeks following your surgery, though it will gradually decline. You can reduce pain by avoiding constipation, practicing proper wound care, and using pain medications as prescribed by your doctor. Full recovery is usually achieved within one to two months.

    A small amount of bleeding is common following piles surgery. A gauze should be worn over the anal opening to keep the underclothing clean. If there is prolonged bleeding, call your healthcare provider at once.

    Are you going through any of these symptoms?

    Post-Operative Care After Piles Surgery

    Difficulty in urination after piles surgery is usually due to spasms of the urinary sphincter resulting from pain due to the surgery. Getting the pain under control and relaxing the sphincter allows the urine to pass easily. To achieve this, take the pain medication as your doctor prescribes and do warm sitz baths – either in a bathtub or sitz basin. 

    A sitz bath is a warm water bath you sit in to ease discomfort in the perineal region. Soaking this area in warm water relaxes the anal sphincter, which helps enhance blood flow through the anal tissues. While soaking your perineal region, try to relax the bladder. 

    To avoid an upset stomach, take your pain medication as prescribed by your doctor. Take these medications as directed and never take more than the recommended dose. Some people experience sleepiness, lightheadedness, or a false sense of well-being after taking these medications. In addition, anyone who takes these medications should not use machines, heavy equipment, or do anything else that might be unsafe until they know how the medications affect them. 

    Nausea and vomiting are common side effects, specifically when you begin taking the medications. If these symptoms do not go away after the first few doses, check with your doctor who prescribed the medicine. Some other post-operative care tips to follow after piles surgery include the following:

    1. Avoid strenuous activity for 1-2 weeks after the surgery.
    2. Drink plenty of water and fruit juices ( like prune juice) after your surgery. The typical advice from medical experts is at least 8 cups (64 fluid ounces) of plain water daily. 
    3. Ask someone to drive you to appointments until you can sit and move comfortably.
    4. Avoid constipation.
      • Take one teaspoon of Benefiber or other psyllium products (Metamucil, Citrucel, Konsyl, etc.) twice a day. Take a stool softener like Surfak twice a day as well.
      • Avoid using dry toilet tissue. After bowel movements, use a wet cotton or Tucks pads to clean yourself, or take a warm bath.

    Diet To Follow During Recovery

    The primary dietary goal following a piles surgery is the avoidance of constipation. Hardened stools put extreme pressure on the surgical site during bowel movements. In addition, most are caused due to insufficient fiber intake and dehydration. During the first few days of recovery, you should consume a low-residue diet. 

    Low-residue foods include:

    • Cooked cereals, like farina 
    • White noodles or rice
    • White bread or saltine crackers
    • Well-cooked vegetables or canned vegetables without seeds
    • Lean ground chicken, beef, or pork
    • Eggs
    • Dried fruits, like prune
    • Ripe bananas
    • Soft melons 
    • Papaya
    • Applesauce
    • Gelatin
    • Pudding
    • Ice cream or popsicles

    As you begin to heal after your surgery, you can consider a low-fat, high-fiber diet. This diet includes foods rich in soluble fiber, which draws water out of the intestines and helps soften stools.

    Sources of soluble fiber include the following:

    • Apples
    • Avocados
    • Beans and legumes
    • Eggplant
    • Pears
    • Sweet potatoes
    • Zucchini
    • Berries
    • Brown rice
    • Brussel sprouts
    • Broccoli
    • Carrots
    • Cauliflower

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    List of Top Health Insurance Provider for Piles
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    Aditya Birla Health Insurance Co. Ltd. Aditya Birla Health Insurance Co. Ltd.
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    Future General India Insurance Co. Ltd. Future General India Insurance Co. Ltd.
    HDFC ERGO General Insurance Co. Ltd. HDFC ERGO General Insurance Co. Ltd.

    Things To Avoid During Recovery

    Here are certain things to avoid to ensure a worry-free recovery after your pile’s surgery:

    • Avoid foods that cause constipation, like dairy products, red meat, and processed foods. 
    • Do not move quickly or lift anything heavy until your healthcare provider says OK.
    • Do not apply skin cleansers, antibacterial soaps, alcohol, iodine, or hydrogen peroxide to the surgical area. They can harm the skin around the incision and delay healing.

    Medications To Take During Recovery

    Two types of medications are generally prescribed to people who have undergone piles surgery: stool softeners and analgesics (painkillers).

    Stool softeners

    It works naturally with the body to ease bowel movements and has fewer side effects than more potent stimulant laxatives. Stool softeners are also less likely to cause diarrhea, which also puts unnecessary stress on surgical wounds.

    Recommended stool softeners by medical experts include:

    • Milk of magnesia (magnesium hydroxide)
    • Colace 
    • Metamucil (psyllium husk)
    • Miralax (polyethylene glycol)

    Analgesic Drugs

    These drugs are used to treat postoperative pain after the surgery. Analgesic drugs include:

    • Tylenol (acetaminophen): It is an over-the-counter drug that has analgesic and fever-reducing effects.
    • Oral nonsteroidal anti-inflammatory drugs which have analgesic and anti-inflammatory effects
    • Rectal NSAIDs

    Lifestyle Changes Required To Ensure A Proper Recovery

    Making certain lifestyle changes can help minimize the symptoms of piles. Some lifestyle changes to follow after your pile’s surgery include:

    • using a small seat to prop up your legs while having a bowel movement, which may make it easier to pass stool
    • avoiding a delay in a bowel movement when the need occurs
    • taking regular showers
    • gently cleaning the anus in the shower after each bowel movement or using wet toilet wipes or water
    • taking a warm sitz bath to alleviate symptoms
    • sitting on an ice pack to relieve pain or discomfort
    • exercising regularly to help stimulate bowel movements

    Common FAQs Around Piles Recovery

    Is there a loss of bowel control after piles surgery?

    It is rare to observe a loss of bowel control post piles surgery. Loss of bowel control happens only when there is sphincter damage. Sphincter fibers are muscles that regulate the opening of anal movements. If these muscles get damaged, patients may need to replace them with artificial sphincters. In such possibilities, the patient can lose bowel control.

    How long do bowel movements hurt after piles surgery?

    Bowel movements may hurt for 2-4 weeks after piles surgery. But this can differ depending on how the surgery went, how closely you obeyed the doctor’s instructions, and whether there were any complications during recovery.

    Can I drink coffee after my piles surgery?

    Yes, you can drink coffee after piles surgery. However, don’t drink too much coffee because excess caffeine can result in constipation, which can extend the pile’s surgery recovery process.

    What is the quickest way to recover from a piles surgery?

    Following your doctor’s advice and rest is the quickest way to recover from piles surgery. The body has a natural healing mechanism, and you can do nothing to speed it up. But by obeying your doctor’s instructions, you can make sure that the healing process remains optimized.

    Can I sit after hemorrhoid surgery?

    Bending, squatting, or sitting down may cause pain after the surgery. Therefore, for the first few days into the recovery, you should restrict strenuous activities as much as possible. 

    When do stitches fall out after piles surgery?

    Most stitches will dissolve or fall out within a few days of the surgery. Also, it is normal to see them in the toilet bowl.

    Do stitches hurt when healing?

    You might feel sharp, shooting pains in the wound area. However, the feeling should become less intense over time, but check with your doctor if you’re concerned.

    When should I call a doctor for advice after my pile's surgery?

    Call your doctor for advice if:

    1. You have a fever greater than 100.5 F for 24 hours. 
    2. You notice foul-smelling drainage from the surgical site. 
    3. You have heavy bleeding.
    4. You have a substantial increase in pain or discomfort after the first 3-4 days of your surgery.
    View more questions downArrow
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    Content Reviewed By
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    Dr. Sanjeev Gupta
    25 Years Experience Overall
    Last Updated : August 10, 2024

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