Post-op Instructions: Hemorrhoidectomy/Rectal Abscess/Anal Fistula or Fissure

Diet

Avoid constipating foods while resuming a normal diet. Increase fluids and fiber in your diet. Fiber supplements such as Metamucil and Citracel will produce bulky stool which is easier to pass. Follow the manufacturer's instructions.

Activity

Lying flat as much as possible for 1 to 2 days after surgery can decrease the amount of swelling in the anal area and is more comfortable than sitting. Other activities are encouraged as soon as is comfortable.

Medications

For moderate to severe pain, use prescribed medication as directed. For mild pain, you may try acetaminophen or ibuprofen following the manufacturer's instructions.

Narcotic used for pain management may cause constipation. A stool softener (e.g., Colace or mineral oil) is typically prescribed. Take a laxative such as Milk of Magnesia or prune juice if you have not moved your bowels by the third day. Resume all medications that you were taking prior to surgery unless instructed otherwise by your surgeon.

Wound Care

Take Sitz baths (sitting in warm water) at least three times a day or more if you wish. At first you will be unable to wipe after a bowel movement. You may be more comfortable rinsing in the shower or tub.

There will be some drainage and perhaps blood for the first several weeks after surgery. This is normal. You may use gauze or feminine "napkins" with a sticky strip on the back to protect your underwear. These should be changed after each Sitz bath.

When to Contact Your Physician

Call for advice or go the emergency department if a large amount of bleeding occurs and does not stop.

Call if swelling or pain worsens instead of improving, or if you develop a high fever (101°F or greater).

Your surgeon or their staff can be reached Monday through Friday from 8:30 AM - 5 PM at: (707) 393-4090 or through the hospital operator at (707) 393-4000.

For all problems after hours and on weekends and holidays, call (707) 393-4044 or the emergency department at (707) 393-4800.

For non-urgent issues, you may also email your doctor.

Specialized Instructions

Swelling around the anal area is normal and will resolve in a few weeks.