![]() ![]() Stitches may break apart, do not become alarmed. These are not hemorrhoids, but simply a response of the skin to the stitches and/or surgery you have had. ![]() Do not be alarmed by the swelling of the skin tags you may have around the anus. * You may have some stitches after surgery.This will fall out with your first bowel movement. * You make have a packing in the anal opening.The leakage resolves after all the healing has finished in 6-8 weeks * It is not uncommon (20-30%) to have minor bowel leakage (soiling) after anorectal surgery.Use a soft fluffy pillow to sit and change positions frequently. * Avoid any sitting “doughnuts” or any persistent pressure to the area.Large dressings or pads can be used to protect clothing or underwear but should not replace 4×4 gauze or cotton ball placed within an open perianal wound. Use loose cotton underwear not tape to hold cotton ball or gauze dressing in place. You may also use a 4×4 gauze dressing or cotton ball on open wounds to further prevent itching and irritation of perianal skin from any drainage. Do not try to wash or scrub off barrier protection ointment during showers or bathing. Kleenex Cottonelle wipes may be used after toilet paper as needed for anal comfort and hygiene. You may also be given a prescription cream to apply the evening of surgery as well. These ointments will help protect the operative site skin and help with itching and burning from temporary seepage, which is a normal part of healing. * Apply a small amount of the moisture barrier ointment (Calmoseptine, Desitin, etc.) around the outside with a finger after each sitz bath or shower and after each bowel movement.Its name comes from the German verb “sitzen,” meaning “to sit.” You may use a handheld shower at home if you have one. Start baths the evening of surgery and apply the prescribed cream after baths. * Sit in a tub of water or Sitz bath with the water as warm as you can tolerate for approximately 30 minutes, at least 3 times a day, especially after a bowel movement.Use intermittently 30 minutes on and then 30 minutes off in an effort to reduce pain and swelling. * After surgery, having an ice pack close to the area will help decrease the swelling.This is probably because of the excellent blood supply to the area. Post-operative infection around the rectal opening is surprisingly uncommon despite the obvious contamination by stool. * Fever and chills in the first 24 hrs.There may be gelfoam packing which will slough and dissolve on its own. If you have profuse, continuous bleeding with passage of clots, call your doctor immediately. * Some bloody discharge, especially after bowel movements, is normal for at least two to four weeks after rectal surgery.* If you have not moved your bowels by the morning of the 4th day following surgery call the office.* If you have not had a bowel movement within 48 hours after discharge, take 2 Ducolax tabs.* Take Milk of Magnesia 1 tablespoon daily for the first seven days post-operatively.* Fiber Supplements such as Konsyl, Metamucil, or Benefiber should be taken two times a day while the wound(s) are healing.4) Hydrocodone (Vicodin): One every four hours or two every six hours.Tylenol dose should not exceed four grams (4,000mg) per day. 3) Alternate Advil and Tylenol to take one or the other every three hours.2) Tylenol (acetaminophen): Two 500mg tablets (1,000mg) every six hours.If you are allergic to aspirin, do not take. If you suffer ulcers or stomach irritation, do not take. 1) Toradol (Ketorolac) or Advil (Ibuprofen): Take 10mg Ketorolac or two 200mg Ibuprofen tablets (400mg) every six hours, this reduces pain and swelling.* Begin taking oral pain medication when you get home after surgery, use the schedule below:.Do not take pain medicines on an empty stomach. PAIN CONTROL: The goal is to relieve acute pain to a tolerable level. Take prescribed postoperative medications as instructed. * Resume all prescribed medications you were taking regularly before surgery unless otherwise instructed.* Local anesthesia is usually injected for postoperative pain relief usually lasting for 4-6 hours.If you have read these instructions pre-operatively and have questions, please call and get your answers before surgery. Any other instructions given to you at the facility should not override these instructions. Please read it through as it will help answer many questions you might have. In order to minimize your discomfort and maximize the rate at which you heal, the following instructions have been prepared. Anorectal Surgery Post-Op Care Instructions ![]()
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