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Forum Name: Surgery Topics

Question: Bleeding even after piles operation


 kenyan - Wed Oct 14, 2009 11:10 pm

My wife had piles internally and she was operated for it in Kenya In April 2009 . Everything went well with it. It took her some time to heel down but she did. at first she used to be on a strict diet of not having red meat and white flour but then after like 3months she started slowly having abit of everything. Suddenly two weeks back she started noticing a drop o two of blood in her under wear and the pain increased for her. the blood drops have also increased. Could you please help on to what can be done. Is it possible for the piles to re occur? Is it that after having operation she has to go on strict diet for good? Is there something you could tell me because i can bear the pain she goes through.
Thanks
 Dr.M.Aroon kamath - Sat Oct 17, 2009 10:59 am

User avatar Hi kenyan ,
Normally clean, planned, surgical wounds heal quickly.Hemorrhoid surgery is a bit different - because right from the immediate post operative period, fecal matter has to necessarily pass over the surgical site! This does not happen elsewhere.As you may be aware, fecal matter contains lots and lots of bacteria.Again, everytime during bowel action, the anal muscles contract many times - so there is no rest to the part as well - which will aid in rapid healing!
So, it is obvious that the wounds following hemorrhoid surgery take time to fully heal.
It is too early to talk of 'recurrence' in your wife's case.
So, be patient.Hopefully everything will settle for the good in course of time.Good luck!
 kenyan - Sun Oct 18, 2009 11:51 pm

Thanks Doc for your response. But what about the bleeding and the pain how can that be controlled? Please advice.
 Dr.M.Aroon kamath - Wed Oct 21, 2009 9:44 pm

User avatar Hi,
Thanks for your post.
Please see your surgeon again - he/she would be in a position to perform a DRE(digital rectal examination) and exclude any minimal anal tightening and dilate it a little. This may help to quicken your recovery.Cheers!

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