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Suggest Remedy For Pain During Bowel Movement After Surgery
Posted on
Sat, 13 Jun 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sat, 13 Jun 2015
Answered on
Sat, 4 Jul 2015
Last reviewed on
Question : I had hemmoroid surgery on the 9th. I have been trying to have bowel movements. The NIGHTMARE IS I HAVE BEEN TRYING TO PUSH OUTA BOWEL OFF AND ON FOR 4hrs!!!! It is VERY PAINFUL!!!! I know due to my sutures there is some bleeding around the anus. I have drank 5 packs of miralax. This one bowel is causing me AWFUL PAIN! What do I do?
Brief Answer:
Nitroglycerine, antispasmodic, assess for fissure , stenosis
Detailed Answer:
Hello and Welcome
I appreciate your concern
Anal Fissure and anal stenosis can be responsible for pain associated with defecation. Both can occur as complication of the hemorrhoid surgery. Local application of either nitroglycerin ointment / GTN or Nifedipine will be helpful in relaxing the tone of the internal sphincter and lessening the associated pain. Try not to strain too hard as the hard stool can injure the anal mucosa leading to further fissuring and may complicate the overall healing. Oral antispasmodic medication like Buscopan plus may also be taken. Some other measures would also prove to be helpful and should be taken note of.
Stool softening laxatives which you are using like Miralax should be combined with local suppositories. Lactulose can also be added to the regimen in addition to miralax. Adequate hydration should be maintained drinking water- at least 2 liters a day. Constipating diet should be avoided with increased fiber intake. Steroid containing ointment can be used to prevent any scarring associated with proctitis.
Wishing you best of health
Thanks
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107
Dr. M.S. Khalil
Nitroglycerine, antispasmodic, assess for fissure , stenosis
Detailed Answer:
Hello and Welcome
I appreciate your concern
Anal Fissure and anal stenosis can be responsible for pain associated with defecation. Both can occur as complication of the hemorrhoid surgery. Local application of either nitroglycerin ointment / GTN or Nifedipine will be helpful in relaxing the tone of the internal sphincter and lessening the associated pain. Try not to strain too hard as the hard stool can injure the anal mucosa leading to further fissuring and may complicate the overall healing. Oral antispasmodic medication like Buscopan plus may also be taken. Some other measures would also prove to be helpful and should be taken note of.
Stool softening laxatives which you are using like Miralax should be combined with local suppositories. Lactulose can also be added to the regimen in addition to miralax. Adequate hydration should be maintained drinking water- at least 2 liters a day. Constipating diet should be avoided with increased fiber intake. Steroid containing ointment can be used to prevent any scarring associated with proctitis.
Wishing you best of health
Thanks
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107
Dr. M.S. Khalil
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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