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UCSF Health medical specialists have reviewed this information.
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It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
Anal fissures are cracks or tears in the skin around the anus, causing burning and sharp pain when you have a bowel movement. Find treatment options here. Constipation happens when fecal material stool moves through the large bowel colon too slowly. Learn more about causes and treatments for constipation.
A diet high in fiber has about 25 grams per day. The information here will help you understand how to get that amount of fiber in your diet with supplements. Hemorrhoids are part of the normal anatomy of the anus and lower rectum. They act as cushions to protect the anal skin from the passage of stool.
Learn more. Patient Education.
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Related Conditions. Anal Cancer.
Rectal Cancer. Pain Relief Take the pain medicine every three to four hours as needed for pain. Take a hot bath in plain water and soak for at least 20 minutes three times a day. This is a minimum and there is no maximum limit.
You can soak as long as you wish. It is the most effective method of controlling pain.
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Expect the pain to get better at about seven to 14 days after surgery. Caring for the Surgery Site Remove the dressing the morning after the surgery and then get in a warm tub.
Apply Silvadene cream to anus after each hot bath for the first seven to 10 days. After bathing, pat dry or use a hair dryer. If you have been told to place a moist gauze pad in the wound, do so several times a day. Tuck the gauze into the wound so that it covers all the surfaces. Continue reading Bowel Movements The pain medication can cause constipation and passing a hard stool will just add to the pain.
Take a stool softener as long as you are taking the pain medicine. Colace Docusate sodium mg twice a day is the recommended stool softener. Take a fiber supplement, such as Metamucil, Konsyl, Fibercon, Citrucel or any generic brand, as directed on the package. Be sure to drink six to eight glasses of water or other non-caffeinated beverage a day.
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Do not give yourself an enema unless you get approval from your surgeon. If two days pass without a bowel movement, take a tablespoon of milk of magnesia 30 ml and repeat in eight hours if have not had a bowel movement.
If you still have had no after three days, take four Dulcolax tablets by mouth at one time. If this does not work within 12 hours, call your surgeon. Bleeding Some bleeding with each bowel movement is expected. If the bleeding does not stop within an hour after a bowel movement, if the amount of bleeding is worse with time or if you are passing clots of blood, call your surgeon.
Urinating It may be difficult to urinate after the surgery. You may strain to urinate — this will not harm the area that was operated on. If you are not able to urinate, try sitting down men or try urinating in a warm bathtub. If you are still unable to urinate 12 hours after surgery, go to the Emergency Department.
They may need to place a catheter into your bladder to empty it. Do not wait longer than 12 to 18 hours. Activity You may do what feels comfortable to do after surgery. Do not sit for longer than 10 to 15 minutes at a time. You may sit on a foam pillow but avoid rubber rings or "donuts. You may go back to work when you feel ready to do so. This may take several days to several weeks depending upon the procedure.
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Ask your doctor for specific limitations. Follow-Up Make an appointment with your surgeon for one month after surgery. For appointments and any concerns, please call Related clinics. Recommended reading.
After anal and rectal surgery
Anal Fissures Anal fissures are cracks or tears in the skin around the anus, causing burning and sharp pain when you have a bowel movement. Constipation Constipation happens when fecal material stool moves through the large bowel colon too slowly.
Fiber Supplements A diet high in fiber has about 25 grams per day. Hemorrhoids Hemorrhoids are part of the normal anatomy of the anus and lower rectum.