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How to defecate after hemorrhoid surgery?
(1) Keep the stool unobstructed: generally, it takes 24 hours after hemorrhoid surgery to defecate for the first time. During the period when defecation is forbidden, you should drink plenty of water and eat drinks that can moisten the intestines, such as honey, fruit juice and vegetable juice, which can promote urination and avoid constipation. Because the operation damages the skin of anal canal, causing sphincter spasm, so before defecation for the first time, you should take orally drugs such as Maren Runchang Pill, Diyu Huaijiao Pill, and Guo Dao Tablet. If constipation is serious, paraffin oil enema can be used, and warm water sitting bath before defecation can relax the anal sphincter, which can alleviate the anal pain caused by defecation. Generally speaking, the first defecation is often accompanied by a small amount of blood, which is caused by feces rubbing against the wound. It is a normal phenomenon and there is no need to panic. In the future, we should develop the habit of defecation every morning, and then change the medicine by sitting in the bath. In order to prevent dry stool, you should eat a diet high in cellulose and high in fatty oils, and you should not rely on laxatives for defecation every day. If you have constipation, you can take Maren Runchang Pill, Sanguisorba Huaijiao Pill, Niuhuang Jiedu Pill or fruit guide tablets orally before going to bed, and stop taking the medicine immediately after the stool becomes soft. (2) Sitting bath after defecation: Sitting bath is a simple and effective method to clean anus, promote wound healing and diminish inflammation. You must take a sitz bath after defecation every time. When taking a sitz bath, smoke it with hot air first. When the water temperature is moderate, put the anus and perineum into the basin to wash and take a sitz bath for about 20 minutes each time. Warm saline, traditional Chinese medicine Qudu decoction or1:5000 potassium permanganate solution can be used for sitz bath. Dressing change: After hemorrhoid injection, indomethacin suppository, chlorhexidine hemorrhoids suppository, erythromycin suppository and Ma Yinglong hemorrhoids suppository can be stuffed in the anus. In addition to the above suppository, vaseline gauze, Chinese medicine Shengji Yuhong ointment gauze or red powder gauze should also be filled in the anus to protect the wound surface, so as to facilitate wound drainage. Postoperative activities: Generally speaking, when the surgical wound is large and the wound has not completely healed, you should walk as little as possible, so as to avoid edema caused by hard friction at the edge of the wound and prolong the healing time of the wound. Don't ride a bicycle for a long time about 3 months after wound healing, in case the healed wound is bleeding due to excessive friction. (3) Anal exercise: The patient contracts the anus for 5 seconds and then relaxes it for 5 seconds, which can promote local blood circulation, relieve postoperative local anal pain and make defecation smooth. Consciously lift the anus upward,1~ 2 times a day, 30 seconds each time. It has the functions of removing blood stasis, exercising anal sphincter and lifting middle qi. Generally, sticking to it for about 100 days can prevent the recurrence of hemorrhoids. Reference: the best treatment for hemorrhoids