Medical article
The first bowel movement after hemorrhoidectomy: what to do
After hemorrhoid surgery, the issue that worries patients most is the first bowel movement. The fear is understandable, but with the right preparation this stage goes considerably more easily.
When does the first bowel movement happen?
Usually within 1–3 days after surgery. You should not hold back the urge out of fear: as stool builds up, it hardens, and the bowel movement becomes more difficult.
How can you soften the stool?
- Take the stool-softening medication prescribed by your doctor regularly.
- Drink enough water during the day.
- Eat fiber-rich foods: vegetables, fruit, porridge.
- In the first days, avoid hot and spicy foods, carbonated drinks and alcohol.
During the bowel movement
- Do not strain. Breathe calmly.
- Put a small footstool under your feet: this puts the rectum in a position that is more favorable for a bowel movement.
- Do not sit on the toilet for long; put your phone aside.
- If the doctor has prescribed pain medication, take it at the prescribed times: this reduces the pain.
After the bowel movement
- Instead of toilet paper, wash the area with warm water and dry it with a soft towel without rubbing.
- A warm sitz bath for 10–15 minutes reduces pain and spasm.
- A small amount of blood spotting may be normal in the first days.
When should you call the doctor?
- Heavy bleeding or bleeding that does not stop
- Increasing pain, fever, chills
- No bowel movement for more than 3 days
- Inability to urinate