Hemorrhoidectomy is the surgical removal of hemorrhoids. Recovery takes 2-6 weeks and requires careful self-care.
Recovery Timeline
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Days 1-3: Most painful phase
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Days 4-7: Pain decreases, first BMs are tough
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Week 2: Significant improvement
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Week 4-6: Full healing
Pain Management
- Prescription pain meds (first few days)
- OTC ibuprofen/acetaminophen
- 5% lidocaine cream after sitz baths
- Ice packs
Critical Self-Care Steps
1. Sitz Baths
15-20 min in warm water, 3-4x daily, especially after BMs.
2. Stool Softeners
Take docusate sodium as directed by surgeon. Critical to prevent painful straining.
3. High Fiber + Water
25-35g fiber and 8+ glasses water daily.
4. Topical Care
Numbing cream like Revivol-XR before BMs.
5. Donut Cushion
For sitting comfort during recovery.
First Bowel Movement Tips
- Don't delay — takes pressure off
- Sitz bath right before if helpful
- Apply numbing cream beforehand
- Don't strain
- Sitz bath right after
What to Avoid
- Heavy lifting (4 weeks)
- Sitting for long periods initially
- Driving 1-2 weeks
- Hot tubs/swimming until cleared
- Strenuous exercise (4-6 weeks)
When to Call Your Surgeon
- Heavy bleeding
- Fever over 101°F
- Pain not controlled by meds
- Inability to urinate
- Severe vomiting
- No BM in 4 days
FAQ
How long until I can return to work?
Desk job: 1-2 weeks. Active job: 4-6 weeks.
Most painful part?
First bowel movements days 2-5.
For post-surgery pain relief, Revivol-XR at hemorrhoid.com (with surgeon's approval).
