Haemorrhoids are a very common problem and their surgery is performed daily with excellent results. You will go home the same day. The discomfort of the first days is expected and has a clear management plan: by following it, recovery is progressive and complete.
Before surgery
FastingNo solids for 6 hours before; clear fluids up to 2 hours before.
MedicationTell us if you take blood thinners or antiplatelets: you will receive instructions to stop them safely.
PreparationFull bowel preparation is usually not needed. If indicated, an enema will be given that morning.
Bowel habitIn the days beforehand, drink plenty of water and eat fibre so you arrive without constipation.
CompanionYou will need someone to take you home and cannot drive that day.
The day of surgery
AnaesthesiaUsually spinal (from the waist down) or general. The anaesthetist will assess this.
TechniqueThere are several techniques (excision, stapling, arterial ligation). Your surgeon will choose the most suitable.
DurationUsually between 20 and 40 minutes.
Before dischargeYou must pass urine normally before going home, especially after spinal anaesthesia.
After surgery
PainThis is the most bothersome part, especially with the first bowel movements and for 1–2 weeks. Take your painkillers on schedule, without waiting for pain.
Sitz bathsWarm water 2–3 times a day and after every bowel movement: they soothe and keep the area clean. No harsh soaps or alcohol wipes.
Avoiding constipationThe most important measure: your prescribed laxative, plenty of water and fibre. Do not hold on, and avoid long straining on the toilet.
BleedingA little bleeding with bowel movements and spotting for 1–2 weeks is normal. You may use a pad.
⚠ When to seek help immediately
Go to the emergency department or contact your team if you have:
Fever of 38 °C (100.4 °F) or higher
Pain that does not improve with your prescribed medication
Persistent vomiting or inability to keep fluids down
A wound that is red, warm, oozing or opening up
Difficulty breathing or chest pain
No gas or bowel movements together with abdominal bloating
Heavy bleeding or clots that do not stop
Inability to pass urine within 8–12 h after surgery
