Hemorrhoids Surgery: What to Expect, Recovery, and Prevention

Many people feel nervous about hemorrhoids surgery. However, knowing what to expect can help you feel more at ease. Hemorrhoids surgery is a common treatment for severe or painful hemorrhoids. In this blog, you will learn about the reasons for surgery, recovery tips, and how to prevent hemorrhoids after surgery. We will also cover different types of procedures, including minimally invasive hemorrhoid surgery. This information is based on trusted sources like the CDC and peer-reviewed journals.

What Are Hemorrhoids?

Hemorrhoids are swollen veins in the lower part of the rectum or anus. Sometimes, they cause pain, itching, or bleeding. For many people, hemorrhoids go away with home care. However, in some cases, they become large or very painful. Both internal and external hemorrhoids can cause discomfort. According to the CDC, hemorrhoids are a common problem, especially in adults over 50.

When Is Surgery Needed for Hemorrhoids?

Most people do not need surgery for hemorrhoids. Still, your doctor may suggest surgery if:

Hemorrhoids cause severe pain or bleeding

Other treatments, like creams or rubber banding, do not help

You have large or prolapsed hemorrhoids (hemorrhoids that stick out)

There are repeated infections or blood clots

In some cases, surgery is the best way to get relief. Your doctor will help you decide if it is right for you.

Types of Hemorrhoids Surgery

There are several types of hemorrhoids surgery. Each has its own benefits and risks. Your doctor will choose the best option for your needs. Some common types include:

Hemorrhoidectomy: This is the surgical removal of hemorrhoids. It is often used for large or severe cases.

Stapled Hemorrhoidopexy: This procedure uses a special tool to remove and reposition tissue. It is less painful than traditional surgery for some people.

Minimally Invasive Hemorrhoid Surgery: These methods, like laser or infrared treatments, use less cutting. As a result, they often allow for faster recovery.

For people living in larger cities, more options for minimally invasive hemorrhoid surgery may be available. Always ask your doctor about the best choice for your location and needs.

How to Prepare for Hemorrhoids Surgery

Proper preparation helps make surgery and recovery smoother. Before your procedure, your doctor may ask you to:

Stop eating or drinking for several hours before surgery

Arrange for someone to drive you home

Discuss any medicines you take, as some may need to be stopped

Follow special instructions, such as using a cleansing enema

Because each person is different, your doctor will give you specific steps to follow. Always ask questions if you are unsure about anything.

What Happens During Hemorrhoids Surgery?

During hemorrhoids surgery, you will receive anesthesia to keep you comfortable. The type of anesthesia depends on the procedure. For example, some surgeries use local anesthesia, while others use general anesthesia. The surgeon will remove or treat the hemorrhoids using special tools. Most surgeries take less than an hour. After the procedure, you will rest in a recovery area until you are ready to go home.

Recovery After Hemorrhoids Surgery

After surgery, you may feel sore or notice some bleeding. However, most people start to feel better within a few days. To help with recovery, follow these hemorrhoidectomy recovery tips:

Take pain medicine as directed by your doctor

Use warm sitz baths to ease discomfort

Eat high-fiber foods to prevent constipation

Drink plenty of water every day

Avoid lifting heavy objects for a few weeks

Keep the area clean and dry

Because everyone heals at a different pace, always follow your doctor’s advice. If you notice fever, severe pain, or heavy bleeding, contact your doctor right away. According to the American Society of Colon and Rectal Surgeons, most people return to normal activities within two weeks.

Risks and Possible Complications

Like any surgery, hemorrhoids surgery has some risks. While most people recover without problems, possible complications include:

Bleeding or infection at the surgery site

Pain during bowel movements

Difficulty urinating for a short time

Rarely, narrowing of the anal canal (called stenosis)

Because these risks are uncommon, your doctor will explain how to watch for warning signs. If you have other health conditions, discuss them with your doctor before surgery.

Tips for Prevention After Surgery

After surgery, many people want to know how to prevent hemorrhoids from coming back. Here are some helpful tips:

Eat a diet rich in fiber, such as fruits, vegetables, and whole grains

Drink at least eight glasses of water each day

Exercise regularly to keep your bowels moving

Use the bathroom as soon as you feel the urge

Avoid sitting for long periods, especially on the toilet

Practice good hygiene in the anal area

Because prevention is key, these steps can help reduce your risk of future problems. For more guidance on how to prevent hemorrhoids after surgery, talk with your healthcare provider. The CDC and World Health Organization both recommend healthy eating and regular activity as important steps for overall bowel health.