Pre- and post-operative considerations for hemorrhoid fistula

1, the necessary pre-operative examination is a prerequisite to ensure the success of the surgery, patients should truthfully inform the doctor whether they have heart disease, hypertension, liver cirrhosis and other chronic diseases, whether they are taking anticoagulant drugs such as (enteric) aspirin, warfarin, etc., taking the above drugs are easy to bleed after surgery. 2.No need to fast before surgery, but should have less slag diet. 3.The stool should be emptied before surgery, and the stool should not be defecated on the day after surgery to avoid hemorrhage and anal edge edema and temporary urinary retention, etc. 4. It is advisable to have a bowel movement in the morning every day after surgery, and change the medicine after taking a sitz bath with Chinese medicine or PP powder. Sitz bath medicinal water should be slightly hot, first hot steam fumigation bath, to be cooled to about 40 ℃, then washing sitz bath, be sure to make anal immersion in the water, each time 10-20 minutes. Shower head rinse or hand tease water casually wash a few times, can not achieve the effect. 5.After surgery, it is advisable to keep the bowels open, should drink more water, eat more high-fiber food or honey, fruit, etc. to avoid dry stools, and can take laxative drugs. 6, 24 hours after surgery and 7-10 days when the hemorrhoid nucleus off easy to bleed, patients should avoid strenuous activities, the toilet should avoid struggling, for hemorrhoid ligature line and anal fistula hanging line can not be pulled by themselves. 7, hemorrhoid fistula after surgery, if the occurrence of heavy bleeding, generally a large number of blood into the rectum and colon, it is not easy to detect early, such as the emergence of small abdominal and anal swelling, the feeling of wanting to defecate, bowel sounds, patients pale, panic, fainting, etc. need to be dealt with early. 8. If pain occurs after surgery, pain relief drugs or ointment with anesthetic properties can be taken or injected intramuscularly or applied externally around the anus. If urinary retention or dyspareunia occurs, hot compresses can be applied to the abdomen first, or urination can be done by standing slightly at the bedside (for patients with lumbar anesthesia), or by lying in bed, if necessary, ask the doctor to handle the case.