Many friends suffering from anorectal disease are reluctant to seek medical attention, their own home to drum up a lot of earthly ways are not helpful, and finally the condition is serious before going to the hospital. Very strange, why is this? They often answer because they are afraid of pain! Is anal surgery really painful? What are the ways to be painless? Today to reveal these questions. Causes of postoperative pain after anal and intestinal surgery 1, postoperative wound exposure, nerve stimulation by the outside world, causing pain. 2, postoperative internal hemorrhoid prolapse embedded, causing edema or thrombosis, can cause pain. 3, foreign body stimulation wound, can cause pain, constipation, fecal impaction, postoperative infection can cause pain, dressing stuffed too tight can also cause pain. 4.Scars cause pain, which can last for about three months. Such as internal hemorrhoid surgery, papillary hypertrophy, anal fissure, anal fistula, rectal prolapse, take ligation, injection and insertion of medication and other surgical stimulation, or damage to the anal canal tissues below the dentate line, can cause anal pain. Complications caused by postoperative pain after anorectal surgery 1, pain leading to urinary retention: the close connection of perineal nerves. Due to the effect of postoperative anesthetics plus local pain and discomfort in the anus, it will cause spasm of the urethral sphincter, resulting in urinary retention occurs, and if necessary, must be catheterized. Catheterization is an invasive operation, not only soreness and discomfort, but also prone to urinary tract infections, so since the loss is not worth it. 2, the pain leads to fecal impaction: anal pain, leading to the patient’s fear of defecation. Patients often interrupt defecation due to pain, after the pain, the valuable intention to stool has disappeared without a trace. Repeatedly, a large amount of feces collects in the recto-pubic abdomen. The patient not only suffers from increased pain, but also from a sensation of falling that is worse than the pain, a sensation that is not helped by the use of painkillers. Pain – fecal impaction – anal fall – urinary retention, forming a vicious circle. This back-and-forth attack makes it difficult for people to sit or lie down. 3, pain leads to delayed healing: pain will lead to anal sphincter spasm. The anal sphincter belongs to the autonomic innervation, not your strong willpower, want to control the muscle can be controlled. Repeated and continuous spasm of the anal sphincter will lead to local wound drainage and blood microcirculation, insufficient blood supply. Wound ischemia and lack of oxygen, granulation edema pale and not bright red, resulting in delayed healing. 4, pain leads to decreased immunity. Pain also affects the body’s endocrine and immune function, easy to complicate the whistle infection likewise, which also affects the incision healing a reason. 5, pain leads to increase cardiovascular burden. Post-operative pain will stimulate the body’s sympathetic nervous system, making the blood pressure rise, heart rate accelerated, thus increasing the cardiac load, which is particularly unfavorable for patients with circulatory system diseases at the same time. Postoperative pain management for anal surgery Any oral or infusional pain medication can be used as an adjunct. In the case of more severe circumferential mixed hemorrhoids with more postoperative trauma, the next day’s washing with a lotion can be done without changing the medication. Reduce or avoid pain, bleeding, and edema. When changing the medicine to scrub the anal canal, according to the direction of the anal canal, in layman’s terms: that is, “first to the direction of the navel into the 2 ~ 3cm, and then to the direction of the back”. Apply wound wounds to be gentle, a cotton ball medicine torn into at least 5 strips, it is strictly prohibited to use the whole cotton ball scrubbing in the anal canal. When there are more and larger wounds, antimicrobial static spotting can be applied appropriately to prevent inflammatory pain caused by infection. Measures to prevent postoperative pain in anal and intestinal surgery Surgical operation should be fine, reduce excessive tissue damage, mixed hemorrhoids external peeling and internal ligation, not to ligate the tissue below the dentate line together with internal hemorrhoids; internal hemorrhoids injection of sclerosing and atrophic agent, necrotic decolonizing agent, to prevent the injection of the area below the dentate line, postoperative inspection of the anus, when the stenosis may occur, it should be promptly loosened, for more surgical injuries and stenosis of the anal canal, it may be discretionary to cut off the pectineal band and the subcutaneous part of the external sphincter. At the end of the operation in the anal department, a long-acting analgesic is injected punctually around the incision. In cases of constipation, postoperative diarrhea-relieving medications may be given as appropriate. The anal filling oil dressing should not be too much. Warm tips: Some patients think that the use of painkillers will affect wound healing or drug dependence, rather ninja pain, but also do not want to listen to the doctor’s advice to eat a painkiller. In fact, this is the patient’s one-sided cognition amplifies the side effects of painkillers. Whether the drug addiction, and the nature of the drug itself and the duration of use related. Generally long-term application of large quantities of certain painkillers may cause drug addiction. Currently commonly used painkillers are very low in addictive properties, and the possibility of addiction is basically unlikely to occur with the small amount of temporary medication that is usually used after anal surgery. Even when applied over a long period of time, the correct use of analgesics does not increase the probability of addiction, according to international research statistics. Similarly, it is only if applied in large quantities over a long period of time that it may lead to delayed wound healing, analgesics in small temporary doses do not lead to delayed wound healing. It is important to note that an experienced surgeon will design the best surgical incision to reduce the probability of pain. Skillful postoperative dressing changes can also reduce the level of pain. Therefore, it is important to choose a specialized hospital and an experienced surgeon during the consultation to avoid unnecessary harm.