PPH hemorrhoid surgery after care precautions

Dietary care for postoperative constipation or diarrhea: After the operation, patients are generally required to start defecating around 48 hours, once a day, and the stool should be soft and paste-like to avoid damage and increased pain caused by friction when the stool is discharged through the trauma. If there is no bowel movement for 3 days after surgery, the patient is instructed to increase some foods containing vegetable fats, such as sesame, broth, etc. A small amount of sesame oil or honey can also be taken with boiling water at night before bedtime, and after the above dietary therapy, the stool can generally be discharged. If it cannot be discharged, a small enema with open cork can be used. If diarrhea occurs after surgery, the patient should be instructed to eat light, easily digestible food, pay attention to dietary hygiene, and forbid eating raw and cold. And drink strong tea to facilitate urination and make the stool take shape, and if necessary, use antidiarrheal drugs. Dietary care for postoperative defecation difficulties: On the day after surgery or the second day, most of the anesthesia, surgical stimulation, wound pain or dressing pressure, causing reflex bladder neck sphincter pain, spasm caused by postoperative urinary difficulties. Such patients should drink strong tea or sweetened water to increase the volume of urine, stimulate the bladder and enhance the desire to urinate, or relax the dressing that compresses the wound to promote urination. If you are still unable to urinate, you should be given catheterization as prescribed by your doctor. Diet structure is closely related to healing hemorrhoids. If the food is too fine and refined, it will slow down the intestinal peristalsis, cause constipation and lead to varicose veins in the anorectal area; if too much chili or pepper is consumed in the food, it will stimulate the anorectum and cause congestion and expansion of blood vessels in the anorectal area; if too much diet is consumed or too coarse food is consumed, it will easily cause too many stools after surgery and cause wound infection; if the diet is properly regulated before and after surgery, it will not only make the surgery go smoothly If the diet is properly regulated before and after the operation, it can not only make the operation go smoothly, but also play an important role in the repair of the trauma, reduce the pain and facilitate the wound healing, and prevent and reduce the occurrence of postoperative complications. (1) Diet: fluid or semi-liquid diet on the first postoperative day, and a normal diet on the next day; (2) Defecation: controlled defecation for 1 day after surgery, and oral liquid paraffin oil or marijuana pills to soften the stool, and sitz bath after the stool. There is no need to change the medication, and it is not necessary to incorporate suppositories into the anus, etc.; (3) Use of antibiotics: Generally, antibiotics are applied prophylactically for 1 to 3 d after surgery to prevent anastomotic infection; (4) Observation and treatment of complications: If the operation is standardized, there are generally no recent complications, and conversely, there are bleeding, anal pain and distant anastomotic stenosis, etc. Therefore, blood pressure and pulse should be closely monitored within 24h after surgery, and rectal examination should be performed after l week, and the stenotic segment should be dilated if necessary, and the stenosis should be severely dissected by hanging wires.