Posted by: nbaground on: January 25, 2010
Third and fourth stage hemorrhoids usually can't be treated by normal procedures and require a hemorrhoidectomy. This operation is used to eliminate internal hemorrhoids and in some severe cases it could be used to remove external hemorrhoids that have not been treated with the normal pills that is given.
When under going this operation, it is necessary to use anesthesia and relying on the extent of the surgery, the patients' preference to the pills and the patients' health, there are three types of anesthesia which can be applied. The kinds of anesthesia are the following: general anesthesia, that leaves the patient completely unconscious, spinal anesthesia, which numbs the lower body and local anesthesia which is injected directly into the area which is going to be operated on.
Not eating a minimum of 12 hours prior to the surgery averts the risk of vomiting during the operation and also in healing; this is highly recommended by the doctors and surgeons. It is even normal to undergo different tests before the surgery will take place, these can incorporate blood tests and urine tests. In very sever cases if the patient is quite poorly, other tests will take place like an x-ray and aspirin to thin out the blood.
The hemorrhoidectomy will last form anything from 1-1 1/2 hour if all of the previous tests have been passed accordingly. The surgery is a simple on which the patient is laid face down on the table with his legs held in straps so that the buttocks is facing up with both anus and rectum exposed. Once the anesthesia shows the results, the surgeon will proceed to clamp and tie the hemorrhoid in order to avoid bleeding, and with a scalpel, remove the hemorrhoid.
Once the surgery is completed, the patient will be sent to observation until the anesthesia wears out of the body completely; the patients will then undergo another test to see if he can pass urine, this is to ensure that there is no inflammation in the tissues sometimes caused by the surgery. If everything is fine the patient will be sent home, but if any problems should arise, the patient will be hospitalized.
On most occasions, after effects might arise such as blood in stools or bleeding when moving bowels. The surgeon normally gives the patient with pain tablets and numbing tablets which are used when moving bowels; this is very common right after the surgery takes place. It is also mostly recommended to take antibiotics given by the doctor for the prevention of any illness that might happen.
The post operation patients should undergo a regular check up with their doctor and also essential care at home. So that stools pass without any strain it is recommended to intake a lot of fiber foods and take stool softener medicine. A long bath in warm water to assist relax the anal muscles also helps alleviate pain and itching that can be caused by the operation.
Every surgery has its risk factor and common side effects. Some more common than others might appear after having a hemorrhoidectomy. The most common problems can integrate hematoma, constipation, bleeding and difficulties to urinate. More unusual problems can occur at a later time and can be risky; these include bleeding severely and hemorrhoid reappearance. It is essential to visit a doctor straight away if any of these signs appear.
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