After Anal Surgery

Activity
Following an anorectal procedure, it is normal to feel tired or slightly woozy. On leaving the office, you MUST be accompanied by a responsible adult, who may either drive you home or accompany you home in a taxi. We strongly advise against the use of public transportation. On arrival home, it is common to feel sleepy. You are advised to rest quietly at home for the balance of the day. You are advised to lie flat if you feel dizzy or light-headed. Avoid strenuous exercise for 2 to three days to allow the wound to settle.

Diet
When you feel up to it, you may resume a normal diet. However, avoid drinking coffee or tea for the remainder of the day and go lightly with fluid intake, as the bladder may be sluggish following an anorectal procedure. If you are able to void urine normally by the following day, you may resume coffee and tea and increase your fluid intake to your normal levels. Supplement your diet with 1 teaspoon of Metamucil in water or juice every day for at least 3 weeks.

Pain Management
Following your procedure you will be advised to take Tylenol Extra Strength (non- prescription), which is not constipating. Do not take Advil or Ibuprofen. You may take 1 or 2 Tylenol Extra Strength tablets every 3 to 4 hours if needed. If, by the third day following the procedure, you are still in a lot of pain or the pain is increasing, contact the Clinic by phone to discuss your situation.

Wound management
Leave the dressings in place on the first day of the procedure until you need to have a bowel movement. The next day begin a course of 2 to 3 lukewarm baths per day. Remove the dressings slowly after sitting in the water first as it is easier to do when they are wet. You need not worry about using sterile techniques to do all of this. Just make sure your tub is reasonably clean and that you wash your hands before and after doing your wound care.

Potential complications
There will be some bleeding from the wound for 2 to 3 weeks. Contact the Clinic if you feel the bleeding is more than just a small amount. Infection in this area is rare. A pus-like discharge is common when the wound is healing and does not signify a problem unless there is increasing pain and swelling. Avoid caffeine in the first 24 hours to prevent urine voiding problems.

WHAT TO WATCH FOR:
Contact the Clinic at (604) 730-5810 immediately if you have severe pain that you cannot control with Extra Strength Tylenol, inability to pass urine, nausea, vomiting, fever, shakes/chills, more than a modest amount of bleeding. Feel free to contact the office at any time if you have questions or concerns about the treatment or your condition.

© Pezim Clinic, Vancouver, British Columbia, Canada