I had PPH hemerhoidectomy two days ago. I am an overweight male age 63. It was done in conjuction with a colonscopy. Coming home from surgery was not too bad except that I felt a great urge to pass gas and could not.
They gave me a RX for vicodin for pain. I wasn't sure if i was in pain or not but it felt like I had to go and my rectal area was involentarilly pushing like if you have diarhea. I took the vicodin, continuing to take one tablet every 3-4 hrs. My gut continues to gurgle and bubble. If I walk around, I can expell gas which feels good.
Meals since surgery have been very light and soft: soup, canteloupe, some canned pears and scrambled eggs. This after noon, i had a small plate of spaghetti. Starting the late the evening of the surgery (Thursday) i took 2 ounces of milk of magnesia and have continued Friday and today with 2 ounce or more morning and evening.
This afternoon was my first solid passing which I was apphresnsive about but there was no pain. My stool was very soft. Not like diarhea but just little ploopy bits. Following my movement, i stepped into the shower and used a hand held with warm water to cleanse myself. It does make a mess of the tub bottom but it rinses away. I also spray with tilex afterwards. (the tub, not by butt!). For my butt, I use an RX tube of stuff that is anal antibiotic or something like that. (don't remember the name). It says to use sparingly, but I don't know how much is coming out when I squeeze the tube which has a small nozzel with holes.
I have also used this hand held shower serveral times a day in place of a sitz bath because it is difficult for me to get seated in the tub and get out. I guess this would be like a bidet excpt the warm water is soothing and cleanses any small leakage of blood. (there has only been light spotting on the pad in my underpants.) Each time I follow up my "bidet' with the tube of cream stuff.
Since my first movement, I felt the urge to go back in less than an hour and mistakenly thought it was gas. (I threw those underpants away). Now, I have been back on the toilet several times and i keep having the urge. None of my bowel movements has been significant. Just sort of brownish residue, (no blood)
Each time I have been done, it doesn't feel like I've had a satisfying movement. There is still gas gurgling in my stomach. the last time produced some sputtering, expelling of gas behind the soft stool. That was an hour ago. Now, as I type this, I feel the urge again. How often will this happen?
Certainly, I'd rather flush the toilet than throw underpants away but I wonder how often this will continue? I haven't taken a vicodin for the last 8 hrs or so because they make me shaky. I tool ibuprofen instead. I never had any real pain other than what might be spasms but not that uncomfortable.
The vicodin will probably stop the spasms or urge to go but should I do that or just run to the toilet every time. All of this is making me nervous.
By the way, if you want to know what a PPH surgery is go on Youtube and search "PPH surgery". that is how the doctor explained it to me and it appears to be a much better approach than the rubber bands my brother had done a year ago and are back again.