Colon and Rectal Surgeons
of Kansas City

Hemorrhoids

• Hot baths 3 or more/day. This will soothe the area and diminish associated muscle spasm
• Irrigate anal area in shower after BM's
• High fiber diet
• Konsyl 1 tsp daily or Metamucil 1 tablespoon twice/day
• Milk of Magnesia 2 tablespoons daily until 1st BM then may use on as needed basis to ensure stools are soft
• Avoid diarrhea or constipation
• Take pain meds as prescribed
• You may take Ibuprofen 800 mg. three times/day or Ultram as prescribed in addition to other pain medication if needed
• Apply topical antibiotic cream twice/day and topical anesthetic as needed
• Expect minor bleeding and discharge until sutures dissolve in 3 weeks
• Swelling and mild skin tag formation around the wound sites is not uncommon. These will diminish once complete healing takes place. These are frequently misconstrued as recurrent hemorrhoids.
• No excercise for 6 weeks. However swimming is acceptable anytime.
• Usually back to work depending on the type of activity in 2 weeks.