Post-Op Care at Home
The following simple instructions will make the convalescent
period more comfortable:
Following your arrival at home, please lie down and remain
You may remove the pressure dressing in two (2) hours after
you arrive home. Remove the tape first and any of the dressing
which falls off. If not too uncomfortable, leave the remainder
of the dressing in place for 1/2 hour. It may then be removed.
Sometimes it helps to soak it first. After removal of the
dressing, you may begin sitz baths immediately. (see #6
If you do not have an appointment, call the office as soon
as possible at (804)-288-7077 or toll free at (800)-222-1014
ext. 4348, and make an appointment to come to the office
in approximately 10-14 days
Eat a regular, high fiber diet consisting of meat, fish,
poultry, whole grain cereals and breads, leafy green vegetables,
fruits (cooked and fresh), and non-citrus fruit juices such
as apple, grape, tomato, V-8, cranberry or cranapple juice.
Try to avoid foods that are "white" and/or sweet.
For example: white bread, spaghetti, pasta, cakes, white
rice, white potatoes, sugar in any form, and foods made
with white flour which include pies, cakes, donuts and gravies.
These all supply calories but very little bulk.
There will likely be some bleeding with stools until entirely
healed. This may continue as long as six (6) weeks and is
usually easily controlled by merely lying down. However,
if bleeding continues it can usually be stopped by applying
continuous pressure to the bleeding point for 15 minutes
while lying down. If bleeding is profuse or continuous,
contact this office.
Take sitz baths (sit in about four (4) to six (6) inches
of comfortably hot water for 20-30 minutes) at least three
(3) times per day, particularly after bowel movements. No
more than six (6) per day. Water should be comfortably hot,
not boiling. Bath oil may be added to the water if needed
for dry skin. Sitting on folded bath towels may make you
more comfortable. A small portable sitz bath that fits on
the commode is permissible.
Take a stool softener twice a day at home, after breakfast
and supper. If you are on a diet, or wish to limit your
food intake, then you may take the stool softener 15 to
30 minutes before the meal to kill your appetite. Thoroughly
mix one (1) rounded teaspoon, or one (1) packet, in one
half (1/2) glass of water or fruit juice. It will mix best
in a shaker or blender. Drink it quickly since it thickens
and becomes difficult to drink. Follow each dose with a
full glass of water. Any one of the following stool softeners
may be used:
If something is needed for pain, you may take any non-prescription
pain medication followed by a sitz bath and 30 minutes rest.
Should something stronger be needed, use the prescribed
pain pills or call this office for a prescription.
Do not sit any more than necessary today--15 to 30 minutes
is long enough at one time. Do not do heavy lifting or work
in a squatting position for three (3) to four (4) days.
If you must lift something, bend down on one (1) knee, keeping
your back straight and upright, and lift the object off
to one side of you. You should return to normal activities
as soon as possible. If you are engaged in some activity
and become tired or sore, stop it! Rest, and then resume
it when you feel better. Do not force yourself!
At all times, day and night, wear a small piece of absorbent
cotton, fluffed up, and tucked as high up in the rectal
opening as you can comfortably wear it. This is to keep
the normal drainage off the skin. Change the cotton when
it becomes moist or uncomfortable. Do not use cotton balls,
use absorbent cotton that comes in a roll. Vaseline®
and anesthetic ointments (such as Nupercainal®
ointment or cream and Americaine®
ointment) may be used. Your pharmacist can advise you in
selecting one. We suggest Nupercainal®
ointment. Do not use any soap. It may make you itch. If
something other than plain water is needed for cleansing,
use CAM® lotion or Balneol®.
No prescription is needed. Apply it with the finger and
rinse off with water or blot off with toilet tissue.
Should something unusual occur at home, do not hesitate
to call our office (804)-288-7077 or toll free (800)-222-1014