Symptoms of Anorectal Disease
- Painless bleeding while passing stools
- Feeling a lump outside the anus
- Pruritus ani or itching around the anus
- Faecal soiling of undergarments
- If a blood clot forms in the haemorrhoid ( Thrombosed haemorrhoid ) it leads to a severely painful swelling which worsens with bowel movement and sitting
Causes of Anorectal Disease
- Constipation – Most common cause
- Hard stools/ Straining during bowel movement
- Faulty toilet habits ( sitting on the toilet for a long time ex. reading )
- Family history
- Pregnancy and childbirth
- Lifting heavy weights
Laser treatment for Anorectal Disease
Advantages of Laser in Anorectal Treatment
- No cuts, no open wounds
- Less post-operative pain as compared to other procedures
- Healing is excellent as there are no cuts or stitches
- No sense of urgency ( need to rush to the toilet ) after the procedure
- No risk of rectal stenosis
- Patient can return to normal activities within a shorter space of time
Frequently asked questions
What do I feel during the procedure?
It’s like taking a small nap! All you will feel is a small needle prick during your preparation for the procedure. The entire surgery takes about 30 minutes.
What happens after the operation?
You will normally be able to start
drinking water shortly after the procedure and can start eating as soon as you
are hungry. You will be able to get out of bed a few hours after surgery.
You are likely to have some pain after the procedure that is easily controlled with painkillers. You can expect a small amount of bleeding and wearing a pad will protect your clothes from getting soiled.
When can I go home?
If your operation is planned as a day care procedure you can go home as soon as the effect of the anaesthetic has worn off, you have passed urine and you are comfortable, eating and drinking. Since a general anaesthetic is used, it is advisable that a responsible adult take you home and stay with you for 24 hours.
Before you are discharged you will be advised about post-operative care, painkillers and laxatives.
What are my visits to the toilet going to be like?
You will normally open your bowels within 2-3 days of your operation. This may be uncomfortable at first and there could be a sense of ‘urgency’ ( need to rush to the toilet ). You may notice mild blood loss after each bowel movement but this will gradually reduce over the next few days. Maintain hygiene, and wash and keep the operation site clean.
It is important to maintain a regular bowel movement that should be well formed but soft. You may need to take prescribed laxatives for 2-4 weeks. Eating a high fibre diet and increasing water / fluid intake will help.
When will I get back to my routine activities?
You can return to normal physical and sexual activities when you feel comfortable. Anal sex should be avoided.
You can return to work usually by the 5th day after the surgery, although this also depends on the type of work you do.
When should I seek help?
- If you develop a fever above 100 F
- Increasing pain, swelling, redness or discharge
- Severe bleeding
- Constipation >3 days