Surgical aSSociateS of traverSe city, P.l.l.c.
1221 Sixth Street, Suite 306 • Traverse City, Michigan 49684 • (231) 935-2400 • Fax (231) 935-2424 Discharge Instructions for Anal Surgery Hemorrhoidectomy Fistulotomy/Fistulectomy PPH (Procedure for prolapsed hemorrhoids) Fissurectomy Lateral Internal Sphincterotomy Anoplasty Wound Appearance and Care Hygiene: In general moist wipes (tucks pads, baby wipes etc.) are gentler on wounds. You may use soap and
water in shower/ tub bath after a bowel movement.
Take tub bath or sitz bath at least 3 times a day and more often as desired for discomfort.
Use plain warm/hot water. Additives to water are not necessary.
Clean wounds with soap and water daily. If there are sutures present they will dissolve away in approximately 2 weeks. Some drainage/discharge is common; use light pad to protect clothing. Light bleeding with stools can be normal for the first 2 - 3 weeks. Pain Management Use an over the counter stool softener (Colace). Take 1 twice a day as needed in addition to the fiber
Non-narcotic analgesics should be used to reduce narcotic needs. NSAIDS, such as Naproxen, Ibuprofen,
Narcotic prescription may be given for breakthrough pain. Generally ointments/creams are not needed but may be used if comforting. Avoid suppositories. Use Milk of Magnesia or other gentle laxative if no bowel movement within 3 days of surgery. Call if you have any of these symptoms Profuse bleeding; repeated passage of large clots. Fever greater than 101 degrees orally. Worsening pain not controlled by pain medicine. Inability to urinate or voiding frequent small amounts. Activity Resume to tolerance. Avoid heavy lifting for one week. Diet Drink at least six to eight, 8 oz. glasses of fluids daily. Return to your normal diet as tolerated. Be sure to increase fiber in your daily diet (fruits, vegetables, whole grain breads, and cereals). This is important
while taking pain pills as they can cause constipation.
Take pain medication with food or milk to prevent upset stomach. Use fiber supplement daily (15 gm. of fiber daily) i.e.; Metamucil, Citracel, Benefiber, Konsyl etc. Additional Instructions _________________________________________________________________________ ______________________________________________________________________________________________ Call 231-935-2400 to arrange a follow-up appointment in _______days/weeks. Should you have any questions or concerns please call Surgical Associates nurses’ station at 231-935-2417. After 5:00 PM, call Munson Hospital at 231-935-5000 and ask for your doctor. There is always a doctor on call for our practice.
Smithsonian POTENTIAL TREATMENTS FOR REPRODUCTIVE PROBLEMS IN ELEPHANTS Prepared by: Dr. Janine Brown (SSP Reproductive Advisor), National Zoo’s Conservation & Research Center, Front Royal, VA (email@example.com) GnRH (for ovarian cysts) A common treatment for ovarian follicular cysts in dairy cattle is GnRH (e.g., Cystorelin@, The Butler Company, 12235 S. Laramie Ave, Als
You’ve got your reasons to quit. We’ve got a program that works. Tired of your tobacco habit? Whether you smoke, chew or dip, Cleveland Clinic’s Tobacco Treatment Center can give you the one-on-one support and resources you need to lead a tobacco-free life. Let us create a customized plan based on the latest scientific evidence that will help you succeed. 1. We Tailor a TreaTmen