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
PPH (Procedure for prolapsed hemorrhoids)
Lateral Internal Sphincterotomy
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.
 Resume to tolerance. Avoid heavy lifting for one week.
 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.


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