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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
: 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.
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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