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Hemorrhoids

Discussion in 'All Categories' started by Mayank - Aug 2nd, 2025 5:35 am.
Mayank	I have been bleeding while defecating for the last few days. I want to get surgery for hemorrhoids. Is there a chance of recurrence after this surgery?
re: Hemorrhoids by Dr. B. S. Bhalla - Aug 2nd, 2025 5:36 am #1
Dr. B. S. Bhalla	Bleeding while defecating is a common symptom of hemorrhoids, and if it has persisted for several days, it's important to consult a proctologist or general surgeon for evaluation. Since you're considering surgery, here's a detailed suggestion as per standard medical guidance: Surgical Options and Recurrence Possibility: Hemorrhoidectomy (surgical removal of hemorrhoids) is generally recommended when conservative treatments like dietary changes, sitz baths, and medications fail, or when symptoms such as persistent bleeding, prolapse, or pain interfere with daily life. There are different surgical techniques available, including: Conventional Hemorrhoidectomy (Milligan-Morgan or Ferguson method) Stapled Hemorrhoidopexy Laser Hemorrhoid Surgery Doppler-guided hemorrhoidal artery ligation (HAL-RAR) Most of these procedures are highly effective in relieving symptoms and improving quality of life. However, no surgery guarantees zero recurrence. According to clinical data: The recurrence rate ranges from 5–20%, depending on the type of surgery, lifestyle factors, and the presence of constipation or straining during bowel movements post-surgery. Recurrence is more likely if dietary fiber intake is poor, water consumption is low, or if the patient continues to strain during defecation. Post-Surgical Advice to Minimize Recurrence: Eat a high-fiber diet (fruits, vegetables, whole grains) Drink plenty of fluids (8–10 glasses daily) Avoid prolonged sitting, especially on the toilet Use stool softeners or fiber supplements if needed Regular physical activity helps bowel movement regularity In summary, while hemorrhoid surgery is usually effective, recurrence is possible—especially if underlying habits aren’t addressed. Discuss the best surgical option with your surgeon and follow a healthy post-operative routine to minimize future risks.