Our Summary

This study looked at the effectiveness of a gel called diltiazem in reducing pain after a hemorrhoidectomy, a surgery to remove hemorrhoids. Hemorrhoids are a common problem that cause pain and discomfort in the rectal area. The researchers randomly divided 80 patients into two groups: one group was treated with diltiazem gel after surgery, and the other group was not. They found that the group treated with the gel had significantly less pain 24 hours and 3 days after surgery. Also, 70% of the patients in the non-gel group needed extra pain relief. The researchers concluded that using diltiazem gel after a hemorrhoidectomy can effectively reduce pain, which could potentially shorten hospital stays and reduce stress for both patients and surgeons.

FAQs

  1. What is the purpose of using diltiazem gel after a hemorrhoidectomy?
  2. How effective is diltiazem gel in reducing pain after a hemorrhoidectomy according to the study?
  3. Can the use of diltiazem gel potentially shorten hospital stays after a hemorrhoidectomy?

Doctor’s Tip

A doctor might tell a patient undergoing a hemorrhoidectomy to consider using diltiazem gel after surgery to help reduce pain and discomfort. This can potentially lead to a quicker recovery and less need for additional pain relief medication. It is important to follow your doctor’s recommendations and ask any questions you may have about post-operative care.

Suitable For

Patients who are recommended for a hemorrhoidectomy are typically those who have severe or recurring hemorrhoids that do not respond to other treatments such as over-the-counter medications, dietary changes, or lifestyle modifications. These patients may experience symptoms such as severe pain, bleeding, itching, and swelling in the rectal area. Additionally, patients with large external hemorrhoids or internal hemorrhoids that have prolapsed (protruded outside of the anus) may also be recommended for surgery.

Timeline

Before hemorrhoidectomy:

  • Patient experiences symptoms of hemorrhoids such as pain, itching, swelling, and bleeding in the rectal area.
  • Patient consults with a doctor who recommends a hemorrhoidectomy as a treatment option.
  • Patient undergoes pre-operative testing and preparation for surgery.

After hemorrhoidectomy:

  • Patient undergoes the hemorrhoidectomy surgery to remove hemorrhoids.
  • Patient may experience pain, discomfort, and swelling in the rectal area post-surgery.
  • Patient is prescribed pain medication and instructed on post-operative care, including keeping the area clean and avoiding constipation.
  • Patient may experience relief from symptoms as the surgical site heals over the course of several weeks.
  • Patient follows up with their doctor for post-operative check-ups to monitor healing and address any complications.

What to Ask Your Doctor

  1. What is a hemorrhoidectomy and why is it necessary for me?
  2. What are the potential risks and complications associated with a hemorrhoidectomy?
  3. How long is the recovery period after a hemorrhoidectomy?
  4. Will I need to take time off work or modify my daily activities during recovery?
  5. What type of anesthesia will be used during the surgery?
  6. How long will the surgery take?
  7. What can I expect in terms of pain management after the surgery?
  8. Are there any specific post-operative care instructions I should follow?
  9. Will I need to schedule a follow-up appointment after the surgery?
  10. Are there any alternative treatments or procedures for hemorrhoids that I should consider before opting for a hemorrhoidectomy?

Reference

Authors: Abidi SS, Bakhtiar N, Kerawala AA, Awan S. Journal: J Ayub Med Coll Abbottabad. 2021 Jan-Mar;33(1):125-128. PMID: 33774968