Our Summary

This study examined whether applying a medication called diltiazem to the anal area could help reduce pain after hemorrhoid surgery. The researchers divided patients into two groups after their surgeries. One group was given diltiazem while the other group was given a placebo (a treatment with no active ingredients). Both groups were also given a painkiller as needed. The results showed that the group who received diltiazem reported significantly less pain and needed fewer doses of painkillers than the group who received the placebo. This suggests that diltiazem could be an effective way to manage pain after hemorrhoid surgery.

FAQs

  1. What is the purpose of applying diltiazem to the anal area after hemorrhoid surgery?
  2. Did the study find that diltiazem was effective in reducing pain after hemorrhoid surgery?
  3. Was there a notable difference in the amount of painkillers needed between the group who received diltiazem and the group who received a placebo?

Doctor’s Tip

One helpful tip a doctor might give a patient about hemorrhoidectomy is to discuss pain management options before and after the surgery. This may include prescription pain medication, over-the-counter pain relievers, and potentially using medications like diltiazem to help reduce pain and discomfort during the recovery process. It is important to follow the doctor’s instructions regarding medication use and to communicate any concerns or side effects experienced during the healing process.

Suitable For

Patients who are experiencing severe pain and discomfort from hemorrhoids that are not responding to conservative treatments such as dietary changes, topical creams, and sitz baths may be recommended for a hemorrhoidectomy. Additionally, patients with large or prolapsed hemorrhoids that are causing significant bleeding or interference with daily activities may also be candidates for surgery. Ultimately, the decision to undergo a hemorrhoidectomy should be made in consultation with a healthcare provider based on individual circumstances and symptoms.

Timeline

Before hemorrhoidectomy:

  1. Patient experiences symptoms of hemorrhoids such as pain, itching, swelling, and bleeding.
  2. Patient consults with a doctor who recommends hemorrhoidectomy as a treatment option.
  3. Patient undergoes pre-operative evaluations and preparation for surgery.

After hemorrhoidectomy:

  1. Patient undergoes the surgical procedure to remove the hemorrhoids.
  2. Patient may experience pain, discomfort, and swelling in the anal area immediately after surgery.
  3. Patient is prescribed pain medication and given instructions on post-operative care.
  4. In the study mentioned, some patients are given diltiazem to help reduce pain and improve recovery.
  5. Patient follows up with their doctor for post-operative appointments to monitor healing and address any complications.
  6. Patient gradually recovers and experiences relief from hemorrhoid symptoms over time.

What to Ask Your Doctor

  1. What is a hemorrhoidectomy and why is it recommended for me?
  2. What are the potential risks and complications of a hemorrhoidectomy?
  3. How long is the recovery period after a hemorrhoidectomy?
  4. What can I expect in terms of pain management after the surgery?
  5. Are there any alternative treatments or medications I can consider for pain management?
  6. How soon can I expect to see improvement in my symptoms after the surgery?
  7. Will I need to make any lifestyle or dietary changes after the surgery to prevent future hemorrhoids?
  8. What should I do if I experience any unusual or concerning symptoms after the surgery?
  9. How often will I need to follow up with you after the hemorrhoidectomy?
  10. Are there any specific instructions I should follow before and after the surgery to ensure a successful outcome?

Reference

Authors: Rodríguez-Wong U, Ocharán-Hernández ME, Toscano-Garibay J. Journal: Rev Gastroenterol Mex. 2016 Apr-Jun;81(2):74-9. doi: 10.1016/j.rgmx.2016.02.001. Epub 2016 Mar 12. PMID: 26980264