Return home (After)

No hospitalization.

• At admission, it is important to hand over, as soon as possible, all the certificates to be filled in: Insurance, mutual insurance, sports club certificate, disability certificate…
• Make sure you recollect all your certificates completed at discharge.

Analgesic on discharge from hospital:

• Paracetamol: Dafalgan® 1gr 3-4x /day
• Non-steroidal anti-inflammatory drugs: Brufen® 400mg 3x /day
• Morphine: Tradonal® retard 50 mg max 6x /day if needed

In normal circumstances, pain is controlled with a combination of paracetamol, non-steroidal anti-inflammatory drugs and morphine.
When pain subsides, morphine should be stopped first, then non-steroidal anti-inflammatory drugs and lastly paracetamol.

Morphine can cause nausea and vomiting. To alleviate these side effects, it may be necessary to take an anti-emetic (against nausea) tablet. (Litican® 50mg, Litican® 10mg….).

Non-steroidal anti-inflammatory drugs: (Brufen®, Brexine®, Nurofen®, Apranax®, Catafam®,…) should not be taken chronically.

Chronic intake of non-steroidal anti-inflammatory drugs may cause bleeding due to inflammation of the the stomach (gastritis) and stomach ulcers.

Antibiotics are not used.

Deep vein thrombosis prophylaxis is not necessary.

Shower: → Immediately.

Bath: → Immediately.

Walk: → Immediately.

Sleeping position: → No position is contraindicated (back, stomach, side…).

Car: → Immediately (avoid long trips in the first week).

Stairs: → Immediately.

Physical activity: → No restriction.

Sport: → Immediately.

Professional activity:

→ Manual/physical work: Resume professional activities immediately.

→ Sedentary office work: Resume professional activities immediately.

Sexual activity:

→ Stop in function of pain symptoms.

                  → No anal penetration until healing of wounds.

Daytime

• No wound dressing. No external wound
• We recommend placing an absorbent pad, sanitary napkin or panty liner in underwear to absorb wound fluid.

When showering and bathing

• No dressing

Link to chapter : Wound care

Diet:

• High-fibre diet.
  
• Fiber supplements fibre 2x /day.
  
• Hydration minimum 2l of fluids.

Link to chapter : Nutrition

Consultation 14 days after the procedure, to evaluate the shrinkage of the hemorrhoids.

Normal symptoms

• Anal pain is normal but should subside over time.
• Seepage of serous (yellowish) anal fluid.
• Fluid loss may be bloody but should subside over time.

Abnormal symptoms

Contact your doctor or GP or go to the emergency room:

• If pain increases over time.
• If fever does not subside over time.
• If pus volume increases or foul smelling viscous fluid increases.
• If blood loss persists.

If symptoms seem abnormal to you, contact your GP (General practician).

If this is not possible, you can contact your surgeon.

If you are unable to contact your GP or your surgeon, go to the emergency department at St Elizabeth Hospital in Uccle.

No work incapacity, resuming professional activities immediately.