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Blepharitis
You have been diagnosed with blepharitis, which is an inflammatory condition of the eyelids. You may notice some or all of the following:● Eyelids become crusty, irritated and red due to a build-up of oil and debris on the eyelids and eyelashes● Burning, irritation, soreness and itching of the eyelids● Foreign body sensation (you feel like there is something in your eye)● Scales close to the root of the eyelashBlepharitis is a chronic (long-term) recurring condition and so the most important part of treating and managing it is to keep your eyelids clean. Occasionally it is due to an infection, if so you may also have to take medication prescribed by your healthcare professional to be used throughout the prescribed treatment. Although blepharitis is not life threatening, if not treated it will not improve, and your symptoms will remain and possibly worsen. Blepharitis is one of the most common reasons for cancelling elective (planned) eye surgery.Eyelid HygieneThere are two easy methods for proper eyelid hygiene which will help manage your blepharitis.1. Apply Heat & Massage● Wash your hands before and after cleaning● Apply a warm compress to your closed eyes at 35-40°C for 10 minutes, which will soften the debris and oils. Then massage your eyelids, which will help reduce your symptoms● You can use a clean facecloth soaked in hot water or alternatively there are a number of heat masks specifically for the eye2．Eyelid Hygiene● Wash your hands before and after cleaning● Commercially available lid scrubs are usually pre-soaked in a cleansing solution and are ready to use● You may alternatively have been advised to use "at-home" remedies such as diluted baby shampoo or baking powder. Due to the steps involved, many patients find these remedies inconvenient in day to day life, which can also be irritating to your eyelids● When using lid scrubs, close your eyes and gently scrub your eyelid using side-to-side strokes for approximately 30 seconds. Repeat this for your other eyelid● Lid scrubs may require you to rinse your eyelids after applying, please follow the manufacturer's instructions. There are many lid scrubs available, which your healthcare professional may be happy to recommendAs blepharitis is a long term condition, it is important that you continue this routine for as long as you have been told by your healthcare professional, in many cases this may be forever. While short term treatments will reduce the symptoms, the likelihood is that they will return once you stop performing regular eyelid hygiene.Useful Information● Remove any eye make-up before going to bed. The lid scrub pads mentioned are an excellent way of doing this while also keeping your eyelids clean● Don't share your eye make-up or lotions with anyone else● Don't share your facecloths or towels with anyone else● Blepharitis is often associated with Dry Eye. Artificial tears will help to relieve these symptomsOther Times When Hygiene is ImportantIf your healthcare professional has discussed the importance of eyelid hygiene with you, it may be because you have one of the following:● Meibomian gland dysfunction (MGD)● Stye (infection of a gland in the eyelid)● Marginal keratitis (inflammation of the eye itself; often secondary to bacterial infection or blepharitis)● Ocular rosacea (redness of the eyelids)● Conjunctivitis (inflammation of the outer surface of the eye and inner surface of the eyelid－commonly caused by infection or an allergy).view{padding:0;word-wrap:break-word;cursor:text;height:90%;}body{margin:8px;font-family:sans-serif;font-size:16px;}p{margin:5px 0;} table.sortEnabled tr.firstRow th,table.sortEnabled tr.firstRow td{padding-right:20px;background-repeat: no-repeat;background-position: center right; background-image:url(http://www.newjson.com/Js/ueditor1_4_3_2-utf8-net/utf8-net/themes/default/images/sortable.png);} 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.list-paddingleft-3{padding-left:60px}.pagebreak{display:block;clear:both !important;cursor:default !important;width: 100% !important;margin:0;}pre{margin:.5em 0;padding:.4em .6em;border-radius:8px;background:#f8f8f8;}.loadingclass{display:inline-block;cursor:default;background: url('http://www.newjson.com/Js/ueditor1_4_3_2-utf8-net/utf8-net/themes/default/images/loading.gif') no-repeat center center transparent;border:1px solid #cccccc;margin-left:1px;height: 22px;width: 22px;} .loaderrorclass{display:inline-block;cursor:default;background: url('http://www.newjson.com/Js/ueditor1_4_3_2-utf8-net/utf8-net/themes/default/images/loaderror.png') no-repeat center center transparent;border:1px solid #cccccc;margin-right:1px;height: 22px;width: 22px;}.anchorclass{background: url('http://www.newjson.com/Js/ueditor1_4_3_2-utf8-net/utf8-net/themes/default/images/anchor.gif') no-repeat scroll left center transparent;cursor: auto;display: inline-block;height: 16px;width: 15px;}LEARN MOREHow to Put in Your Eye Drops
Your nursing staff created this information to show you a way to put in eye drops. By following these directions, you will keep this medication clean and prevent eye infections.LEARN MOREUterine Fibroids
What are uterine fibroids?Uterine fibroids are benign (not cancer) growths that develop from the muscle tissue of the uterus. They also are called leiomyomas or myomas. The size, shape, and location of fibroids can vary greatly. They may be present within the uterine cavity, within the muscular wall of the uterus, on the outer surface of the uterus, or attached to the outside of the uterus by a stem-like structure. A woman may have only one fibroid or many of varying sizes. A fibroid may remain very small for a long time and suddenly grow rapidly, or grow slowly over a number of years. What are symptoms of fibroids?• Changes in menstruation ○ Longer, more frequent, or heavy menstrual periods ○ Menstrual pain (cramps) ○ Vaginal bleeding at times other than menstruation ○ Anemia (from blood loss) • Pain ○ In the abdomen or lower back (often dull, heavy and aching, but may be sharp) ○ During sex• Pressure ○ Difficulty urinating or frequent urination ○ Constipation, rectal pain, or difficult bowel movements ○ Abdominal cramps or bloating• Enlarged uterus and abdomen• Miscarriages• Infertility• Fibroids also may cause no symptoms at all When is treatment necessary for fibroids?• Heavy or painful menstrual periods that cause anemia or that disrupt a woman’s normal activities• Bleeding between periods• Uncertainty whether the growth is a fibroid or another type of tumor, such as an ovarian tumor• Rapid increase in growth of the fibroid• Infertility• Pelvic pain Can medication be used to treat fibroids?• Birth control pills and other types of hormonal birth control methods: These drugs often are used to control heavy bleeding and painful periods• Gonadotropin-releasing hormone (GnRH) agonists: These drugs stop the menstrual cycle and can shrink fibroids. They sometimes are used before surgery to reduce the risk of bleeding. They can also be used to bridge a woman to menopause when fibroids will then naturally shrink. Because GnRH agonists have many side effects, they are used only for short periods (less than 6 months). After a woman stops taking a GnRH agonist, her fibroids usually return to their previous size• Progestin-releasing intrauterine device: This option is for women with fibroids that do not distort the inside of the uterus. It reduces heavy and painful bleeding but does not treat the fibroids themselves• Tranexamic Acid:This medication helps our blood clotting mechanism and will reduce the amount of bleeding when bleeding occurs. It does not treat the fibroids, just the bleeding caused by the fibroids• Non-steroidal anti-inflammatory drugs (NSAIDs): NSAIDs such as ibuprofen can minimize the pain and some of the bleeding caused by fibroids What types of surgery may be done to treat fibroids?• Myomectomy is the surgical removal of fibroids while leaving the uterus in place. Because a woman keeps her uterus, she may still be able to have children. Fibroids do not regrow after surgery, but new fibroids may develop. If they do, more surgery may be needed• Hysterectomy is the removal of the uterus. The ovaries may or may not be removed. Hysterectomy is done when other treatments have not worked or are not possible or the fibroids are very large. A woman is no longer able to have children after having a hysterectomy Are there other treatments besides medication and surgery?• Hysteroscopy• Endometrial ablation• Uterine artery embolization• Magnetic resonance imaging-guided ultrasound surgeryLEARN MOREBleeding During and After Menopause
What are menopause and perimenopause?• The absence of menstrual periods for 1 year• The average age of menopause is 51 years, but the normal range is 45 years to 55 years• The years leading up to this point are called perimenopause, it means “around menopause”• This phase can last for up to 10 years. During perimenopause, shifts in hormone levels can affect ovulation and cause changes in the menstrual cycle What are some of the common changes that occur in the menstrual cycle during perimenopause?• Irregular bleeding or spotting• Longer and heavier periods alternate with shorter and lighter periods• The number of days between periods may increase or decrease• You may begin to skip periods How can I tell if bleeding is abnormal?• Very heavy bleeding• Bleeding that lasts longer than normal• Bleeding that occurs more often than every 3 weeks• Bleeding that occurs after sex or between periods What are some of the common causes of abnormal bleeding?Polyps - Polyps are usually noncancerous growths of tissue that grow on the inside of the uterus. They may cause irregular or heavy bleeding. Polyps also can grow on the cervix or inside the cervical canal. These polyps may cause bleeding after sex.Endometrial atrophy - After menopause, the endometrium may become too thin as a result of low estrogen levels causing abnormal bleeding.Endometrial hyperplasia - The lining of the uterus thickens which can cause irregular or heavy bleeding. It is most often caused by excess estrogen without enough progesterone. In some cases, the cells of the lining become abnormal, called atypical hyperplasia which can lead to cancer of the uterus. When endometrial hyperplasia is diagnosed and treated early, endometrial cancer often can be prevented. Bleeding is the most common sign of endometrial cancer in women after menopause. How is abnormal bleeding evaluated?• Endometrial biopsy• Transvaginal ultrasound• Sonohysterography• Hysteroscopy• Dilation and curettage What treatment is available for abnormal bleeding?• Surgical removal of polyps• Endometrial atrophy can be treated with medications• Thickened areas of the endometrium may be removed by using hysteroscopy or D & C• Endometrial cancer is treated usually surgery, typically with hysterectomyLEARN MOREEndometriosis
What is endometriosis?Endometriosis is a condition in which the type of tissue that forms the lining of the uterus (the endometrium) is found outside the uterus. How common is endometriosis?Endometriosis occurs in about one in ten women of reproductive age. It is most often diagnosed in women in their 30s and 40s. Where does endometriosis most often occur?• Peritoneum• Ovaries• Fallopian tubes• Outer surfaces of the uterus, bladder, ureters, intestines and rectum• Cul-de-sac (the space behind the uterus) How does endometriosis cause problems?Endometriosis implants respond to changes in estrogen, a female hormone. The implants may grow and bleed like the uterine lining does during the menstrual cycle. Surrounding tissue can become irritated, inflamed, and swollen. The breakdown and bleeding of this tissue each month also can cause scar tissue, called adhesions, to form. Sometimes adhesions can cause organs to stick together. The bleeding, inflammation, and scarring can cause pain, especially before and during menstruation. What is the link between infertility and endometriosis?Almost 40% of women with infertility have endometriosis. Inflammation from endometriosis may damage the sperm or egg or interfere with their movement through the fallopian tubes and uterus. In severe cases of endometriosis, the fallopian tubes may be blocked by adhesions or scar tissue. What are the symptoms of endometriosis?The most common symptom is chronic (long-term) pelvic pain, especially just before and during the menstrual period. Pain also may occur during sex. If endometriosis is present on the bowel, pain during bowel movements can occur. If it affects the bladder, pain may be felt during urination. Heavy menstrual bleeding is another symptom of endometriosis. Many women with endometriosis have no symptoms. How is endometriosis diagnosed?• History and physical exam• Laparoscopy• Biopsy How is endometriosis treated?Treatment for endometriosis depends on the extent of the disease, your symptoms, and whether you want to have children. Endometriosis may be treated with medication, surgery, or both. When pain is the primary problem, medication usually is tried first. What medications are used to treat endometriosis?• Pain relievers, such as non-steroidal anti-inflammatory drugs• Hormonal medications, including birth control pills, progestin-only medications, and gonadotropin-releasing hormone agonists. Hormonal medications help slow the growth of the endometrial tissue and may keep new adhesions from forming. These drugs do not remove endometriosis tissue that is already present How can surgery treat endometriosis?Surgery can be done to relieve pain and improve fertility. During surgery, endometriosis implants can be removed. Does surgery cure endometriosis?After surgery, most women have relief from pain. However, about 40-80% of women have pain again within 2 years of surgery. The more severe the disease, the more likely it is to return. Taking birth control pills or other medications after having surgery may help extend the pain-free period. What if I still have severe pain that does not go away even after I have had treatment?If pain is severe and does not go away after treatment, a hysterectomy may be a “last resort”option. Endometriosis is less likely to come back if your ovaries also are removed. If you keep your ovaries, endometriosis is less likely to come back if endometriosis implants are removed at the same time you have the hysterectomy.LEARN MORECervical Cancer Screening
What is cervical cancer?1. Cancer which occurs when the cells of the cervix grow abnormally2. Usually caused by the human papilloma virus (HPV)3. Common in women worldwide What are the symptoms of cervical cancer?There are usually no symptoms during early stages. At later stages of cervical cancer, there can be pelvic pain and vaginal bleeding. Who is at risk for cervical cancer?Women who:• Use oral contraceptives• Smoke• Are sexually active• Have persistent HPV infection or are at risk of being infected with HPV. This includes those with: ○ Early sexual onset ○ Multiple sexual partners ○ A high-risk sexual partner (e.g. a partner with multiple sexual partners or an HPV infection) ○ A history of sexually transmitted infections (e.g. Chlamydia trachomatis, genital herpes) ○ A history of vaginal or vulvar cancer ○ A suppressed immune system Are there any tests for early detection of cervical cancer?Yes, the following are cervical cancer screening tests that detect cervical cancer in its early stages:• Pap smear• Human papilloma virus (HPV) test How is a Pap smear and an HPV test done?These tests can be done during a pelvic examination in the clinic. They take about 10 to 15 minutes.During the pelvic examination, your doctor will insert a speculum into your vagina to examine your cervix. This may cause mild discomfort but should not cause any pain.Your doctor will then perform the Pap smear by using a small brush or spatula to gently scrape some cells from the cervix. These cells are then sent to the laboratory to look for abnormal changes. An HPV test can be done along with a Pap smear or as a separate test. How often do I need a Pap smear and HPV test done?Aged 21‒29:• Pap smear every 3 years• HPV test not routinely needed. It may be done if the Pap smear results are abnormalAged 30‒65:• Pap smear every 3 years or combined Pap smear and HPV test every 5 yearsAged above 65:• May no longer need Pap smears done; talk to your doctor to determine your needsMore frequent testing may be required if:• Your Pap smear or HPV test results are abnormal• You have human immunodeficiency virus (HIV)• You have other conditions that suppress your immunityTalk with your doctor to have a personalized plan made. Do I still need to do Pap smear and HPV test if I have had a hysterectomy?This depends on:• Why your hysterectomy was needed • Whether your cervix was removed• Whether you have a history of moderate or severe dysplasia Do I still need a Pap smear and HPV test if I have had an HPV vaccine?Yes. You will still require a regular Pap smear and an HPV test. The Pap smear helps to determine presence of abnormal cervical cells. With or without HPV vaccination, this test should be regularly done for early detection and treatment.The HPV test is also necessary because the HPV vaccine does not protect against all forms of HPV. I am a transgender person. Should I be tested?Everyone who has a cervix should get checked on a regular basis. Testosterone therapy may affect test results. Let your doctor know if you are on testosterone therapy.LEARN MOREAbnormal Uterine Bleeding
What is a normal menstrual cycle？The normal length of the menstrual cycle is typically between 24 days and 38 days. A normal menstrual period generally lasts up to 8 days. When is bleeding abnormal？• Bleeding or spotting between periods• Bleeding or spotting after sex• Heavy bleeding during your period• Menstrual cycles that are longer than 38 days or shorter than 24 days• “Irregular” periods in which cycle length varies by more than 7-9 days• Bleeding after menopause At what ages is abnormal bleeding more common？Abnormal bleeding can occur at any age. However, at certain times in a woman’s life it is common for periods to be somewhat irregular. Periods may not occur regularly when a girl first starts having them (around age 9-14 years). During perimenopause (beginning in the mid-40s), the number of days between periods may change. It also is normal to skip periods or for bleeding to get lighter or heavier during perimenopause. What causes abnormal bleeding？• Irregular ovulation• Fibroids and polyps• Adenomyosis• Bleeding disorders• Miscarriage and ectopic pregnancy• Cancer• Intrauterine device (IUD)or birth control pills• Endometriosis and pelvic inflammatory disease How is abnormal bleeding evaluated?Your ob-gyn will ask about your health history and your menstrual cycle. It may be helpful to keep track of your menstrual cycle before your visit. Note the dates, length and type (light, medium, heavy or spotting) of bleeding on a calendar. You will have a physical exam. You also may have blood tests. These tests check your blood count and hormone levels and rule out some diseases of the blood. You also may have a pregnancy test and tests for sexually transmitted infections (STIs). What other tests may be needed to evaluate abnormal bleeding？• Ultrasound exam• Hysteroscopy• Endometrial biopsy• Sonohysterography• Magnetic resonance imaging (MRI)• Computed tomography (CT) What medications are used to help control abnormal bleeding？• Hormonal birth control methods - birth control pills, the skin patch, and the vaginal ring contain hormones. These hormones can lighten menstrual flow. They also help make periods more regular• Tranexamic acid and nonsteroidal anti-inflammatory drugs• If you have an infection, you may be given an antibiotic What types of surgery are used to help control abnormal bleeding？• Endometrial ablation destroys the lining of the uterus. Pregnancy is not likely after ablation, but it can happen. If it does, the risk of serious complications, including life-threatening bleeding, is greatly increased. If you have this procedure, you will need to use birth control until you reach menopause• Uterine artery embolization is a procedure used to treat fibroids. This procedure blocks the blood vessels to the uterus, which in turn stops the blood flow that fibroids need to grow• Another treatment, myomectomy, removes the fibroids but not the uterus• Hysterectomy, the surgical removal of the uterus, is used to treat some conditions or when other treatments have failedLEARN MOREInstructions for Superficial Skin Lesion Excision
Dear Sir/Madam:Greetings!Thank you for choosing the Jiahui Health Surgery Center for your superficial skin lesion excision with or without biopsy. We sincerely wish to provide you with a top quality healthcare experience. To fully prepare for your surgical procedure, please read through the following instructions: Before surgery 1. Please let your doctor know if you are taking aspirin, clopidogrel (Plavix), warfarin, or any other blood-thinning medications. If necessary, your doctor might request that you stop taking these medications for about a week before the surgical procedure. Please follow your surgeon’s advice as directed unless instructed by your cardiologist or any other specialist doctors to continue taking these medications.DO REMEMBER TO LET YOUR SURGEON KNOW IF YOU ARE CONTINUING WITH THESE MEDICATIONS.2. Your doctor may request that you undergo an ultrasound or X-ray imaging examination before or during surgery, to view your skin lesion more clearly.3. During the imaging examination, the radiologist might indicate the location of your skin lesion with a marker. Please do not remove these markings.4. Please bring all your latest imaging reports with you on the day of your surgical procedure.5. Depending on the location of your skin lesion, your doctor might request you to cut the hair around the area short (using scissors). Please do not shave it. After surgery1. Wound care• Depending on your situation and the type of surgical procedure, your doctor may decide whether your wound dressing should be changed by a nurse or you can change the dressing at home by yourself. If you are caring for the wound at home by yourself, please closely follow instructions given by our medical staff, especially the following: ○ Frequency of changing the wound dressing ○ Type of cleansing solution to be used ○ Type of wound dressing to be used ○ Method of cleansing, dressing, and bandaging your wound • You might need a wound drain (rubber tube) inserted by your doctor to remove infected pus. Please follow your doctor's instructions closely to care for your wound drain at home• Keep your wound dressing bandage clean and dry. You may want to cover your dressing to prevent it from getting wet when bathing2. Diet• Start with a soft diet and gradually resume a healthy diet• Add protein to your diet to help with wound healing• Refrain from alcohol, smoking, and spicy food3. Activity• Avoid stretching and strenuous exercise to prevent bleeding, tearing, and swelling around your wound4. Medications• It is likely you may experience pain several hours after the surgical procedure once the anesthesia effects wear off. Please remember to take pain medications as instructed by your doctor5. Follow-up appointments• Please attend your appointment for your sutures to be removed. Prompt removal of sutures is important for wound healing• Your doctor may send the removed skin tissue for pathology testing. It may take up to several days before the final report becomes available. Depending on the results, you may require further treatment. An appointment will be scheduled where your doctor will explain these details to you6. When to contact your doctorPlease contact your doctor immediately if you have any of the following:• Worsening or severe pain• Continuous bleeding • Increased redness or swelling in the area• Fever higher than 38.0°C• The wound drain accidentally dislodges before the planned removal dateLEARN MOREInstructions for Incision and Abscess Drainage
Dear Sir/Madam:Greetings！Thank you for choosing the Jiahui Health Surgery Center for your incision and abscess drainage with or without debridement. We sincerely wish to provide you with a top quality healthcare experience. To fully prepare for your surgical procedure, please read through the following instructions: Before surgery 1. Please let your doctor know if you are taking aspirin, clopidogrel (Plavix), warfarin, or any other blood-thinning medications. If necessary, your doctor might request that you stop taking these medications for about a week before the surgical procedure. Please follow your surgeon's advice as directed unless instructed by your cardiologist or any other specialist doctors to continue taking these medications. DO REMEMBER TO LET YOUR SURGEON KNOW IF YOU ARE CONTINUING WITH THESE MEDICATIONS.2. Your doctor may request that you undergo an ultrasound or X-ray examination before surgery to check for the presence of foreign substances.3. Your doctor may give you medications for your pain (either pills or injections) before an extensive debridement to reduce pain and discomfort.After surgery1. Wound care• Depending on your situation and type of surgical procedure, your doctor may decide whether your wound dressing should be changed by a nurse or you can change the dressing at home by yourself. If you are caring for the wound at home by yourself, please closely follow instructions given by our medical staff, especially the following: ○ Frequency of changing the wound dressing ○ Type of wound cleansing solution required ○ Type of wound dressing required ○ Method of cleansing, packing, dressing, and bandaging your wound • You might need a wound drain (rubber tube) inserted by your doctor to remove infected pus. Please follow your doctor's instructions closely to care for your wound drain at home• Keep your wound dressing bandage clean and dry. You may want to cover your dressing to prevent it from getting wet when bathing2. Diet• Start with a soft diet and gradually resume with a healthy diet • Add protein to your diet to help with wound healing• Refrain from alcohol, smoking, and spicy food3. Activity• Avoid stretching and strenuous exercise to prevent bleeding, tearing, and swelling around your wound4. Medications• After surgery, your doctor will prescribe you some antibiotic pills to eliminate the infection. It is possible your doctor may switch your antibiotic pills depending on your culture results. The culture results usually require 2 to 4 days. Please finish all your medications as instructed by your doctor5. Follow-up appointments• Please attend follow-up appointments as instructed. Follow-up appointments are important for your doctor to review the recovery progress for your wound, and treat you accordingly6. When to contact your doctorPlease contact your doctor immediately if you have any of the following:• Worsening or severe pain• Continuous bleeding • Increased redness or swelling in the area• Fever higher than 38.0°C• The wound drain accidentally dislodges before the planned removal dateLEARN MOREInstructions for Anorectal Surgery
Dear Sir/Madam:Greeting!Thank you for choosing the Jiahui Ambulatory Surgery Center for your anorectal surgical procedure. We sincerely wish to provide you with a top quality healthcare experience. To fully prepare for your surgical procedure, please read through the following instructions: Before surgery1. Medications Please let your doctor know if you are taking aspirin, warfarin, clopidogrel (Plavix), any other blood-thinning medications, or any over-the-counter medications or supplements. If necessary, your doctor might request that you stop taking these medications for about a week before the surgical procedure. Please follow your surgeon's advice as directed unless instructed by your cardiologist or any other specialist doctors to continue taking these medications. DO REMEMBER TO LET YOUR SURGEON KNOW IF YOU ARE CONTINUING WITH THESE MEDICATIONS.2. An anesthesiologist will visit you before your surgical procedure if you require general anesthesia. Please provide necessary information for his/her professional evaluation. 3. Diet recommendations 4. Fasting requirementsPlease stop eating and drinking: 5. Bowel preparationi. Dilute 2 packets of prescribed powder in 2 liters of warm water and mix wellii. Finish the above prepared mixture within 2 hours:a) Within the 1st hour, finish 1 Liter of the prepared mixtureb) Within the 2nd hour, drink 250 ml of prepared mixture every 15 minutes After surgery1. Recovering in the surgery centera) If you have undergone the surgical procedure with spinal or epidural regional anesthesia, your anesthesiologist will instruct you to rest in a certain position for a specific number of hours. After that, you can gradually resume normal activitiesb) Usually, pain relief medications are not needed, however please let you doctor or nurse know if you are experiencing pain or swelling so we can ensure you feel more comfortable before leaving the surgery centerc) You can resume your low-residue diet once you do not feel nauseous or dizzyd) You will not have any real stool formation within 24 hours of the procedure. Therefore, avoid the urge to defecate during this time2. Home care instructionsa) Bowel movements• Please check that the Vaseline gauze is passed during your first bowel movement (usually 48 to 72 hours) after the surgical procedure. It is normal if you see some dark red coloration or red blood clots on the gauze• It is also normal to find slight bleeding and pain during bowel movements 3 to 5 days after the surgical procedure• Only take stool softeners or medications to relieve constipation prescribed by your doctorb) Wound care• Gently cleanse the anal area with water to keep the anal area clean after each bowel movement. You can use a washlet or bath/shower for this. You may also use non-alcohol baby wipes to keep the area cleanc) Diet• Please start with a soft low-residue diet after your surgical procedure. After 24 hours, you can gradually resume your healthy diet• Add more fluids, fruits, and fiber into your diet to keep your stools soft. Hard stools may cause your wound to bleedd) Exercise and activity• Avoid heavy lifting or strenuous exercise after the surgical procedure until you feel well• Your doctor will teach you a set of exercises to strengthen your anal muscles to help with wound healing. Please follow your doctor's instructionse) Follow-up care• Stitches do not usually require removal after the surgical procedure. Your doctor will arrange a follow-up with you if neededf) When to call your doctorPlease contact your doctor immediately if you have any of the following:• Continuous bleeding• Bloody stools increasing in amount and frequency• Worsening or severe pain• Fever higher than 38.0°C, with increased pain in the anal regio• Increased pain or redness, swelling, or foul-smelling drainage from wound• Unable to urinate more than 8 hoursLEARN MORE
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