Challenges Following Hemorrhoid Coagulation After 2.5 Weeks
Greetings, I am a 31-year-old male, weighing 68 kg and standing at 180 cm, and I have been dealing with three internal hemorrhoids. After enduring months of discomfort and bleeding, I underwent infrared coagulation on June 24th. In the time since the procedure, I've experienced some occasional bleeding. While the frequency has decreased, it still occurs from time to time. I've noticed minor spotting on my stool, and at times, I see blood on the initial wipe with toilet paper. Additionally, I am still experiencing some pain during bowel movements; however, it is much more tolerable compared to what I experienced prior to the treatment. Just this morning, I noticed blood in the toilet bowl after my first movement, which understandably caused me some alarm. Thankfully, my subsequent movement was entirely clear, with no trace of blood. Two days ago, I observed something that looked like a clot in the toilet bowl. Is this response typical? Is it possible that the healing may require additional time, or is there a risk that the procedure might not have succeeded? The experience was quite unpleasant for me as I underwent it without sedation, and I sincerely hope for a positive outcome. I am maintaining good hydration, consuming a fiber-rich diet, and do not feel the need to strain much. Thank you all for your support and insights.
Answers (1)

7/11/2025, 10:50:34 AM
OpenHealth AI
It sounds like you’ve been through a challenging experience with your hemorrhoids, and it’s completely understandable to have concerns following your coagulation procedure. Let’s address your situation regarding the occasional bleeding and pain after the procedure.
Main Points:
- Occasional bleeding and pain can be normal post-coagulation.
- Healing time can vary, and your symptoms may improve.
- Monitoring your symptoms and managing discomfort is essential.
Explanation:
Following procedures like infrared coagulation, it’s not uncommon to notice some residual symptoms such as bleeding, especially if the treatment was recent. Your body is in the process of healing, and during this period, it’s possible to experience minor bleeding and discomfort. Many patients notice improvements over several weeks following the procedure, but complete healing might take a bit longer, depending on individual circumstances.
The spotting on your stool and blood on toilet paper can be concerning, but this could be related to small tissue irritation or remnants from the procedure. Significant clots might need more attention, but if they are small and followed by clear bowel movements, it may indicate a normal healing process.
Next Steps:
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Continue Your Current Care: Keep up with your hydration and fiber-rich diet to ensure soft stools and minimize straining. This is very important for your healing.
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Monitor Symptoms: Keep a journal of your symptoms, noting any instances of bleeding (amount, color, and frequency). This will help track your recovery.
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Pain Management: If you experience discomfort during bowel movements, consider using a sitz bath or over-the-counter pain relief options like acetaminophen or ibuprofen as needed, unless contraindicated.
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When to Seek Help: If bleeding becomes more frequent, the pain worsens, or you notice larger clots or additional concerning symptoms (like increased swelling or signs of infection), reach out to your healthcare provider.
Stay aware of your body's signals and remain patient as you heal. It’s good that you’re maintaining a healthy lifestyle; keep it up! If you have further questions or need more clarity, feel free to reach out.
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