How long does pain last after hemorrhoid surgery?
Nov 14, 2025
Source: Cainiu Health
Dr. Li Jingxiang
Introduction
The timing of pain after hemorrhoid surgery varies from person to person. Pain typically begins to appear within a few hours after surgery as the anesthetic effect wears off, and is most noticeable during the first 24 to 48 hours. After that, it gradually subsides, with most people experiencing significant relief within about one week. If pain persists beyond one week without signs of improvement, or if abnormalities such as wound bleeding or redness and swelling occur, you should promptly consult your attending physician.
Pain after hemorrhoid surgery varies from person to person. It typically begins to appear within a few hours after surgery as the anesthetic effect wears off, becomes more noticeable within 24 to 48 hours, and then gradually subsides. Most people experience significant pain relief within about one week. Detailed analysis is as follows:
The timing of pain onset is related to the surgical method and individual sensitivity. For minor procedures performed under local anesthesia, pain may emerge as early as 1–2 hours after surgery due to rapid dissipation of anesthesia. In contrast, patients who received general or spinal anesthesia usually begin to feel pain gradually 4 to 6 hours post-surgery. Individuals with high pain sensitivity may experience stronger discomfort, while those with higher tolerance report milder symptoms. Pain may temporarily intensify during bowel movements or dressing changes due to irritation of the surgical wound.
Postoperative care can effectively alleviate pain. Within the first 24 hours after surgery, cold compresses applied to the surgical area can help constrict blood vessels and reduce swelling and pain. Afterward, warm saline sitz baths are recommended to clean the wound and promote blood circulation. Avoid prolonged squatting during bowel movements, and choose soft, easily digestible foods to prevent constipation and minimize friction on the wound.
If pain persists beyond one week without signs of improvement, or if abnormal symptoms such as wound bleeding or redness and swelling occur, prompt consultation with the attending physician is necessary. Maintaining a positive mindset and adhering to proper postoperative care will accelerate wound healing and ensure a smoother recovery process.
