Depending on the extent of the treatment, most, but not all people will have some mild to moderate discomfort which can last a few days and up to 7 to 10 days following the treatment. Most of the discomfort is associated with bowel movements.
Take 600 mg ibuprofen (Advil) every 6 hours OR naproxen (Aleve) 2 pills every 8 hours for the first 1-3 days or longer if needed for pain.
Add Regular Strength Tylenol 2 pills every 6 hours as needed and take with the ibuprofen or naproxen if pain persists. If pain medication was prescribed, you can take this with the ibuprofen/naproxen and tylenol but only if needed since this can cause constipation.
Start Colace 100 mg capsule orally once a day for 2 weeks if stools are firm. You may take Colace 1 capsule twice a day if the stools are not soft enough or 1 capsule every other day if stools are runny. The goal is to keep the stool soft. Pain medications can be constipating. Consume a diet rich in fruits and vegetables and increase your fluid intake. It is best to avoid hot and spicy foods.
Soak in a hot bath for 5-10 minutes every 2-4 hours as needed starting today. It is most soothing after bowel movements and can relieve spasm and swelling. The bath feels good and helps you heal faster as the heat brings more blood flow to the area.
Plan to take it easy for a few days so no vigorous workouts or heavy weight lifting.
Following treatment there is frequently small amounts of bleeding with bowel movements. You will notice a little more bleeding around 1 week after treatment as the scabs come off.
Do not insert anything into the rectum or the anal canal for at least 3 WEEKS after your treatment. Resuming sex too soon may cause tearing or additional bleeding.
Post-treatment discomfort and bleeding varies from patient to patient and may last for several weeks. Please communicate with me if pain relief is not achieved through medication or other comfort measures mentioned above, or if you are experiencing heavy bleeding.
It may take several treatments to clear the precancerous lesions. HPV can come back causing further problems. You may not need more treatment now, but there is also a chance that a problem could develop in the future. Please keep all follow-up appointments to insure that you have healed and that nothing else has developed.