To assess the effectiveness of intravenous metronidazole as an analgesic in post hemorrhoidectomy patients

Abstract

Haemorrhoids are one of the most common anorectal diseases for referral to a surgeon. Haemorrhoidectomy one of the most common anorectal procedures performed. Complaints pertaining to haemorrhoids are one of the most common afflictions of western civilizations. Although the condition is rarely life threatening the complications of therapy can be.: Prospective comparative interventional study to assess the effectiveness of intravenous metronidazole as an analgesic in post hemorrhoidectomy patients was conducted from 1st March 2022 to 31 August 2023 in the department of General Surgery birsa munda government Medical College & Hospital, Shahdol (M.P.).: This study included adult patients (over 18 years old) who presented to the surgical outpatient department with rectal bleeding and were diagnosed with grade 3 or 4 hemorrhoids.Patients below 18 years of age, pregnancy, Lactation, other anorectal disease, previous anorectal disease, hypersensibility to metronidazole, Coagulation disorder, Anaesthetically unfit patients excluded. The mean VAS score between Group A (Metronidazole group) and Group B(placebo group) was 1.76 and 0.49 immediately after the procedure, 3.52 and 0.59 after 6 hours of surgery, 3.16 and 0.77 after 12 hours of surgery, 3.24 and 0.63 after 1 day of surgery and 2.72 and 0.62 after 3 days of procedure, which were all statistically significant when compared. : Intravenous Metronidazole has a favourable effect in pain control in the post hemorrhoidectomy patients in addition to antimicrobial effect. Patient satisfication rates and return back to normal activity seems to be better with Intravenous metronidazole. With the above mentioned observations, we inferred that metronidazole showed a better pain control when compare to the placebo group.