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Anna Toker, MD

Offering Both In-Office and Extensive

Rectal Reconstruction Surgeries

Furthermore, it lessens painful reactions and complications, shortens hospital stays, and speeds up recovery.

214-942-3740

What You Need to Know About Anorectal Surgery 

Here at Anna Toker, MD in Mansfield, Texas, my treatments range from in-office to extensive rectal reconstruction surgeries. Depending on your symptoms and anatomy, I can offer you the simplest, least painful, and the best approach to anorectal surgery.

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Surgery Instructions


Recent evidence has shown that patients who use narcotic pain medications are slower to heal and have more complications than those who do not. We do want your pain to be managable, however....


Your post-operative medications have been sent to your pharmacy. There will be 2 prescriptions waiting for you.

1) a muscle relaxant

2) a medication for nerve pain.

3) medication is an NSAID nasal spray. (It comes from an out of s tate pharmacy and you should call them at 1-844-977-7749 as so on as possible to confirm that they have the prescription and so that they can work with your insurance to cover the cost. This medication is an extremely effective non-narcotic anti-inflammatoy but is hard to find at a reasonable cost. This pharmacy can help. If you are allergic to NSAIDS please let the doctor know- you should not take this medicine.)


Avoiding constipation is critical after rectal surgery. Prior to surgery, you should be taking a fiber supplement (powder mixed in water such as citrucel), a stool softner, and a pro-biotic. You will want to continue these supplements after the surgery as well to improve your healing.

You may want to consider several holistic supplements as well- NOW brands has many of these items online...

1) n-Acetylcysteine (NAC) 600 mg daily. This is a good anti-inflammatory.

2) Inulin and Pectin supplements are prebiotic foods that can sup port the probiotic supplements suggested

3) L- Glutamine 500 mg is an amino acid your intestines like and c an promote more normal bowel function

4) Arnica montana helps minimize bruising, take as directed on th e bottle-this comes as small pills or as a topical and can be found online or Sprouts

5) Turmeric- a great anti-inflammatory- you can get at any grocery store, a medical grade version is made by Standard Process, and t here is a compound of turmeric and CBD which we have available in the office.

6) Boswellia can be found at many whole food groceries- Standar d process has a medical grade boswellia which is combined with ginger and turmeric and is available online or in our office.

7) We can compound a post-operative topical ointment for you th at contains a topical anesthetic, muscle relaxant, and cbd. If the medications listed above are not helpful, let us order this compounded medication for you from Key Pharmacy in Cedar Hill.

The night before your surgery you should do one fleet enema and then repeat the morning of surgery. You will need to be on an empty stomach for 8 hours.

After your surgery, you should spend time in a warm bath tub-unless otherwise directed. The incisions should then be dried off and covered with dry gauze. If dry gauze is too rough, you can cut cott on t-shirts into small squares and use that as a topical patch over the incisions.


Rectal surgery hurts, but to heal you must have normal bowel fun ction- avoid constipation and diarrhea. If you have had no BM in 2 4 hours after surgery, take milk of magnesium or Perdiem (an herbal laxative). These medications can be repeated 8 hours later if needed. If still no results, you can take magnesium citrate- 1 bottle. If still no luck, I suggest a dose of miralax every 15 minutes until it produces a bowel movement (this may be a large number of doses)


Any questions? Contact us at 214-942-3740 or send a message through the MyCarePlan app