Post-Hemorrhoid Surgery Pain: New Symptoms After Two Months - Surgery

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After undergoing hemorrhoid surgery, it is not uncommon to experience a range of symptoms during the recovery period. Your description of feeling a hard area at the surgical site, along with pain during certain movements or activities, raises a few important considerations.

Firstly, the presence of a hard area at the site of the incision could indicate scar tissue formation or fibrosis. After surgery, the body naturally heals by forming scar tissue, which can sometimes become denser than surrounding tissue. This can lead to localized discomfort, especially when the area is contracted or stressed, such as during bowel movements or when sitting. The pain you are experiencing when contracting the anal sphincter may be due to this scar tissue being pulled or stretched, leading to discomfort.

Additionally, the development of a small granulation tissue (the "small meatball" you mentioned) is also a common occurrence post-surgery. Granulation tissue is part of the healing process and can sometimes be sensitive or painful, particularly if it is located near the surgical site. It is essential to monitor this tissue; if it becomes larger, more painful, or shows signs of infection (such as increased redness, swelling, or discharge), you should consult your physician.

Another possibility is that you may be experiencing a condition known as anal fissure, which can occur after hemorrhoid surgery. An anal fissure is a small tear in the lining of the anus, often caused by trauma during bowel movements, and can lead to significant pain, especially during and after defecation. If you notice sharp pain during bowel movements or if the pain persists, it would be prudent to discuss this with your healthcare provider.

In terms of your discomfort while sitting or riding a bike, this could be due to pressure on the surgical site or surrounding areas. It is essential to ensure that you are using proper seating and support to minimize pressure on the area. Using a cushion or a specialized seat can help alleviate some discomfort during these activities.

Given that you are experiencing new symptoms two months post-surgery, it is advisable to schedule a follow-up appointment with your surgeon or healthcare provider. They can perform a physical examination to assess the surgical site, evaluate the hardness you are feeling, and determine if any further treatment is necessary. They may recommend conservative measures such as sitz baths, topical treatments, or pain management strategies to help alleviate your symptoms.

In summary, while some discomfort and changes in sensation can be expected after hemorrhoid surgery, new or worsening symptoms should always be evaluated by a healthcare professional. Early intervention can help prevent complications and ensure a smoother recovery process. Please do not hesitate to reach out to your doctor for further evaluation and guidance.