Post-Surgery Skin Tags After Hemorrhoid Surgery: What to Know - Surgery

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Postoperative skin tags after hemorrhoid surgery?


Hello, doctor.
I had ultrasound-guided hemorrhoid surgery a month ago to address both internal and external hemorrhoids (grade IV internal hemorrhoids).
I have been applying medication consistently in the morning and evening.
Although I feel that I have mostly recovered, there is a small lump at the anal opening that has been persistently swollen.
The surgeon vaguely mentioned that it is leftover skin from the surgery, but it is not exactly a hemorrhoid, which has left me a bit confused.
The lump is about the size of a soybean and feels slightly swollen and tender when pressed.
I do not experience pain while sitting, but I have noticed that even without straining during bowel movements, there is some bleeding, which seems to be coming from the area of the lump, although it doesn't hurt much.
Could this lump possibly be an external hemorrhoid that the surgeon did not remove completely, or is it more likely to be a polyp that is inflamed, causing the swelling? Thank you for your response!

Fanrao de Huanzhe, 20~29 year old female. Ask Date: 2016/09/06

Dr. Ke Fangxu reply Surgery


After hemorrhoid surgery, the occurrence of granulomas is often due to uneven suturing of the wound.
If there is no discomfort, it can be ignored and treated with topical ointments.
However, if there is persistent bleeding or pain, further evaluation by a physician is recommended.

Reply Date: 2016/09/06

More Info


After undergoing hemorrhoid surgery, it is not uncommon to experience some changes in the anal area, including the appearance of skin tags or small lumps. These can be a source of confusion and concern for many patients, especially when they are unsure whether these changes are normal or indicative of a complication.

In your case, the "meatball" or lump you describe near the anal area could be a few different things. It might be a residual skin tag that developed as a result of the surgery, or it could be a small hemorrhoid that has not fully resolved. Sometimes, after surgical intervention, the tissue can heal in a way that leaves behind excess skin, which can appear as a small lump. This is often referred to as a skin tag and is generally harmless, although it can be bothersome.

The fact that you are experiencing some swelling and mild tenderness in the area is not unusual. Post-surgical inflammation can occur as the body heals, and this can lead to temporary swelling. However, if you are noticing bleeding during bowel movements, even if it is minimal, it is important to pay attention to this symptom. Bleeding can indicate irritation or inflammation in the area, and it may be a sign that the tissue is not healing as expected.

It is also worth noting that if the lump is indeed a residual hemorrhoid, it may require further evaluation. Hemorrhoids can sometimes recur after surgery, especially if the underlying causes, such as straining during bowel movements, are not addressed. It is crucial to maintain a diet rich in fiber, stay hydrated, and avoid straining during bowel movements to promote healing and prevent recurrence.

Regarding your concerns about whether the lump is a polyp or simply inflamed tissue, it is essential to consult with your surgeon or a gastroenterologist. They can perform a physical examination and possibly recommend further diagnostic procedures, such as an anoscopy, to visualize the area more clearly. This will help determine the exact nature of the lump and whether any treatment is necessary.

In summary, while it is common to experience some changes in the anal area after hemorrhoid surgery, it is essential to monitor your symptoms closely. If the lump persists, increases in size, or if you experience significant pain or bleeding, you should seek medical advice promptly. Your healthcare provider can provide a thorough evaluation and guide you on the best course of action to ensure proper healing and address any concerns you may have.

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