Dealing with Skin Tags After Hemorrhoid Banding: What to Do? - Surgery

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Dealing with skin tags or excess skin after hemorrhoid banding can be a frustrating experience, especially when it causes discomfort or an unusual sensation. It’s understandable that you’re feeling concerned about this new development, particularly since it was not present before your procedure.
First, it’s important to understand what you’re experiencing. After hemorrhoid banding, which is a common procedure for treating internal hemorrhoids, some patients may notice changes in the surrounding skin. The excess skin you described is often referred to as a skin tag or a remnant of tissue that can occur after the hemorrhoid has been removed or shrunk. This is not uncommon, and while it may not be painful, the sensation of having an "extra" piece of skin can be bothersome.

In your case, since the skin tag has been present for about a week and has not shown signs of improvement, it’s worth discussing your options further with your healthcare provider. Here are some considerations:
1. Observation: If the discomfort is mild and the skin tag is not causing significant issues, your doctor may recommend a wait-and-see approach. Sometimes, these tags can shrink over time, but this varies from person to person.

2. Non-Surgical Options: There are non-invasive treatments available for skin tags, including cryotherapy (freezing the tag), cauterization (burning it off), or topical treatments. These methods can be effective and may be less daunting than surgical removal.

3. Surgical Removal: If the skin tag continues to cause discomfort or if it does not improve, surgical removal may be the best option. This procedure is typically straightforward and can often be done in an outpatient setting. Your doctor will assess the area and determine the best approach based on the size and location of the skin tag.

4. Psychological Impact: It’s also important to address the psychological aspect of having this skin tag. The feeling of discomfort and the mental burden it brings can be significant. If the tag is affecting your quality of life, it’s reasonable to pursue removal.

5. Consultation with a Specialist: If you feel uncertain about your current physician's recommendations, seeking a second opinion from a colorectal surgeon or a dermatologist who specializes in skin conditions may provide you with more options or reassurance.

In summary, while the presence of a skin tag after hemorrhoid banding can be uncomfortable, there are several avenues you can explore. Whether you choose to wait, try non-surgical methods, or proceed with surgical removal, it’s essential to communicate openly with your healthcare provider about your symptoms and concerns. They can help guide you to the best solution based on your specific situation. Remember, your comfort and peace of mind are paramount, and addressing this issue is a valid and important step in your recovery process.