Post-Surgery Concerns: New Growths After Hemorrhoid Removal - Surgery

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Postoperative issues related to hemorrhoid surgery?


Hello Doctor, I recently underwent traditional excisional surgery to remove a mixed nevus, but there were two small pieces of hemorrhoidal skin tags left, resembling small flesh balls.
In the past few weeks, I have been experiencing pain and bleeding while having a bowel movement, which has led to the development of two new small flesh balls next to the original skin tags, which seem to be external hemorrhoids.
I would like to ask the doctor if these newly developed small flesh balls are new external hemorrhoids.
Additionally, I would like to know if it is possible to have surgery to remove new external hemorrhoids within a year after the initial surgery.
I am concerned that the new growths might indicate the recurrence of a mixed nevus, especially since there are now two additional small flesh balls next to the original skin tags.
Thank you for your patience in reading this.

Niming, 20~29 year old female. Ask Date: 2017/02/19

Dr. Wu Yuting reply Surgery


Hello: Your issue may require a physician's examination to make a decision.
Surgeon Dr.
Wu Yu-Ting.

Reply Date: 2017/02/19

More Info


After undergoing surgery for hemorrhoid removal, it is not uncommon for patients to experience new growths or changes in the anal region. In your case, the two small growths that have developed next to the original hemorrhoidal skin tags could indeed be new external hemorrhoids or possibly other types of tissue growths.
Hemorrhoids are swollen veins in the lower rectum and anus, and they can be classified as either internal or external. Internal hemorrhoids are located inside the rectum, while external hemorrhoids are under the skin around the anus. When you exert pressure during bowel movements, especially if you are experiencing constipation or straining, it can lead to the formation of new hemorrhoids or exacerbate existing ones. The pain and bleeding you are experiencing are also common symptoms associated with hemorrhoids.

Regarding your concern about the new growths, it is essential to have them evaluated by a healthcare professional. A thorough examination can help determine whether these growths are indeed new hemorrhoids or if they are something else, such as skin tags or other benign lesions. In some cases, what appears to be a new hemorrhoid may be a result of residual tissue from the previous surgery or an entirely different condition.

As for your question about the possibility of undergoing surgery again within a year of your initial procedure, it is generally feasible to have another surgical intervention if necessary. However, the decision to proceed with surgery will depend on several factors, including the severity of your symptoms, the size and nature of the new growths, and your overall health. Your surgeon will likely consider these factors and may recommend conservative management options, such as dietary changes, increased fiber intake, and stool softeners, before opting for another surgical procedure.

It is crucial to address any concerns about your bowel habits and to avoid straining during bowel movements, as this can contribute to the development of hemorrhoids. Maintaining a high-fiber diet, staying hydrated, and engaging in regular physical activity can help prevent constipation and reduce the risk of hemorrhoid formation.

In summary, the new growths you are experiencing could be new external hemorrhoids or other types of tissue. It is advisable to consult with your healthcare provider for a proper evaluation and to discuss potential treatment options. If surgery is deemed necessary, your doctor will guide you through the process and help you understand the risks and benefits involved. Remember, early intervention can often lead to better outcomes, so do not hesitate to seek medical advice.

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