Post-Surgery Concerns: Pain After Hemorrhoid Surgery - Surgery

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Post-operative issues after hemorrhoid surgery?


Hello Dr.
Ke, I underwent hemorrhoid surgery at the end of July, and it has been over two months since the procedure.
Occasionally, I experience a sharp pain near the anus, and there is a soreness starting about 1 cm above the anal area.
The soreness occurs daily and can last all day, requiring me to take painkillers regularly.
Sometimes, I also experience cramping pain.
My diet has been normal and light.
Is this symptom normal, Dr.
Ke?

kiki, 40~49 year old female. Ask Date: 2017/10/21

Dr. Ke Fangxu reply Surgery


Based on your description, it may be difficult to determine the issue.
It might be necessary to conduct a rectal examination or an endoscopy to confirm the diagnosis.
Generally, this is not related to surgery; otherwise, symptoms would have occurred postoperatively.
Sometimes, it could simply be neuropathic pain.
I recommend that you consult your physician for further evaluation.

Reply Date: 2017/10/21

More Info


After undergoing hemorrhoid surgery, it's not uncommon for patients to experience discomfort or pain in the anal region during the recovery period. Your description of occasional sharp pain and persistent soreness around the anus, particularly one centimeter above, is something that can occur postoperatively. However, the duration and intensity of your symptoms, especially since it has been over two months since your surgery, warrant further evaluation.


Understanding Post-Surgery Pain
1. Normal Recovery Process: After hemorrhoid surgery, patients can expect some level of discomfort as the surgical site heals. This can include soreness, itching, and occasional sharp pains. The healing process can vary significantly from person to person, depending on factors such as the extent of the surgery, individual pain tolerance, and overall health.

2. Possible Causes of Pain:
- Inflammation: The surgical site may still be inflamed, leading to persistent pain. Inflammation can take time to subside, and some patients may experience prolonged discomfort.

- Nerve Sensitivity: Surgery can sometimes irritate or damage nearby nerves, leading to abnormal sensations such as sharp or shooting pains.

- Scar Tissue Formation: As the body heals, scar tissue can form, which may lead to discomfort or pain in the area.

- Infection: Although less common, an infection at the surgical site can cause increased pain and discomfort. Signs of infection may include redness, swelling, or discharge.

3. Management of Pain:
- Medications: It’s important to manage your pain effectively. If over-the-counter pain relievers are not providing sufficient relief, you should consult your physician for possible prescription medications or alternative pain management strategies.

- Diet and Hydration: Maintaining a high-fiber diet and staying hydrated can help prevent constipation, which can exacerbate pain in the anal region. Soft stools are crucial for a comfortable recovery.

- Warm Baths: Soaking in warm water (sitz baths) can help soothe the area and reduce discomfort. This practice can promote blood flow and healing while providing symptomatic relief.

- Avoiding Strain: It’s essential to avoid straining during bowel movements, as this can increase pain and delay healing. If you experience constipation, consider using stool softeners or other gentle laxatives as recommended by your healthcare provider.

4. When to Seek Further Evaluation:
- If your pain persists or worsens, it is crucial to follow up with your surgeon or healthcare provider. They may want to perform a physical examination to rule out complications such as infection or excessive scar tissue.

- If you notice any signs of infection (increased redness, swelling, fever, or discharge), seek medical attention promptly.


Conclusion
In summary, while some discomfort after hemorrhoid surgery is normal, the persistence and severity of your symptoms should be addressed with your healthcare provider. They can provide a thorough evaluation and determine if your symptoms are part of the normal healing process or if further intervention is needed. Remember, effective communication with your healthcare team is key to managing your recovery and ensuring the best possible outcome.

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