Post-Surgery Care for Hemorrhoid Patients: Healing and Concerns

Postoperative anal sphincter after hemorrhoid surgery?

Hello, it has been a month and a half since my hemorrhoidectomy, and I am still using gauze as there is a small amount of fluid.
Does this indicate that the wound inside the anus has not healed yet? Urination is also affected by the swelling and pain in the anal area.
Can I use a hemorrhoid cream to help with the healing of the wound? Does the presence of pain indicate that the wound is still not healed? Recently, I have noticed a protrusion on the right side of the anus that feels like a blood vessel or nerve, while there is no protrusion on the left side.
Could this be caused by tension after bowel movements? If it persists, could it lead to the development of external hemorrhoids or fistulas in the future? Is it common to experience bloating and gas after surgery? How long should I apply scar cream for it to prevent pain from the scar? I have many questions, but I hope things will improve, especially when the wound is fully healed.
Thank you.

Bao'er, 30~39 year old female. Ask Date: 2017/11/16

Dr. Ke Fangxu reply Surgery

1.
If there is still discharge or pain from the anus, it indicates that the wound has not fully healed.

2.
Topical ointments can alleviate discomfort from the wound, but there is no conclusive evidence that they aid in wound healing.

3.
The so-called protrusion may need to be examined personally for accurate assessment; however, it is mostly residual skin from surgery and will not develop into a fistula.

4.
Bloating and gas are generally related to dietary content and are not associated with the surgery.

5.
Anorectal surgery does not typically require cosmetic considerations, so scar creams are generally not used; if needed, it is usually recommended to use them for at least six months.

Reply Date: 2017/11/16

More Info

Post-surgery care for hemorrhoid patients is crucial for ensuring proper healing and minimizing complications. After a hemorrhoidectomy, it is common for patients to experience discomfort, swelling, and even some discharge from the surgical site. Here are some insights and recommendations based on your concerns:
1. Healing Process: It is not unusual for the surgical site to still show some signs of healing, such as slight discharge or fluid, even a month and a half post-surgery. The presence of liquid can indicate that the wound is still in the healing phase. It is essential to keep the area clean and dry to prevent infection. If the discharge becomes foul-smelling or increases significantly, it is crucial to consult your healthcare provider.

2. Pain and Discomfort: Pain is a common symptom after hemorrhoid surgery, and it can indeed indicate that the wound is still healing. However, if the pain is severe or worsening, it may signal complications such as infection or the development of a thrombosed hemorrhoid. Over-the-counter pain relief medications, as recommended by your doctor, can help manage discomfort.

3. Use of Medications: You mentioned using "喜癒痔" (a topical treatment for hemorrhoids). While some topical treatments can help soothe the area and promote healing, it is essential to consult your healthcare provider before using any new medication. They can provide guidance on whether it is appropriate for your specific situation.

4. Physical Symptoms: The sensation of a lump or protrusion on one side of the anus could be due to several factors, including swelling from the surgery or the formation of scar tissue. If this lump persists or is accompanied by pain, it is advisable to seek medical evaluation. It is possible that this could lead to complications such as external hemorrhoids or anal fissures if not monitored.

5. Bowel Movements: Pain during urination or bowel movements can be exacerbated by swelling in the anal area. To ease this discomfort, consider a high-fiber diet, adequate hydration, and possibly stool softeners to prevent straining during bowel movements. Straining can lead to further irritation and complications.

6. Gas and Bloating: Post-surgery, many patients experience increased gas and bloating. This can be due to changes in diet, medication, or the surgical procedure itself. Gentle physical activity, such as walking, can help alleviate these symptoms. Additionally, avoiding foods that are known to cause gas may be beneficial.

7. Scar Management: For scar management, topical treatments can be effective, but it is essential to follow your doctor's recommendations regarding when to start applying these treatments and how long to use them. Generally, once the wound has fully healed, you can begin using scar creams or gels to minimize scarring.

8. Follow-Up Care: Regular follow-up appointments with your healthcare provider are essential to monitor your healing progress and address any concerns. They can provide personalized advice based on your recovery and any symptoms you may be experiencing.

In summary, while some discomfort and signs of healing are normal after hemorrhoid surgery, it is crucial to stay vigilant for any signs of complications. Maintaining open communication with your healthcare provider will ensure that you receive the appropriate care and guidance throughout your recovery process.

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