Granulation Tissue After Hemorrhoid Healing: Is It Normal?

After the healing of a fissure from hemorrhoids, small lumps may develop?

Hello Doctor, I am the person who asked question #135028.
Following your advice, I applied the hemorrhoid ointment, and the previously broken skin has turned white, resembling a canker sore.
Now, the canker sore-like wounds have healed, and there is no pain or bleeding.
However, the healed areas seem to have developed small granulation tissue.
The number of granulation tissues appears to match the number of initial broken skin areas, and there has been no increase in size or quantity over the past few days, nor is there any pain or itching.
Is this normal, Doctor? Thank you.

Q, 20~29 year old female. Ask Date: 2018/04/23

Dr. Ke Fangxu reply Surgery

Granulation tissue is a remnant after wound healing.
If the wound has already healed without bleeding or itching, there is no need for concern.

Reply Date: 2018/04/23

More Info

After undergoing hemorrhoid surgery, it is not uncommon for patients to experience various symptoms during the healing process, including the formation of granulation tissue. Granulation tissue is a normal part of the healing process and is characterized by new connective tissue and tiny blood vessels that form on the surface of a wound. This tissue typically appears as small, red, or pink bumps, which can sometimes resemble small granules or "meatballs."
In your case, the appearance of granulation tissue at the site of healing is generally considered a normal response to the surgical intervention. It indicates that your body is actively repairing the damaged tissue. The fact that the area is not painful, itchy, or showing signs of infection (such as increased redness, swelling, or discharge) is a positive sign. Granulation tissue can vary in appearance and may take some time to mature and eventually be replaced by more stable scar tissue.

However, it is essential to monitor the granulation tissue for any changes. If you notice an increase in size, pain, or any other concerning symptoms, it would be prudent to consult your healthcare provider. They can assess the area to ensure that the healing process is proceeding as expected and that there are no complications, such as infection or excessive granulation tissue, which can sometimes occur.

Regarding your concern about the granulation tissue being similar in number to the original wounds, this is also not unusual. The body often produces granulation tissue in response to multiple areas of injury, and it is a sign that the healing process is underway. Over time, as the healing progresses, this tissue should gradually diminish and become less prominent.

In terms of care, continue to follow your doctor's recommendations for wound care, including the use of any prescribed ointments or medications. Avoiding irritants and maintaining good hygiene will also support the healing process. If you have been advised to use a specific ointment for hemorrhoids, ensure that it is applied as directed, as this can help soothe the area and promote healing.

In conclusion, the presence of granulation tissue after hemorrhoid surgery is typically a normal part of the healing process. As long as you are not experiencing any adverse symptoms, it is likely that your recovery is on track. However, always feel free to reach out to your healthcare provider with any questions or concerns you may have during your recovery. They are best equipped to provide personalized advice based on your specific situation.

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