Surgical treatment for moles and cysts?
Hello, doctor! I have both internal and external hemorrhoids and underwent a mixed surgical procedure.
It has been three weeks since the surgery.
While the wound has healed, I experience swelling and pain every time I have a bowel movement.
This has been ongoing daily.
Additionally, after the swelling occurs, I feel a strong urge to have a bowel movement and I also pass gas frequently.
Could you please provide me with some answers and suggestions? Thank you!
Cai Xiansheng, 30~39 year old female. Ask Date: 2018/05/13
Dr. Yu Mingchang reply Surgery
Hello: Eat more fruits and vegetables.
Please return for a follow-up visit at the Changhua Hospital, Ministry of Health and Welfare, to ensure your well-being.
Reply Date: 2018/05/13
More Info
After undergoing a mixed surgical procedure for mole removal, it is not uncommon to experience pain and swelling in the area, particularly if the surgery involved deeper layers of skin or surrounding tissues. Given that you are three weeks post-surgery and still experiencing these symptoms, it is important to consider several factors that may be contributing to your discomfort.
Firstly, the swelling and pain you are experiencing after bowel movements could be related to increased intra-abdominal pressure during the act of straining. This pressure can affect the surgical site, especially if it is located in a region that is mechanically stressed during such activities. The sensation of needing to defecate more frequently and the accompanying flatulence may indicate that your body is reacting to the discomfort or irritation in the area surrounding the surgical site.
Here are some recommendations to help manage your symptoms:
1. Avoid Straining: If possible, try to avoid straining during bowel movements. Consider dietary adjustments to include more fiber, which can help soften stools and make bowel movements easier. Staying well-hydrated is also crucial.
2. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. However, always consult with your healthcare provider before taking any medication, especially if you have other health conditions or are taking other medications.
3. Cold Compress: Applying a cold compress to the area can help reduce swelling and numb the pain. Make sure to wrap ice in a cloth to avoid direct contact with the skin, which can cause frostbite.
4. Gentle Movement: Engaging in light activity can promote circulation and help reduce swelling. However, avoid any strenuous activities or exercises that may exacerbate your symptoms.
5. Follow-Up with Your Surgeon: Since you are still experiencing significant discomfort three weeks post-surgery, it is advisable to follow up with your surgeon. They can assess the surgical site for any signs of infection, excessive scarring, or other complications that may require intervention.
6. Monitor for Other Symptoms: Keep an eye out for any additional symptoms such as fever, increased redness, or discharge from the surgical site, as these could indicate an infection that needs medical attention.
7. Consider a Gastroenterologist: If your bowel symptoms persist or worsen, it may be beneficial to consult a gastroenterologist. They can evaluate your digestive health and provide strategies to manage any gastrointestinal issues that may be contributing to your discomfort.
In summary, while some pain and swelling can be expected after mole removal surgery, persistent symptoms warrant further evaluation. It is crucial to communicate openly with your healthcare provider about your symptoms and any changes you notice. They can provide tailored advice and treatment options to help you recover comfortably.
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