Pain from External Mole Surgery: Causes and Recovery Time - Surgery

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Pain in the external mole wound while lying down to sleep?


The external mole wound suddenly started to hurt two months after surgery, and the pain occurs mainly when lying down to sleep.
The doctor mentioned that it could be due to the scar tissue pressing on a nerve, and recommended taking sitz baths six times a day to soften the scar.
Despite taking sitz baths five to six times daily, the pain persists.
Could you please explain the underlying cause, Dr.
Hsu, and how long it might take to heal?

Yī yuè, 50~59 year old female. Ask Date: 2018/05/26

Dr. Xu Kaixi reply Surgery


Two months after hemorrhoid surgery, the wound should have healed.
If there is localized pain, it is important to consider the possibility of inflammation or infection.
It is recommended to visit a surgical outpatient clinic for examination.

Reply Date: 2018/05/26

More Info


After undergoing surgery for an external mole, experiencing pain two months post-operation can be concerning and may arise from several factors. The pain you are describing, particularly when lying down, suggests that there may be pressure on the scar tissue or surrounding nerves. This is not uncommon, especially if the scar is still healing or if there is some degree of nerve irritation or entrapment.


Causes of Pain After Mole Surgery
1. Scar Tissue Formation: After any surgical procedure, scar tissue forms as part of the healing process. This tissue can sometimes be denser or more fibrous than the surrounding skin, leading to discomfort or pain, especially if it is pressing on nearby nerves.

2. Nerve Irritation: If the surgery involved cutting through or near nerves, it is possible that the healing scar is irritating these nerves. This can result in pain that may be sharp, burning, or tingling, particularly when pressure is applied, such as when lying down.

3. Infection or Inflammation: Although less likely two months post-surgery, any signs of infection (redness, warmth, swelling, or discharge) should be evaluated by a healthcare professional. Inflammation can also contribute to pain and discomfort.

4. Pressure from Positioning: The position in which you sleep can exacerbate pain if it places pressure on the healing area. Finding a comfortable sleeping position that minimizes pressure on the scar may help alleviate some discomfort.


Recovery Time
The recovery time can vary significantly from person to person, depending on several factors including the extent of the surgery, individual healing capacity, and whether there are any complications. Generally, scar tissue can take several months to mature and soften. It is not uncommon for pain to persist for weeks or even months after surgery, especially if the scar is still forming.


Recommendations for Management
1. Continue with Sitz Baths: You mentioned that you are taking sitz baths to soften the scar. This is a good practice as it can help keep the area clean and promote healing. However, if you are not noticing any improvement, it may be worth discussing alternative methods with your physician.

2. Gentle Massage: Once the scar has sufficiently healed, gentle massage of the scar tissue can help break down the dense fibers and improve flexibility. This should be done carefully and preferably under the guidance of a healthcare professional.

3. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain. If the pain is severe, your doctor may prescribe stronger medications.

4. Physical Therapy: If pain persists, consider consulting a physical therapist. They can provide targeted exercises and treatments to help alleviate pain and improve mobility.

5. Follow-Up with Your Doctor: If the pain continues or worsens, it is crucial to follow up with your healthcare provider. They may want to assess the scar and surrounding tissue for any underlying issues that may need to be addressed.


Conclusion
In summary, pain two months after mole surgery can be attributed to scar tissue formation, nerve irritation, or pressure from sleeping positions. Recovery times can vary, and while some discomfort may persist, it is essential to monitor the situation and seek further medical advice if necessary. With appropriate care and management, many patients find that their pain diminishes over time as the scar matures and heals.

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