Post-Surgery Symptoms: When to Seek Further Medical Advice - Surgery

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It sounds like you are experiencing a range of concerning symptoms following your hemorrhoid surgery three years ago. While it is good to hear that your initial recovery was normal, the recent developments you describe warrant further attention. Let's break down your symptoms and discuss when it might be necessary to seek further medical advice.

First, the swelling and pain around the anal area that you have noticed could be indicative of several conditions. The fact that your doctor diagnosed it as inflammation and prescribed medication suggests that they believe it to be a manageable issue. However, if the swelling persists despite treatment, it may be worth seeking a second opinion. Persistent swelling could be a sign of a more serious issue, such as a thrombosed hemorrhoid or even a recurrence of hemorrhoids, which can occur even after surgery.

The sensation of incomplete bowel evacuation is another symptom that can be quite distressing. This feeling can be caused by several factors, including dietary changes, stress, or even the presence of anal fissures or other rectal issues. If your bowel movements have become irregular or if you are experiencing changes in stool consistency (such as the "soft and fragmented" stools you mentioned), it may be beneficial to evaluate your diet and hydration levels. Increasing fiber intake and ensuring adequate hydration can often help improve stool consistency and ease bowel movements.

The presence of yellow liquid accompanying flatulence is particularly concerning. This could be a sign of mucus production, which can occur with various gastrointestinal conditions, including infections or inflammatory bowel disease. While your doctor has reassured you that it is not a fistula, if this symptom continues or worsens, it would be prudent to seek further evaluation. Mucus in the stool or with flatulence can sometimes indicate underlying issues that may require treatment.

Given your ongoing symptoms and the fact that they are causing you significant distress, it is advisable to seek further medical evaluation. A visit to a gastroenterologist or a colorectal specialist may provide you with more comprehensive insights into your condition. They can perform a thorough examination, possibly including imaging studies or endoscopy, to rule out any serious underlying conditions.

In summary, while some of your symptoms may be manageable and not immediately alarming, the persistence of swelling, the sensation of incomplete evacuation, and the presence of unusual discharge warrant further investigation. It is always better to err on the side of caution when it comes to health concerns, especially when they affect your quality of life. Seeking a second opinion or further evaluation at a larger medical facility could provide you with peace of mind and a clearer understanding of your condition. Remember, your health is paramount, and addressing these concerns proactively is the best approach.