Post-Surgery Pain After External Hemorrhoid Procedure: What to Expect - Surgery

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External hemorrhoid surgery


Hello, doctor.
I underwent an outpatient procedure for thrombosed external hemorrhoids today, and I'm experiencing pain at the anal area.
Is this a normal occurrence? How long will it take to alleviate, and is there a risk of it developing into an abscess or fistula?

Niming, 20~29 year old female. Ask Date: 2018/10/01

Dr. Ke Fangxu reply Surgery


Answer: Since I don't know which type of surgery you underwent, I can't determine how long the pain will last.
If it was just a thrombectomy, the pain typically lasts for two to three days.
However, if an external hemorrhoid was completely excised, the pain may persist for 1 to 2 weeks.
If there is no infection in the anal area, it will not develop into an abscess or fistula.

Reply Date: 2018/10/01

More Info


After undergoing a procedure for thrombosed external hemorrhoids, it is quite common to experience pain at the surgical site. This discomfort is typically a result of the surgical intervention itself, as the area around the anus is highly sensitive and can be prone to inflammation and irritation following any surgical procedure.

What to Expect Post-Surgery
1. Pain Management:
- It is normal to experience pain for several days following the surgery. The intensity of the pain can vary from mild discomfort to more significant pain, especially during bowel movements or when sitting.
- Over-the-counter pain relievers such as acetaminophen or ibuprofen can be effective in managing this pain. Your doctor may also prescribe stronger pain medication if necessary.

2. Duration of Pain:
- Generally, the pain should start to diminish within a week or so as the surgical site begins to heal. However, some patients may experience discomfort for a longer period, especially if there was significant tissue manipulation during the procedure.

- If the pain persists beyond two weeks or worsens, it is essential to follow up with your healthcare provider.

3. Signs of Complications:
- While most patients recover without complications, it is crucial to monitor for signs of infection or other issues. Symptoms to watch for include:
- Increased redness or swelling around the surgical site
- Pus or unusual discharge
- Fever or chills
- Severe pain that does not improve with medication
- If you notice any of these symptoms, contact your healthcare provider immediately, as they may indicate an infection or the development of a fistula (an abnormal connection between the anal canal and the skin).

4. Healing Process:
- The healing process can vary from person to person. Factors such as overall health, age, and adherence to post-operative care instructions can influence recovery time.

- Keeping the area clean and dry is essential. Your doctor may recommend sitz baths to help soothe the area and promote healing.

5. Dietary Considerations:
- To prevent straining during bowel movements, which can exacerbate pain and delay healing, it is advisable to maintain a high-fiber diet and stay well-hydrated. This can help soften stools and make bowel movements more comfortable.

6. Follow-Up Care:
- Regular follow-up appointments with your healthcare provider are essential to ensure proper healing. During these visits, your doctor can assess the surgical site and address any concerns you may have.


Conclusion
In summary, experiencing pain after a thrombosed external hemorrhoid procedure is a normal part of the recovery process. While mild to moderate pain can be expected, it is essential to monitor for any signs of complications. If you have concerns about your pain level or the healing process, do not hesitate to reach out to your healthcare provider for guidance. They can provide personalized advice and treatment options to ensure a smooth recovery.

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