Swelling After External Hemorrhoid Surgery: What to Expect - Surgery

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After undergoing a thrombosed external hemorrhoid surgery, it is not uncommon to experience swelling and the formation of a hard lump in the surgical area. This can be concerning for patients, but understanding the healing process can help alleviate some anxiety.

Firstly, swelling is a natural part of the healing process. When surgery is performed, the body responds with inflammation, which is a crucial part of healing. This inflammation can lead to increased blood flow to the area, resulting in swelling. The hard lump you are feeling is likely a combination of swelling and possibly some residual blood or tissue that has not yet resolved.
Typically, the swelling should begin to decrease within a few days to a week post-surgery. However, the exact timeline can vary based on individual healing rates, the extent of the surgery, and how well you are following post-operative care instructions. It is essential to keep the area clean and to follow any specific care instructions provided by your surgeon, such as sitz baths or topical treatments.

If the swelling persists beyond a week or worsens, or if you experience increased pain, fever, or any signs of infection (such as pus or excessive redness), it is crucial to contact your healthcare provider. These could be signs of complications that may require further evaluation or treatment.

In terms of pain management, it is common to experience some discomfort after the procedure. Over-the-counter pain relievers, as recommended by your doctor, can help manage this discomfort. Additionally, applying ice packs to the area for short periods can help reduce swelling and numb the pain.

It is also important to maintain a high-fiber diet and stay hydrated to prevent constipation, which can exacerbate discomfort during bowel movements. If you are struggling with bowel movements post-surgery, your doctor may recommend stool softeners or other interventions to ease this process.

In summary, while increased swelling and the presence of a hard lump after external hemorrhoid surgery can be concerning, it is often a normal part of the healing process. Monitoring your symptoms and maintaining communication with your healthcare provider will ensure that any potential complications are addressed promptly. If you have any further questions or concerns about your recovery, do not hesitate to reach out to your surgeon for personalized advice and reassurance.