Post-Surgery Concerns: Managing Hemorrhoid Recovery and Treatment Options - Surgery

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After undergoing surgery for hemorrhoids, it's common to have concerns about recovery and the management of any residual symptoms. In your case, you mentioned a persistent lump at the site of the external hemorrhoid that has not shrunk significantly since the surgery. At 46 days post-operation, it's understandable to feel anxious about whether to wait for further reduction or to consider additional intervention.

Firstly, it is important to recognize that healing from hemorrhoid surgery can vary significantly from person to person. The lump you are observing may be a residual thrombosis or scar tissue, which can take time to resolve. While some patients may experience a gradual reduction in size, others may find that certain lumps persist for an extended period. If the lump is not causing significant discomfort or complications, it may be reasonable to continue monitoring it for a bit longer. However, if you notice any changes such as increased pain, bleeding, or signs of infection, it would be prudent to seek medical advice sooner.

Regarding the option of having the lump removed under local anesthesia, this is typically a straightforward procedure. The pain associated with this type of outpatient surgery is generally less than that experienced during the initial hemorrhoidectomy. Recovery time is also usually shorter, with many patients able to resume normal activities within a few days. However, individual experiences can vary, and discussing your specific concerns with your surgeon can provide clarity and reassurance.

As for the frequent urge to have bowel movements, this can be a common issue following hemorrhoid surgery. It may be beneficial to consult with a gastroenterologist if the problem persists. They can help determine if there are underlying gastrointestinal issues contributing to your symptoms. If you prefer to try over-the-counter options, there are various products available that can help regulate bowel movements, such as fiber supplements or stool softeners. However, it's essential to choose a product that is safe and appropriate for your situation, so consulting with a pharmacist or your healthcare provider for recommendations is advisable.

Regarding the use of the topical medication you mentioned, it is crucial to ensure that any treatment applied to the surgical site is appropriate for your current condition. While the medication may be effective for conditions like psoriasis or lupus, its suitability for your post-surgical site should be assessed by your physician. The concern about potential side effects, such as skin atrophy, is valid, especially in sensitive areas. If you have any doubts about the appropriateness of this treatment, it would be wise to discuss alternative options with your healthcare provider.

In summary, while it is possible to wait for the lump to shrink further, monitoring it closely for any changes is essential. If you are uncomfortable or if the lump does not improve, consider discussing the option of removal with your surgeon. For the frequent urge to defecate, consulting a gastroenterologist may provide additional insights and treatment options. Lastly, ensure that any topical treatments are suitable for your condition by consulting your healthcare provider. Your health and comfort are paramount, and seeking guidance from professionals will help you navigate your recovery effectively.