Post-Surgery Concerns: Managing Heat Sensation After Hemorrhoid Surgery

Post-operative issues after hemorrhoid surgery?

Hello, Doctor! My father underwent ultrasound knife surgery to remove internal and external moles nearly three months ago.
He had a follow-up appointment to check the wound, and the healing process seemed to be going well.
We thought we could relax, but after walking a kilometer, he started to feel a warmth in the wound inside the anus.
During the follow-up visit, the doctor examined the area and confirmed that the wound was healing and there were no visible issues.
However, now my father feels warmth in the anal area with even slight movement, and the entire right side of his buttocks feels warm.
This has been ongoing for more than ten days.
He has also taken warm baths, but the symptoms have not improved.
Could you please help answer whether this could be due to inflammation of the wound tissue or if there are any medications that could be used? Thank you!

aa777, 40~49 year old female. Ask Date: 2020/03/19

Dr. Ke Fangxu reply Surgery

Some patients who undergo ultrasound knife surgery may experience slower wound healing and chronic pain.
Since it has been a while since the surgery, the only options left are to use suppositories and take sitz baths to see if symptoms gradually improve.
Otherwise, it is advisable to consult the surgeon to check for any issues with the wound.

Reply Date: 2020/03/19

More Info

After hemorrhoid surgery, it is not uncommon for patients to experience sensations of heat or warmth in the affected area, especially during the recovery phase. This can be concerning for both patients and their families, particularly when it persists for an extended period. In your father's case, it has been nearly three months since the surgery, and while the doctor has confirmed that the wound is healing well, the sensation of heat remains a source of discomfort.

Understanding Post-Surgical Sensations
1. Normal Post-Surgical Sensations: After any surgical procedure, including hemorrhoid surgery, patients may experience various sensations as part of the healing process. These can include warmth, tingling, or even mild pain. The body's inflammatory response to surgery can cause increased blood flow to the area, which may manifest as a feeling of heat.

2. Inflammation and Healing: The sensation of heat could be attributed to localized inflammation as the body works to heal the surgical site. This is a normal part of the healing process, but it should gradually decrease over time. If the sensation persists or worsens, it may indicate that the healing process is not proceeding as expected.

3. Activity Level: Increased physical activity, such as walking or exercising, can sometimes exacerbate sensations in the surgical area. It is important for your father to balance activity with rest, especially in the early stages of recovery. If he notices that walking a kilometer triggers the heat sensation, it may be beneficial to reduce the distance or intensity of his activities temporarily.

When to Seek Further Medical Attention
1. Persistent Symptoms: If the sensation of heat continues for more than a few weeks without improvement, or if it is accompanied by other symptoms such as increased pain, swelling, or discharge from the surgical site, it is essential to consult with the healthcare provider again. These could be signs of an underlying issue, such as infection or improper healing.

2. Signs of Infection: While the doctor has examined the wound and found it healing well, it is crucial to remain vigilant for signs of infection. Symptoms may include increased redness, swelling, warmth (beyond what is expected), fever, or pus-like discharge. If any of these symptoms occur, immediate medical attention is warranted.

Management Strategies
1. Warm Baths: Soaking in warm water (sitz baths) can help soothe the area and promote healing. However, if this does not alleviate the heat sensation, it may be necessary to explore other options.

2. Topical Treatments: Depending on the doctor's advice, topical treatments or over-the-counter medications may help reduce inflammation and discomfort. Always consult with the healthcare provider before starting any new medication or treatment.

3. Pain Management: If your father is experiencing discomfort, non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen may be recommended to help manage pain and reduce inflammation. Again, this should be discussed with his doctor to ensure it is appropriate for his situation.

Conclusion
In summary, while the sensation of heat in the surgical area after hemorrhoid surgery can be a normal part of the healing process, it is essential to monitor the symptoms closely. If the sensation persists or worsens, or if any concerning symptoms arise, seeking further medical evaluation is crucial. Your father's healthcare provider can offer tailored advice and treatment options to ensure a smooth recovery. It is always better to err on the side of caution when it comes to post-surgical concerns.

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