Anal Pain and Hard Lumps After Fissure Surgery - Surgery

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Anal pain and the presence of hard lumps after fissure surgery can be concerning and may indicate a few different issues. It's important to understand that while fissure surgery can provide relief, it does not guarantee that complications or new issues will not arise.
Firstly, it is possible for anal fissures to recur after surgery. Factors such as chronic constipation, diarrhea, or straining during bowel movements can contribute to the reformation of fissures. The pain you are experiencing during bowel movements, especially after episodes of constipation and diarrhea, could be a sign that the area is irritated or that a new fissure has developed.
The hard lump you have noticed at the 9 o'clock position around the anus could be several things. It might be a skin tag, which is a common occurrence after fissure surgery. Skin tags are benign and usually do not require treatment unless they become bothersome. Another possibility is that it could be a thrombosed hemorrhoid, which can occur due to increased pressure in the anal area, especially if you have been experiencing constipation or straining. If the lump is painful, it may require evaluation by a healthcare professional to determine the appropriate course of action.

Regarding the concern about fistulas, it is indeed possible to develop an anal fistula after fissure surgery, although it is not common. A fistula is an abnormal connection between the anal canal and the skin, which can occur if an anal abscess develops. Symptoms of a fistula may include persistent drainage, pain, and swelling. If you suspect you have a fistula, it is crucial to seek medical attention, as they often require surgical intervention.

Given your history and current symptoms, it is advisable to consult a healthcare professional, preferably a colorectal surgeon, who can perform a thorough examination. They may recommend imaging studies or a physical examination to assess the lump and any other underlying issues.
In the meantime, managing your bowel habits is essential. Here are some strategies that may help alleviate your symptoms:
1. Dietary Changes: Increase your fiber intake through fruits, vegetables, and whole grains to help soften stools and reduce straining during bowel movements.
2. Hydration: Drink plenty of water throughout the day to keep your stools soft.

3. Stool Softeners: Over-the-counter stool softeners can be beneficial if you are experiencing constipation.

4. Warm Baths: Soaking in warm water can help soothe anal discomfort and promote relaxation of the anal sphincter.

5. Avoid Straining: Try to avoid straining during bowel movements. If you feel the urge to go, do not delay.

6. Regular Bowel Movements: Establish a regular schedule for bowel movements to help train your body.

While it is understandable to feel anxious about seeing a doctor, especially after a previous painful experience, it is crucial for your health to address these symptoms. Early intervention can prevent further complications and help you find relief. Remember, your healthcare provider is there to help you, and discussing your concerns openly can lead to better management of your condition.