Post-Surgery Symptoms: Is It an External Hemorrhoid? - Surgery

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It sounds like you are experiencing some concerning symptoms following your hemorrhoid surgery, and I understand your anxiety about the situation. Based on your description, it seems you may be dealing with an external hemorrhoid, but let’s break down the details to provide a clearer understanding.

After undergoing a procedure for internal hemorrhoids, it is not uncommon for patients to experience some swelling or discomfort in the anal area. The fact that you have noticed a round swelling above the anus that changes size with activity and rest is indicative of a possible external hemorrhoid. External hemorrhoids are typically located outside the anal canal and can become swollen or inflamed due to increased pressure, often from activities like prolonged sitting, heavy lifting, or even walking too much, as you mentioned.

The swelling you described, which is larger when you are active and smaller after resting or with warm sitz baths, aligns with the behavior of external hemorrhoids. They can become engorged with blood and swell, especially if there is increased pressure in the area. The fact that the swelling is the same color as the surrounding skin is also a good sign, as it suggests that it may not be a more serious issue like a thrombosed hemorrhoid or an abscess, which would typically present with more severe symptoms such as significant pain, discoloration, or fever.

It is important to monitor the swelling closely. If it becomes painful, changes color, or if you experience any bleeding, you should seek medical attention promptly. While it is understandable to be concerned about the swelling getting larger or potentially rupturing, many external hemorrhoids can resolve on their own with conservative management, including dietary changes (increasing fiber intake), hydration, and continued warm sitz baths.

Regarding your concern about the distance to your doctor’s office, if you feel that the swelling is worsening or if you develop new symptoms, it may be worth considering a visit to a local urgent care or another healthcare provider who can evaluate your condition more closely. It’s always better to err on the side of caution when it comes to your health.

In summary, while it does seem likely that you are experiencing an external hemorrhoid, it is crucial to keep an eye on the symptoms and consult with your healthcare provider for a definitive diagnosis and management plan. They may recommend treatments such as topical medications, lifestyle modifications, or in some cases, further procedures if the hemorrhoids do not improve. Remember, your health and peace of mind are paramount, so do not hesitate to seek help if you feel it is necessary.