Post-Hemorrhoid Surgery: Recovery and Abnormal Discharge - Surgery

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Recovery after hemorrhoidectomy for internal and external hemorrhoids involves several stages. Initially, patients may experience pain, swelling, and discomfort in the anal area. It is common to have some bleeding during the first few days post-surgery. Patients are usually advised to maintain a high-fiber diet and stay hydrated to prevent constipation, which can exacerbate pain during


It has been four weeks since my hemorrhoid surgery, and I have two main areas of red, swollen tissue around the anus.
These areas have split into smaller, tender pieces, and some have become even redder.
I'm concerned that my recovery may not be going well.
Additionally, every morning and evening after my sitz baths, I notice a green, phlegm-like discharge when I wipe with toilet paper.
I'm unsure if this is normal or a sign of infection.
Over the past four weeks, there have been a few days when I've experienced a yellowish, watery discharge that has a foul odor.
Is this a normal secretion from the anus, leftover from bowel movements, or could it be a sign of infection? Should I consider returning for a follow-up appointment?

Niming, 30~39 year old female. Ask Date: 2020/07/28

Dr. Ke Fangxu reply Surgery


Typically, after hemorrhoid surgery, the wound should be healed within four weeks, and there should be no discharge.
If the surgical wound is larger, it may take a longer time to heal.
It is advisable to consult your surgeon for an examination to determine if there is an infection at the surgical site.

Reply Date: 2020/07/28

More Info


After undergoing hemorrhoid surgery, it is common to have concerns about the recovery process and any unusual discharge that may occur. Based on your description, it seems you are experiencing some symptoms that warrant further discussion.

Firstly, it is important to understand that after hemorrhoid surgery, the healing process can vary significantly from person to person. The presence of redness and swelling around the surgical site is not uncommon, especially in the initial weeks following the procedure. However, if the redness is increasing or if you notice any new areas of swelling, this could indicate a potential complication, such as an infection or delayed healing.

The green discharge you mentioned, resembling phlegm, is particularly concerning. In a typical recovery, you might expect some discharge, but it should not be excessive or have a foul odor. Green discharge can sometimes indicate the presence of pus, which is a sign of infection. The yellow, watery discharge with a foul smell that you described is also not typical and could suggest an infection or other complications.
In terms of normal post-operative care, it is crucial to maintain good hygiene in the area. Regular sitz baths, as you are doing, can help soothe the area and promote healing. However, if you notice any signs of infection—such as increased redness, swelling, warmth, or discharge that is foul-smelling or has changed in color—this should be addressed promptly.

Given the symptoms you are experiencing, it is advisable to schedule a follow-up appointment with your surgeon or healthcare provider. They can perform a thorough examination to determine if there is an infection or any other issues that need to be addressed. It is better to err on the side of caution, especially when it comes to potential infections after surgery.

In addition to seeking medical advice, here are some general recommendations for post-hemorrhoid surgery recovery:
1. Dietary Adjustments: Ensure you are consuming a high-fiber diet to prevent constipation, which can strain the surgical site. Staying hydrated is also essential.

2. Pain Management: Use prescribed pain medications as directed, and consider over-the-counter options if necessary, but consult your doctor before combining medications.

3. Avoid Straining: When having a bowel movement, avoid straining. If you are struggling to pass stool, consider using a stool softener or laxative as recommended by your healthcare provider.

4. Monitor Symptoms: Keep track of any changes in your symptoms, including the nature of any discharge, pain levels, and overall comfort.

5. Hygiene Practices: Continue with sitz baths and gentle cleaning of the area. Avoid using harsh soaps or wipes that could irritate the skin.

6. Follow-Up Care: Attend all scheduled follow-up appointments to ensure proper healing and address any concerns that arise.

In conclusion, while some discharge can be normal after hemorrhoid surgery, the symptoms you are experiencing—especially the green and foul-smelling discharge—are concerning and should be evaluated by a healthcare professional. Prompt attention to these symptoms can help prevent complications and ensure a smoother recovery process.

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