A lump forms at the site of a hemorrhoid wound?
1.
Three weeks ago, I underwent surgery for a fistula and hemorrhoids, but a lump has formed at the external wound of the hemorrhoids.
The tissue is not retracted into the anus, and it is somewhat painful to the touch.
What could be the cause? Is there a chance for improvement? 2.
Can I use something like cosmetic tape or artificial skin on this wound to help it heal? 3.
Should I consider massage or any specific exercises?
Ms. Zeng, 50~59 year old female. Ask Date: 2020/08/07
Dr. Ke Fangxu reply Surgery
1.
It is impossible to determine whether there is an issue with the wound without a personal examination.
It is recommended that you consult the surgeon for an evaluation to know how to proceed.
2.
Wounds around the anus typically do not use cosmetic glue or artificial skin because they are difficult to adhere and can easily become contaminated.
3.
Taking warm sitz baths may be beneficial; however, if there are issues with the postoperative wound, you should still consult the surgeon for an examination.
Reply Date: 2020/08/07
More Info
After undergoing surgery for hemorrhoids and anal fissures, it's not uncommon to experience some complications, including the formation of growths or lumps around the surgical site. Let's break down your concerns regarding the growth that has developed, its potential causes, and the best management strategies moving forward.
1. Understanding the Growth
The lump you are feeling near the surgical site could be a few different things. It might be a granulation tissue, which is a normal part of the healing process. Granulation tissue is a type of connective tissue that forms during wound healing and can sometimes appear as a fleshy lump. It is typically not harmful but can be tender or painful to the touch.
Another possibility is that it could be a skin tag or a recurrence of hemorrhoidal tissue. If the lump is painful and persistent, it may also indicate an infection or an abscess, especially if there are other symptoms like increased redness, swelling, or discharge.
2. Improvement Chances
The chances of improvement depend on the nature of the growth. If it is indeed granulation tissue, it often resolves on its own over time as the underlying tissue heals. However, if it is a skin tag or recurrent hemorrhoidal tissue, it may not resolve without further intervention. Consulting with your surgeon or a gastroenterologist is crucial for a proper diagnosis and to discuss the best course of action.
3. Treatment Options
Regarding your question about using products like beauty tape or artificial skin, these are generally not recommended for internal or sensitive areas like the anus. Applying such products could potentially irritate the area further or lead to infection. Instead, maintaining proper hygiene and keeping the area clean and dry is essential.
For pain management, over-the-counter pain relievers such as acetaminophen or ibuprofen can be helpful. If the pain is significant or if you notice any signs of infection, you should reach out to your healthcare provider.
4. Massage and Exercise
As for massage or exercises, gentle pelvic floor exercises may help improve circulation and promote healing. However, avoid any strenuous activities or exercises that put pressure on the anal area until you have fully healed. Kegel exercises, which strengthen the pelvic floor muscles, can be beneficial, but they should be done cautiously and not cause any pain.
5. Follow-Up Care
It is essential to have a follow-up appointment with your surgeon or healthcare provider. They can assess the growth, determine its nature, and recommend appropriate treatments if necessary. If the lump persists or worsens, further interventions, such as cauterization or surgical removal, may be considered.
Conclusion
In summary, while the growth you are experiencing post-surgery can be concerning, many factors influence its nature and healing potential. Regular follow-up with your healthcare provider is crucial for monitoring the situation and ensuring proper recovery. They can provide tailored advice based on your specific condition and help you navigate any necessary treatments or lifestyle adjustments. Remember, healing takes time, and being proactive about your health will lead to the best outcomes.
Similar Q&A
Understanding Post-Surgery Scars: Management and Expectations After Hemorrhoid Surgery
Hello, Doctor. In June of this year, I underwent hemorrhoid surgery at National Taiwan University Hospital. The doctor mentioned that I had three mixed hemorrhoids with mild symptoms, but due to concerns about appearance and itching, I decided to proceed with the surgery. In July...
Dr. Ke Fangxu reply Surgery
External hemorrhoids, in addition to causing swelling during bowel movements that affects quality of life, also have cosmetic improvement as one of the indications for surgery. If the surgery is performed for cosmetic reasons, the meticulous adjustment of the surgical wound is cr...[Read More] Understanding Post-Surgery Scars: Management and Expectations After Hemorrhoid Surgery
Post-Surgery Concerns: Managing Anal Fistula and Hemorrhoid Recovery
Hello, I underwent surgery for anal fistula and hemorrhoids on June 30th. Initially, in mid-June, I had a noticeable swelling, but it subsided on its own after a couple of days (it can still be felt, but it has shrunk significantly and is not painful). Before the hemorrhoid surge...
Dr. Ke Fangxu reply Surgery
Based on the photo you provided, it appears to be an unhealed wound from an anal fistula surgery. Since this type of wound cannot be sutured, it typically takes about a month to heal. Regular warm sitz baths and follow-up appointments are recommended. Additionally, hair growth ar...[Read More] Post-Surgery Concerns: Managing Anal Fistula and Hemorrhoid Recovery
Post-Surgery Complications: Managing Wound Healing After Hemorrhoid Surgery
Hello Doctor: Almost three months ago, I underwent laser surgery for hemorrhoids, as the hemorrhoids had prolapsed outside the anus, and the doctor also excised the prolapsed portion. However, I feel that the wound has not fully healed, as I experience a light yellow tissue fluid...
Dr. Zhang Shuhao reply Surgery
If there is a fan-shaped wound, it indicates that the anally internal mucosal sutures have not healed and are in an open state. This is a common postoperative condition; as long as the wound is kept clean and not overly stimulated, it will gradually heal over time. The symptoms y...[Read More] Post-Surgery Complications: Managing Wound Healing After Hemorrhoid Surgery
Post-Surgery Recovery: Managing Bowel Issues After Hemorrhoid Surgery
Hello Doctor, my father (79 years old) underwent minimally invasive surgery for hemorrhoids (PPH hemorrhoidectomy) on March 1st of this year. Due to his enlarged prostate issue, he had a urinary catheter for about a month post-surgery. For the first two months, he experienced fec...
Dr. Zhang Shuhao reply Surgery
Generally, hemorrhoidectomy wounds heal within a few weeks, and there should be no issues with incontinence. Benign prostatic hyperplasia may lead to short-term urinary difficulties post-surgery, but it does not affect bowel movements in the long term. Based on the description, t...[Read More] Post-Surgery Recovery: Managing Bowel Issues After Hemorrhoid Surgery
Related FAQ
(Surgery)
Post-Anal Surgery(Surgery)
Hemorrhoids(Surgery)
Post-Anal Fissure Surgery(Surgery)
Hemorrhoid Ointment(Surgery)
Prolapsed Hemorrhoid(Surgery)
Internal Hemorrhoids(Surgery)
Anus(Surgery)
Hemorrhoids(Urology)
Post-Fistula Surgery(Surgery)