Post-Surgery Growths: Managing Hemorrhoid Recovery - Surgery

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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.

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