Pain After Reducing Prolapsed Internal Hemorrhoids - Surgery

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Understanding pain after reducing prolapsed internal hemorrhoids can be quite complex, as it involves various physiological and anatomical factors. When you have prolapsed internal hemorrhoids, they can become engorged with blood and protrude through the anal canal, leading to discomfort and pain. The fact that you have been living with this condition for two years without significant pain indicates that your body may have adapted to the presence of the hemorrhoids. However, once they are manually reduced or pushed back into place, the dynamics change, and this can lead to discomfort or pain for several reasons.

Firstly, when the hemorrhoids are pushed back, the surrounding tissues may become irritated or inflamed. This irritation can trigger pain receptors in the area, leading to the sensation of pain, especially if the hemorrhoids were previously engorged and are now being compressed back into the anal canal. Additionally, the act of reducing the hemorrhoids can cause temporary trauma to the tissues, which may also contribute to pain.

Secondly, the pain you experience at night could be related to the pressure and strain on the anal area while you are lying down. When you are in a resting position, blood flow to the area may increase, leading to engorgement of the hemorrhoids and subsequent pain. Conversely, when you have a bowel movement and the hemorrhoids prolapse again, the pressure is relieved, which might explain why you feel less pain in that state.

It is also important to consider the role of bowel habits in this situation. Straining during bowel movements can exacerbate hemorrhoid symptoms, leading to increased pain and discomfort. If you are experiencing constipation or hard stools, this can further complicate the situation. It is advisable to maintain a high-fiber diet, stay hydrated, and consider using stool softeners if necessary to ease bowel movements and reduce straining.

In terms of management, if the pain persists or worsens, it is crucial to consult with your healthcare provider. They may recommend topical treatments, such as creams or ointments that contain hydrocortisone or witch hazel, to reduce inflammation and pain. In some cases, they may suggest more invasive treatments, such as rubber band ligation or surgical options, if conservative measures do not provide relief.

Lastly, it is essential to monitor your symptoms closely. If you notice any signs of complications, such as significant bleeding, severe pain that does not improve, or changes in bowel habits, seek medical attention promptly. Your healthcare provider can perform a thorough examination and provide tailored recommendations based on your specific condition.

In summary, experiencing pain after reducing prolapsed internal hemorrhoids can be a normal response due to irritation, inflammation, and changes in blood flow. Maintaining healthy bowel habits and consulting with your healthcare provider for appropriate management strategies is key to alleviating discomfort and preventing further complications.