Post-Hemorrhoid Surgery: Persistent Pain and Bleeding After Two Months

Two months after hemorrhoid surgery, it has still not healed?

Hello, I underwent hemorrhoidectomy on June 29, 2020, using a minimally invasive tissue coagulation device.
Online searches indicate that recovery from hemorrhoid surgery typically takes about 1 to 2 months, but even to this day, I still experience slight pain and bleeding during bowel movements, and occasionally have intermittent pain for 3 to 4 hours after defecation.
My follow-up physician only examined the anal area briefly and advised me to apply a topical ointment 3 to 5 times daily, but I feel that my recovery is progressing very slowly.
Therefore, I would like to ask: 1.
Is it normal to still experience slight pain and bleeding 2 months after hemorrhoid surgery? 2.
Should I consider seeing another doctor for further evaluation? 3.
Is there a need for invasive examinations to check for other complications?

Mr. Lin, 30~39 year old female. Ask Date: 2020/09/08

Dr. Ke Fangxu reply Surgery

1.
Traditional surgery does not typically exhibit this phenomenon.
Personally, I do not use minimally invasive tissue coagulation devices, so I am unsure if this is a specific complication associated with such procedures.
However, there have been a few patients in the past who have complained about this situation.
2.
Seeking a second opinion from another physician is also advisable.
3.
If there are no issues at the surgical site, a colonoscopy can be performed to determine if the problem lies higher up in the gastrointestinal tract.

Reply Date: 2020/09/08

More Info

Post-hemorrhoid surgery recovery can vary significantly from patient to patient, and it is not uncommon for some individuals to experience persistent pain and bleeding even two months after the procedure. Here’s a comprehensive overview addressing your concerns based on medical knowledge and clinical experience.

1. Is it normal to experience mild pain and bleeding two months after hemorrhoid surgery?
It is not unusual for patients to experience some degree of discomfort and minor bleeding after hemorrhoid surgery, especially if the procedure involved excision of hemorrhoids. The healing process can take longer for some individuals, particularly if there were complications during surgery or if the patient has underlying conditions that affect healing, such as diabetes or vascular issues. Mild pain during bowel movements can be attributed to residual inflammation or sensitivity in the anal area. However, if the pain is significant or if there is noticeable bleeding, it should be evaluated further.

2. Should you consider consulting another doctor for a second opinion?
If you feel that your concerns are not being adequately addressed by your current physician, seeking a second opinion is a reasonable step. A different specialist, particularly one with a focus on colorectal surgery or proctology, may provide additional insights or alternative treatment options. It is essential to feel comfortable and confident in your healthcare provider, especially when dealing with persistent symptoms.

3. Is there a need for invasive tests to check for complications?
If your symptoms persist, it may be necessary to conduct further evaluations to rule out complications such as anal fissures, abscesses, or even recurrence of hemorrhoids. Non-invasive imaging techniques, such as an anal ultrasound or a flexible sigmoidoscopy, can help visualize the area and identify any underlying issues without the need for more invasive procedures. These tests can provide valuable information and guide further treatment.

Additional Considerations:
- Postoperative Care: After hemorrhoid surgery, proper care is crucial for recovery. This includes maintaining a high-fiber diet, staying hydrated, and possibly using stool softeners to prevent straining during bowel movements. Straining can exacerbate pain and bleeding.

- Pain Management: If you are experiencing ongoing pain, discuss pain management strategies with your physician. Over-the-counter pain relievers, topical anesthetics, or prescription medications may be necessary to help manage your discomfort.

- Signs of Complications: Be vigilant for signs of complications, such as increased swelling, severe pain, fever, or significant changes in bowel habits. If you experience any of these symptoms, seek medical attention promptly.

- Follow-Up Appointments: Regular follow-ups with your healthcare provider are essential to monitor your recovery. If your current doctor is not providing satisfactory answers or solutions, it may be time to explore other options.

In conclusion, while some discomfort and minor bleeding can be part of the healing process after hemorrhoid surgery, persistent symptoms warrant further investigation. Don’t hesitate to seek a second opinion or request additional diagnostic tests if you feel it is necessary. Your health and comfort should always be a priority, and effective communication with your healthcare provider is key to achieving a successful recovery.

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