Appearance of wound healing after anal fissure?
Hello, doctor.
I would like to inquire about the healing status of my anal fissure.
In recent months, I discovered that I had warts around my anus, and after undergoing two electrosurgery procedures, the first wound was small and healed quickly.
However, after the second surgery, I experienced continuous bleeding at home.
During that time, I had some constipation, which led to the fissure at the site of the electrosurgery, causing severe pain after bowel movements.
Upon returning for a follow-up, I found out that I had developed a significant anal fissure.
The doctor prescribed me stool softeners, anti-inflammatory medication, and "Yizhi Kang" to help manage the wound.
With careful attention, the wound has gradually improved, but I have noticed a growth of tissue at the anal opening.
I'm unsure if this is scar tissue from the healing process or if it is a result of the "Yizhi Kang." Will this tissue eventually disappear? Could it lead to other complications?
Lai Lai, 20~29 year old female. Ask Date: 2020/09/21
Dr. Ke Fangxu reply Surgery
It could possibly be an external hemorrhoid, anal polyp, or scar tissue from electrosurgery.
Without a physical examination, it is difficult to determine the exact cause.
However, generally, the likelihood of such external growths around the anus resolving on their own is low.
You may want to continue monitoring the situation.
Reply Date: 2020/09/21
More Info
Healing from anal fissures, especially after surgical interventions like electrocautery, can be a complex process. It’s important to understand the healing dynamics and what to expect during recovery.
Firstly, anal fissures are small tears in the lining of the anus, often caused by trauma during bowel movements, particularly when passing hard stools. The pain associated with fissures can be severe, leading to a cycle of constipation and pain that exacerbates the condition. Surgical options, such as electrocautery, are typically considered when conservative treatments fail.
In your case, it seems that the first surgery resulted in a quick recovery, while the second surgery led to complications, including bleeding and the development of a fissure due to constipation. This is not uncommon, as the stress of bowel movements can reopen healing wounds. The use of stool softeners and anti-inflammatory medications is a standard approach to manage pain and promote healing.
As for the "meat-like" growth you are noticing around the anal area, this could be a few things. It may represent 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 appear as a raised, red, or pink area. It is usually not harmful and can eventually flatten out as the healing progresses. However, if this tissue persists or grows, it could be a sign of hypertrophic scarring or even a skin tag, which can occur after surgery or injury.
Regarding your concern about whether this growth could lead to other complications or malignancies, it is generally unlikely. However, any new growth or change in the area should be monitored closely. If the tissue does not resolve, becomes painful, or shows signs of infection (such as increased redness, swelling, or discharge), it would be prudent to follow up with your healthcare provider for further evaluation.
In terms of recovery, the healing of anal fissures can take several weeks to months, depending on the severity of the fissure and the individual’s overall health. Maintaining a high-fiber diet, staying hydrated, and using stool softeners can help prevent constipation and promote healing. Regular follow-ups with your healthcare provider are essential to monitor the healing process and address any complications that may arise.
In summary, while the appearance of new tissue can be concerning, it is often a normal part of the healing process. However, it is crucial to keep an open line of communication with your healthcare provider to ensure that your recovery is on track and to address any concerns you may have.
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