Post-Surgery Concerns: Managing Hemorrhoids and Prolapse Recovery - Surgery

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More than one month after hemorrhoid surgery?


I was hospitalized on August 24 and discharged after surgery for internal and external hemorrhoids.
As of October 2, I have indeed improved a lot, but I still experience rectal prolapse every time I have a bowel movement, and I have to manually push it back in after flushing.
I am worried that the surgery was not thorough.
I have heard that some surgeons intentionally leave tissue to aid recovery, but it feels like there is too much tissue protruding.
Additionally, there is a new growth at the anal area.
During my follow-up appointment, the doctor just said that it will shrink as the swelling goes down, mentioning that it is just loose skin and that it’s probably a matter of time before it gets better.
My concern is that at my age, recovery should not take long, yet I still experience prolapse every time I have a bowel movement, and I have to push it back in.
It feels like my anus is going to burst, and I experience bleeding due to the stool being too hard.
I have been taking laxatives and using a sitz bath for almost two months now.
Will this condition eventually resolve? Will it really get better? I am also paying attention to my diet and exercise.

Mo Xu, 10~19 year old female. Ask Date: 2020/10/02

Dr. Li Qinglong reply Surgery


Mr.
Mo Xu: Hello, it is recommended that you consult with your original treating physician.
Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2020/10/02

More Info


Post-surgery recovery from hemorrhoid and prolapse surgery can be a challenging process, and it’s understandable to have concerns about symptoms such as prolapse and discomfort. Based on your description, it seems you are experiencing some common post-operative issues, including the sensation of prolapse during bowel movements and the presence of a new tissue growth at the anal area. Let’s address your concerns one by one.

1. Prolapse During Bowel Movements: It is not uncommon for patients to experience some degree of prolapse after surgery for hemorrhoids, especially if there was significant tissue manipulation during the procedure. The sensation of needing to push the tissue back in after a bowel movement can be distressing. This may be due to residual swelling or inflammation in the area, which can take time to resolve. It is essential to avoid straining during bowel movements, as this can exacerbate the issue. Continuing to use stool softeners and maintaining a high-fiber diet will help facilitate easier bowel movements and reduce the risk of further prolapse.

2. New Tissue Growth: The "new meatball" or tissue you are noticing could be a result of healing tissue or granulation tissue, which is a normal part of the healing process. It is often soft and can appear as a small lump. Your doctor’s reassurance that it will shrink over time is generally accurate; however, it can take several weeks to months for this tissue to fully mature and reduce in size. Regular follow-ups with your healthcare provider are crucial to monitor this tissue and ensure it is healing appropriately.

3. Concerns About Surgical Completeness: It’s natural to worry about whether the surgery was completely effective. While some surgeons may intentionally leave a small amount of tissue to allow for healing and to avoid complications, if you feel that the prolapse is excessive or if you are experiencing significant discomfort, it is important to communicate this with your doctor. They may consider further evaluation or treatment options if necessary.

4. Recovery Timeline: Recovery from hemorrhoid surgery can vary significantly from person to person. Factors such as age, overall health, and adherence to post-operative care instructions play a significant role. In your case, since you are taking steps to manage your diet and hydration, you are on the right track. It is essential to remain patient, as full recovery can take several weeks to months.
5. When to Seek Further Help: If you experience increased pain, significant bleeding, or if the prolapse worsens, it is crucial to seek medical attention promptly. These could be signs of complications that may require intervention.

In summary, while your current symptoms may be concerning, they are not uncommon following hemorrhoid and prolapse surgery. Continue to follow your doctor's advice regarding diet, hydration, and medication. Regular follow-ups will help ensure that your recovery is on track and that any issues are addressed promptly. Remember, healing takes time, and with proper care, many patients find that their symptoms improve significantly over time.

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