Surgical Complications: Managing Persistent Bleeding and Recovery - Surgery

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Bleeding from a sore or ulcer?


Hello Doctor: About a year ago, I had an episode, and just a few days before the surgery, it recurred.
I initially thought it would gradually disappear, but it later grew to about 1 cm in diameter and has burst, leading to continuous bleeding.
It has reduced in swelling now.
I would like to ask the doctor: 1.
It no longer hurts, but there is still a noticeable lump.
Is it possible that it will return to its original appearance without surgery (if I wait for the swelling to go down)? 2.
I am still experiencing some bleeding (in small amounts).
Will it stop on its own?

jojo, 20~29 year old female. Ask Date: 2000/12/15

Dr. Lin Zhemin reply Surgery


At the age of 50, hemorrhoids can gradually diminish without the need for surgery; however, it is challenging to eliminate them completely.
Most cases of bleeding can resolve on their own, as long as constipation is managed effectively.

Reply Date: 2000/12/15

More Info


When dealing with surgical complications, particularly persistent bleeding and recovery, it is essential to understand the underlying mechanisms and the body's healing processes. Based on your description, it seems you have experienced a significant issue with a lesion that has not only grown but also ruptured, leading to ongoing bleeding. Here’s a comprehensive overview of what you might expect and how to manage your situation.

1. Understanding the Lesion and Its Behavior: The fact that your lesion has grown to about 1 cm in diameter and has ruptured indicates that it may be a cyst or some form of benign tumor. These types of lesions can sometimes resolve on their own, especially if they are not causing pain or significant discomfort. However, the presence of ongoing bleeding, even if it is minimal, suggests that the lesion may still be active and could require further evaluation.

2. Healing and Recovery: After a rupture, the body typically initiates a healing response, which includes inflammation and the formation of new tissue. The swelling you mentioned may gradually decrease as the body reabsorbs the blood and fluid that has accumulated. It is not uncommon for the appearance of a lesion to change during this healing process. However, whether it will return to its original appearance is uncertain and can depend on various factors, including the nature of the lesion and individual healing responses.

3. Surgical Intervention: If the lesion is not causing pain and the bleeding is minimal, you might not need immediate surgical intervention. However, it is crucial to monitor the situation closely. If the bleeding persists or increases, or if you notice any signs of infection (such as increased redness, warmth, or discharge), it would be advisable to consult a healthcare provider. They may recommend imaging studies, such as an ultrasound or MRI, to assess the lesion's characteristics and determine the best course of action.

4. Self-Limiting Bleeding: In many cases, minor bleeding can resolve on its own as the body forms a clot and the tissue heals. However, if you are experiencing continuous bleeding, even in small amounts, it is essential to keep an eye on it. If the bleeding does not stop or if you have any concerns about it, seeking medical advice is crucial. A healthcare professional can evaluate whether there is a need for intervention, such as cauterization or surgical removal of the lesion.

5. Follow-Up Care: Regular follow-up appointments with your healthcare provider are essential to monitor the lesion's progress and ensure that it is healing appropriately. They can provide guidance on wound care, signs of complications to watch for, and when to seek further treatment.

In summary, while it is possible that your lesion may heal and improve in appearance over time, ongoing bleeding is a concern that should not be ignored. It is advisable to maintain open communication with your healthcare provider, who can offer tailored advice based on your specific situation and medical history. If you notice any changes or have concerns, do not hesitate to reach out for medical evaluation.

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