Persistent Anal Tightness and Discomfort After Surgery: What to Do? - Surgery

More Info

---

It sounds like you are experiencing significant discomfort and tightness in the anal area following your surgery for the excision of external and internal hemorrhoids. This is not uncommon after such procedures, but it is important to address your symptoms to ensure proper healing and to alleviate your discomfort.

Firstly, the feeling of tightness and the sensation of incomplete bowel evacuation can be attributed to several factors. After surgery, the tissues around the anal area can become inflamed or irritated, leading to a feeling of tightness. Additionally, if there was any manipulation of the anal sphincter during the procedure, it could contribute to these sensations. The fact that you are experiencing a tearing sensation during bowel movements may indicate that there is some residual irritation or even the formation of scar tissue, which can occur after surgical procedures.

Here are some steps you can take to help alleviate your symptoms:
1. Dietary Adjustments: Ensure that you are consuming a high-fiber diet to promote soft stools. Foods rich in fiber, such as fruits, vegetables, whole grains, and legumes, can help prevent constipation and reduce straining during bowel movements. Staying well-hydrated is also crucial.

2. Stool Softeners: Over-the-counter stool softeners can be beneficial in making bowel movements easier and less painful. Products containing docusate sodium (like Colace) can help soften your stools.

3. Warm Sitz Baths: Taking warm sitz baths can help soothe the anal area, reduce inflammation, and promote relaxation of the sphincter muscles. Aim for 15-20 minutes in warm water several times a day, especially after bowel movements.

4. Topical Treatments: While you mentioned using a topical ointment, ensure that it is appropriate for your symptoms. Products containing hydrocortisone can help reduce inflammation, while those with lidocaine can provide temporary pain relief. However, consult your doctor before using any new topical treatments.

5. Avoid Straining: It’s essential to avoid straining during bowel movements, as this can exacerbate your symptoms. If you feel the urge to go but are having difficulty, consider using a stool softener or laxative as needed.

6. Follow-Up with Your Surgeon: Since you are still experiencing significant discomfort 24 days post-surgery, it is crucial to follow up with your surgeon or healthcare provider. They can assess your healing progress and determine if there are any underlying issues, such as infection or excessive scar tissue formation, that may need to be addressed.

7. Physical Therapy: In some cases, pelvic floor physical therapy can be beneficial for individuals experiencing tightness or discomfort in the anal area. A specialized therapist can help you learn exercises to relax the pelvic floor muscles and improve bowel function.

8. Medications: If your discomfort persists, your doctor may prescribe medications to help manage pain or inflammation.
9. Psychological Support: Sometimes, the anxiety surrounding bowel movements after surgery can contribute to tightness and discomfort. If you find that anxiety is affecting your bowel habits, consider speaking with a mental health professional.

In summary, while some discomfort after anal surgery is expected, persistent tightness and pain warrant further evaluation. It is essential to maintain open communication with your healthcare provider to ensure that you receive the appropriate care and support for your recovery.