Post-Surgery Pain Management After Mole Removal: What to Do?

Postoperative pain after mole removal?

Hello Dr.
Ke: I previously asked you about pain after my mole removal surgery.
I returned to the hospital for a follow-up, and the doctor said my wound is healing well and there are no issues.
However, I mentioned that I still experience pain.
The pain does not occur during bowel movements, but it is a constant discomfort throughout the day.
On April 14, I underwent a colonoscopy, and aside from a small polyp, there were no significant findings.
Before the surgery, other doctors had performed digital examinations and reported no issues; at that time, I only felt some tightness and occasional mild pain.
However, since the surgery, I have been experiencing significant pain over the past two to three weeks.
The pain even extends to the surrounding tissue around the anus, and sometimes it lasts for one or two days, then eases for half a day or a day before returning.
It has been quite distressing, and I have been taking sitz baths daily.
What should I do, doctor?

A-Ling, 50~59 year old female. Ask Date: 2021/04/14

Dr. Ke Fangxu reply Surgery

In traditional hemorrhoidectomy, pain typically resolves completely within one month post-surgery.
If pain persists, it is important to consider the possibility of infection or the development of a fistula.
In the case of a hemorrhoidal circular resection, continuous pain may be due to the resection site being too low.
If this is the case, consideration should be given to performing a procedure to remove the circular stapler.

Reply Date: 2021/04/14

More Info

Post-surgery pain management, especially after mole removal or similar procedures, can be a complex issue, particularly when pain persists beyond the expected recovery period. In your case, it appears that you are experiencing ongoing pain that is not alleviated by typical post-operative care, which can be concerning. Here are some insights and recommendations based on your situation.

Understanding Post-Surgery Pain
After any surgical procedure, it is common to experience some level of pain as the body heals. This pain can be due to several factors, including:
1. Tissue Healing: The surgical site undergoes a healing process that can cause discomfort. This is particularly true if the surgery involved deeper tissues or if there was significant manipulation of surrounding structures.

2. Nerve Sensitivity: Surgery can sometimes irritate or damage nearby nerves, leading to persistent pain even after the initial healing has occurred.

3. Scar Tissue Formation: As the body heals, scar tissue can form, which may lead to tightness or discomfort in the area.

4. Infection or Complications: While your doctor has indicated that the wound is healing well, it is essential to monitor for signs of infection or other complications that could contribute to ongoing pain.

Recommendations for Pain Management
1. Follow-Up with Your Surgeon: Since you are experiencing significant pain, it is crucial to communicate this to your surgeon or healthcare provider. They may want to conduct further examinations to rule out any complications, such as infection or issues related to the healing process.

2. Pain Management Strategies:
- Medications: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain. If your pain is severe, your doctor may prescribe stronger medications.

- Topical Treatments: Consider using topical analgesics that can be applied to the skin over the painful area. These can provide localized relief.

- Physical Therapy: Engaging in physical therapy can help improve mobility and reduce pain through targeted exercises and treatments.

3. Sitz Baths: You mentioned that you are already doing sitz baths, which can be beneficial for comfort and hygiene. Continue this practice, as it can help soothe the area and promote healing.

4. Heat and Cold Therapy: Applying heat or cold to the affected area can help alleviate pain. Heat can relax tight muscles, while cold can reduce inflammation.

5. Gentle Movement: If possible, try to incorporate gentle movements or stretches that do not exacerbate your pain. This can help maintain mobility and prevent stiffness.

6. Monitor Symptoms: Keep a diary of your pain levels, triggers, and any other symptoms. This information can be valuable for your healthcare provider in determining the best course of action.

When to Seek Immediate Help
If you notice any of the following symptoms, seek medical attention promptly:
- Increased redness, swelling, or warmth around the surgical site.

- Fever or chills, which could indicate an infection.

- Severe or worsening pain that is not relieved by medications.

- Any unusual discharge from the surgical site.

Conclusion
Persistent pain after mole removal or similar surgeries can be frustrating and concerning. It is essential to maintain open communication with your healthcare provider about your symptoms and to explore various pain management strategies. Remember that healing can take time, and individual experiences may vary significantly. By actively participating in your recovery and seeking appropriate care, you can work towards alleviating your pain and improving your quality of life.

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