Pain after the ligation of an internal hemorrhoid?
Hello, doctor.
I underwent a mole ligation surgery on December 10th.
On the third and fourth days post-surgery, I noticed a small amount of blood after wiping following urination, but it has not occurred since.
Does this indicate that the mole core has fallen off? Additionally, starting from the fifth and sixth days, I experience pain in the anal area when sitting on the toilet, whether for urination or defecation.
What could be the reason for this? Is there any way to alleviate the current pain? Furthermore, how long does it typically take for the wound to heal? Should I return for a follow-up appointment with the doctor? Thank you.
Ms. Chen, 30~39 year old female. Ask Date: 2021/12/16
Dr. Zhang Shuhao reply Surgery
After hemorrhoid ligation, the wound will typically scab and heal within one to two weeks.
A proper ligation should not cause pain; if there is pain, it may be due to the ligation being placed too low or a thrombosed hemorrhoid.
It is recommended to start with warm sitz baths, along with the use of stool softeners and hemorrhoidal suppositories.
If there is no improvement, a follow-up appointment is necessary for further evaluation.
Wishing you a speedy recovery.
Reply Date: 2021/12/16
More Info
After undergoing internal mole ligation surgery, it is common to experience some discomfort and pain during the recovery process. The symptoms you describe, such as slight bleeding after urination and pain during bowel movements, can be concerning but are not uncommon. Let's break down your questions and provide some insights into what you might expect during your recovery.
Understanding Your Symptoms
1. Slight Bleeding: The presence of a small amount of blood after wiping could indicate that the surgical site is still healing. It does not necessarily mean that the mole has completely detached, but it could be a sign of irritation or minor trauma to the area. If the bleeding is minimal and stops shortly after, it is generally not a cause for alarm. However, if you notice significant bleeding or it persists, you should consult your physician.
2. Pain During Bowel Movements: Experiencing pain during bowel movements can be attributed to several factors:
- Surgical Trauma: The area around the anus and rectum is sensitive, and the surgery may have caused some swelling or irritation that can lead to discomfort when straining.
- Muscle Tension: The muscles around the anal area may be tense due to anxiety about pain, which can exacerbate the sensation of pain during bowel movements.
- Hemorrhoids or Anal Fissures: If there were pre-existing conditions such as hemorrhoids or fissures, the surgery may have aggravated them, leading to pain.
Pain Management Strategies
To alleviate the pain you are experiencing, consider the following strategies:
- Warm Sitz Baths: Soaking in warm water can help relax the muscles and reduce pain. It also promotes blood flow to the area, which can aid in healing.
- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation. Always follow the dosage instructions and consult your doctor if you have any concerns.
- Avoid Straining: Ensure that you are not straining during bowel movements. A diet high in fiber and adequate hydration can help soften stools and make bowel movements easier.
- Topical Treatments: If recommended by your physician, topical anesthetics or soothing creams may provide relief from pain and discomfort.
Healing Time and Follow-Up
The healing time for surgical sites can vary based on several factors, including the extent of the surgery and individual healing rates. Generally, you can expect initial healing to occur within a few weeks, but complete healing may take longer.
- Monitoring the Site: Keep an eye on the surgical site for any signs of infection, such as increased redness, swelling, or discharge. If you notice any of these symptoms, or if the pain worsens, it is essential to return to your physician for an evaluation.
- Follow-Up Appointment: It is advisable to schedule a follow-up appointment with your doctor, especially if you have concerns about your healing process or if the pain persists. Your physician can assess the surgical site and provide guidance tailored to your specific situation.
Conclusion
In summary, while some discomfort after internal mole ligation surgery is expected, it is crucial to monitor your symptoms closely. Implementing pain management strategies and maintaining open communication with your healthcare provider will help ensure a smoother recovery. If you have any doubts or if your symptoms worsen, do not hesitate to reach out to your physician for further evaluation and support. Your health and comfort are paramount during this recovery phase.
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