Post-Surgery Recovery Concerns for Hemorrhoid Surgery Patients - Surgery

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Postoperative recovery issues after hemorrhoid surgery?


Hello, doctor.
Four days ago, I underwent a mole excision surgery.
Yesterday, when I took a look at the wound, I noticed a small white spot at the suture site.
Today, the pain has increased significantly compared to the previous days.
Upon examining the wound, I found that the area around the sutures has turned white.
I would like to know why the wound has turned white—could it be inflammation, or is it normal? This morning, I went to the hospital for a follow-up appointment, and the doctor said everything looked normal.
However, I noticed the whitening of the wound after returning home, and the pain has increased, which makes me a bit worried.
So, I wanted to consult with you.
Thank you.

Li, 20~29 year old female. Ask Date: 2022/01/25

Dr. Zhang Shuhao reply Surgery


Based on the description, it may be a reaction between the absorbable sutures and the surrounding tissue.
Sometimes, the skin next to the sutures may feel swollen and firm, and there may be small ulcers near the suture ends due to increased tension.
This is a normal postoperative phenomenon.
You can continue with warm water sitz baths and change the dressings with ointment.
If the suture ends are causing irritation, they can be removed at your next follow-up appointment.
Wishing you a speedy recovery.

Reply Date: 2022/01/25

More Info


Post-surgery recovery after hemorrhoid surgery, or any surgical procedure for that matter, can often raise concerns for patients, especially when unexpected symptoms arise. In your case, you mentioned that four days post-operation, you noticed a small white area near the sutures, and the pain has increased compared to the previous days. It's understandable to feel anxious about these changes, so let's break down what might be happening.

Firstly, the appearance of a white area around the sutures can be attributed to several factors. One common reason is the formation of fibrin, a protein involved in the healing process, which can appear white or yellowish. This is a normal part of wound healing as the body works to close the incision and protect it from infection. However, if the area is significantly swollen, red, or producing pus, it could indicate an infection, which would require medical attention.

Increased pain in the days following surgery can also be a normal part of the healing process. Initially, after surgery, patients may experience a decrease in pain due to the effects of anesthesia and pain medications. As these effects wear off, pain can increase as the body begins to heal and inflammation sets in. However, if the pain is severe or worsening, it is essential to consult your healthcare provider, as this could indicate complications such as infection or issues with the sutures.

You mentioned that your doctor assessed the wound and deemed it normal, which is reassuring. It's important to trust your healthcare provider's expertise, but your concerns are valid, and it's always okay to seek a second opinion if you feel uncertain.
Here are some additional considerations for your recovery:
1. Wound Care: Follow your doctor's instructions on how to care for the surgical site. Keeping the area clean and dry is crucial to prevent infection. If you were advised to apply any topical ointments or dressings, ensure you do so as directed.

2. Pain Management: If your pain is increasing, discuss pain management options with your doctor. Over-the-counter pain relievers like acetaminophen or ibuprofen can help, but always follow your doctor's recommendations regarding medication.

3. Signs of Infection: Monitor your wound for signs of infection, which may include increased redness, swelling, warmth, or discharge that is yellow or green. If you experience fever, chills, or any systemic symptoms, seek medical attention promptly.

4. Follow-Up Appointments: Keep all scheduled follow-up appointments with your healthcare provider. These visits are crucial for monitoring your recovery and addressing any concerns you may have.

5. Diet and Hydration: After hemorrhoid surgery, maintaining a high-fiber diet and staying hydrated can help prevent constipation, which can strain the surgical site and cause discomfort.

6. Activity Level: Gradually return to your normal activities as advised by your doctor. Avoid heavy lifting or strenuous activities that could stress the surgical area until you receive clearance.

In conclusion, while some changes in your surgical site may be normal, it’s essential to remain vigilant and communicate openly with your healthcare provider about your concerns. If you feel that something is off, don’t hesitate to reach out for further evaluation. Your comfort and peace of mind during recovery are paramount.

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