Post-Surgery Pain and Swelling After Anal Polyp Removal: Expert Insights

Postoperative severe pain and swelling after anal polyp surgery?

Hello Dr.
Ke: Continuing from yesterday's discussion regarding the severe pain and swelling after my anal polyp surgery (#178457), I underwent PPH surgery on March 22, 2021, and the recent anal polyp surgery was on February 6, 2022.
Before this surgery, I consulted other physicians at Mackay Memorial Hospital, who indicated that the prolapse condition was not difficult and recommended that I have the original surgeon from Taipei Medical University handle it.
Currently, I am still experiencing swelling and pain after bowel movements, and I have been applying medication and taking pain relievers in the morning and evening.
Now, on the fifth day post-surgery, the pain has slightly decreased, but the tissue around the anal area still feels large and has not reduced in size.
I am also beginning to feel a tightness and mild itching sensation inside the anus, which may indicate healing.
The surgeon from Taipei Medical University mentioned that the swelling is post-operative and advised me to wash with cold water and apply ointment, while Mackay Memorial Hospital suggested that I have a warm sitz bath and apply ointment for a possible thrombosis.
I am truly unsure whose advice to follow.
I am really worried that this will never go away.
Thank you for your response, Dr.
Ke.

lala, 30~39 year old female. Ask Date: 2022/02/11

Dr. Ke Fangxu reply Surgery

It is necessary to conduct a personal examination to determine whether it is swelling or a blood clot.
However, regardless of which condition it is, surgery is not recommended in the short term.
Therefore, taking warm sitz baths and applying ointment is a safer approach.
Using cold water may cause irritation to the anus, leading to increased pain due to contraction.
Theoretically, the lump should gradually decrease in size, so it is advisable to observe for another month.

Reply Date: 2022/02/11

More Info

Post-surgery pain and swelling after anal polyp removal can be a significant concern for many patients, and it is essential to understand the typical recovery process and what to expect. Based on your description, it seems you are experiencing ongoing pain and swelling five days post-operation, which is not uncommon after such procedures.

Firstly, it is important to recognize that pain and swelling are typical responses following any surgical intervention, including anal polyp removal. The body goes through a healing process that can involve inflammation, which is a natural part of recovery. The fact that your pain has slightly decreased is a positive sign, indicating that your body is beginning to heal.

Regarding the conflicting advice you received from different medical professionals, it is not unusual for there to be varying opinions on post-operative care. The recommendation to use cold water and topical ointments is generally aimed at reducing swelling and discomfort. Cold therapy can help constrict blood vessels, which may alleviate swelling and numb the area temporarily. On the other hand, warm sitz baths are often recommended to promote blood flow, which can aid in healing and provide comfort. Both methods have their merits, and the choice may depend on your specific symptoms and how your body responds to each treatment.

The sensation of tightness and mild itching you are experiencing could be indicative of the healing process. As the tissue begins to repair itself, it may feel tight or itchy, which is a normal part of recovery. However, if the swelling persists or worsens, or if you notice any unusual symptoms such as increased redness, warmth, or discharge, it is crucial to contact your healthcare provider for further evaluation.

In terms of managing your pain, it is advisable to continue using the prescribed pain relief medications as directed. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can also be effective in managing discomfort. Additionally, maintaining a high-fiber diet and staying well-hydrated can help ease bowel movements, reducing strain and discomfort during this sensitive recovery period.

If you are concerned about the size of the tissue mass you are feeling at the anal area, it is essential to follow up with your surgeon. They can assess whether this is a normal part of the healing process or if further intervention is necessary. Sometimes, the tissue may take time to reduce in size as swelling subsides, but it is always best to have a professional evaluation to rule out any complications.

In conclusion, while it is normal to experience pain and swelling after anal polyp removal, ongoing symptoms should be monitored closely. Utilize both cold and warm treatments as needed, maintain communication with your healthcare provider, and do not hesitate to seek a second opinion if you feel uncertain about your recovery plan. Your comfort and health are paramount, and ensuring you have a clear understanding of your recovery process will help alleviate some of the anxiety you may be feeling.

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