Post-Hemorrhoid Injection: Anal Pain, Groin Discomfort, and Urination Issues

Post-injection pain in the anus and groin, along with difficulty urinating, following hemorrhoid treatment?

Hello doctor, I went to see a colorectal specialist this morning because I had bleeding during bowel movements.
The doctor diagnosed me with internal hemorrhoids and asked if I wanted to have the hemorrhoids ligated.
I refused (because in the past, after having hemorrhoids ligated, I experienced bleeding for several weeks during bowel movements).
Instead, he treated me with a hemorrhoid injection.
However, after returning home, I started experiencing anal pain, which radiated to my groin, and I also developed symptoms of frequent urination, requiring me to stand for a long time before I could urinate.
Is this normal? How should I proceed?

Joey, 30~39 year old female. Ask Date: 2022/12/03

Dr. Zhang Shuhao reply Surgery

Abnormalities in hemorrhoid injection can lead to varying degrees of inflammatory reactions depending on the medication used, the injection site, and the dosage; however, it rarely causes symptoms throughout the entire pelvic cavity.
It is recommended to return to the original hospital for consultation to evaluate whether medication should be prescribed or if further examinations are necessary.

Reply Date: 2022/12/03

More Info

It sounds like you are experiencing some significant discomfort following your hemorrhoid injection treatment. Hemorrhoid injections, often referred to as sclerotherapy, are a common non-surgical treatment for hemorrhoids. While this procedure can be effective in reducing the size of hemorrhoids and alleviating symptoms, it can also lead to some side effects, which may include pain, discomfort, and changes in urination.

Understanding Your Symptoms
1. Anal Pain: It is not uncommon to experience pain in the anal region after an injection. This pain can be due to inflammation or irritation of the tissues surrounding the injection site. The injection itself can cause localized swelling and discomfort as the body reacts to the sclerosing agent used in the procedure.

2. Groin Discomfort: The pain radiating to the groin area could be related to referred pain from the anal region. The nerves in the pelvic area are interconnected, and irritation in one area can sometimes cause discomfort in another. However, if the pain is severe or worsening, it is important to consult your doctor.

3. Urination Issues: The symptoms of frequent urination and difficulty initiating urination can be concerning. This could be due to several factors, including anxiety about the pain, inflammation affecting nearby structures, or even a urinary tract infection (UTI) that could have coincidentally developed. The pelvic floor muscles can also be affected by pain in the anal region, leading to changes in urination patterns.

Recommended Actions
1. Pain Management: Over-the-counter pain relievers such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can help alleviate pain. However, ensure that you follow the recommended dosages and consult with your healthcare provider if you have any underlying health conditions or are taking other medications.

2. Warm Sitz Baths: Taking warm sitz baths can help soothe the anal area and reduce discomfort. Soaking for about 15-20 minutes several times a day can provide relief.

3. Hydration and Diet: Ensure you are drinking plenty of fluids and consuming a high-fiber diet to prevent constipation, which can exacerbate hemorrhoid symptoms. If you are experiencing pain during bowel movements, it is crucial to avoid straining.

4. Monitor Symptoms: Keep track of your symptoms. If the pain persists beyond a few days, worsens, or if you develop new symptoms such as fever, increased swelling, or changes in bowel habits, it is essential to contact your healthcare provider.

5. Follow-Up Appointment: It may be beneficial to schedule a follow-up appointment with your colorectal specialist. They can assess your symptoms, determine if they are within the expected range of post-procedure effects, and provide further treatment options if necessary.

When to Seek Immediate Care
If you experience severe pain that is not relieved by over-the-counter medications, significant bleeding, fever, or any signs of infection (such as redness, swelling, or discharge from the injection site), you should seek medical attention promptly.

Conclusion
While some discomfort after hemorrhoid injection is normal, it is essential to monitor your symptoms closely. Pain management, dietary adjustments, and follow-up care can help you navigate this recovery period. Always communicate openly with your healthcare provider about your symptoms and concerns to ensure you receive the best possible care.

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