Anal Foreign Body Sensation After Hemorrhoid Surgery

Hemorrhoids and a sensation of foreign body in the anus?

Due to a feeling of a foreign body in the anal area, I underwent a hemorrhoidectomy on January 16.
The doctor mentioned that I had an internal hemorrhoid and confirmed that there were no other issues before I left, so no follow-up was necessary.
However, today, January 29, after walking for a long time, I again felt a foreign body sensation.
When I looked in the mirror, it appeared that there was something resembling a flower stamen protruding from the center of my anus, which seems to be another internal hemorrhoid.

1.
What could cause this situation?
2.
Is it possible for the rubber band to have slipped off during the procedure? However, I did experience swelling and pain in the last three days (the tissue looks healthy and does not show signs of necrosis or dryness, though it appears redder compared to the surrounding tissue).

3.
Is it possible that the doctor missed something that large? Or could it be that the hemorrhoid has not fully resolved?
Thank you for your assistance, doctor.

Xiao Hua, 20~29 year old female. Ask Date: 2023/01/29

Dr. Zhang Shuhao reply Surgery

1.
If the rubber band slips off early, it may cause the internal hemorrhoid to prolapse again, or it could be that other internal hemorrhoids are slightly swollen due to obstructed blood flow.
2.
It is possible for the rubber band to slip off midway, especially when the hemorrhoid is larger or has a wider base; however, if it slips off early, there is no need to worry as long as there is no pain or significant bleeding.
3.
If symptoms quickly recur, it indicates that the ligation of that hemorrhoid was not effective, and re-ligation may not be suitable.
Symptom relief can be achieved through medications and warm sitz baths, along with lifestyle adjustments.
If symptoms frequently recur and significantly disrupt daily life, surgical intervention may be considered.

Reply Date: 2023/01/29

More Info

After undergoing hemorrhoid surgery, experiencing a sensation of anal foreign body can be concerning and uncomfortable. This sensation may arise from several factors related to the surgical procedure and the healing process. Here’s a detailed analysis of your situation and some insights into what might be happening.

1. Understanding the Sensation: The feeling of a foreign body in the anal area after hemorrhoid surgery can be attributed to several reasons. Post-operative swelling, inflammation, or the presence of residual tissue can create a sensation that feels like an object is present. If you have developed a new internal hemorrhoid, as you mentioned, this could also contribute to the sensation. Internal hemorrhoids can sometimes prolapse, which means they protrude through the anal canal, leading to a feeling of fullness or a lump.

2. Possibility of the Rubber Band Slipping: If your surgery involved rubber band ligation, it is theoretically possible for the band to slip off or not fully constrict the tissue. However, this is relatively uncommon if the procedure was performed correctly. If you experienced pain and swelling in the days following the procedure, it could indicate that the ligation was effective but that the tissue is still healing. The redness you observe could be a normal part of the healing process, indicating increased blood flow to the area as it recovers.

3. Size and Appearance of the Tissue: The appearance of the tissue you described as looking like a "flower bud" could suggest a prolapsed hemorrhoid or a tag of skin that has developed post-surgery. It is essential to differentiate between normal healing tissue and any abnormal growths. If the tissue appears healthy and does not show signs of necrosis (death of tissue), it is likely part of the healing process. However, if it continues to protrude or cause discomfort, it may warrant further evaluation.

4. Follow-Up Care: Given your symptoms, it is advisable to follow up with your healthcare provider. They can perform a physical examination to assess the area and determine whether the sensation is due to a prolapsed hemorrhoid, residual tissue from the surgery, or another issue. They may also check for any signs of infection or complications that could be contributing to your discomfort.

5. Potential Complications: While complications from hemorrhoid surgery are relatively rare, they can occur. These may include infection, excessive bleeding, or the formation of new hemorrhoids. If you notice any significant changes, such as increased pain, bleeding, or changes in bowel habits, it is crucial to seek medical attention promptly.

6. Management and Treatment: Depending on the findings during your follow-up appointment, treatment options may vary. If it is determined that you have a prolapsed hemorrhoid, further treatment may be necessary, which could include additional ligation, surgical excision, or other interventions. If the sensation is due to normal healing, your doctor may recommend conservative management, including dietary changes to ensure soft stools and reduce strain during bowel movements.

In conclusion, while the sensation of a foreign body after hemorrhoid surgery can be alarming, it is often related to the healing process or the development of new hemorrhoids. It is essential to communicate your symptoms to your healthcare provider for a thorough evaluation and appropriate management. Regular follow-ups and monitoring can help ensure that any complications are addressed promptly, leading to a smoother recovery.

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