Perianal mass
Hello, doctor.
I had minimally invasive surgery for hemorrhoids two weeks ago and I'm almost fully recovered.
However, the right side of my anal area is still swollen, and I experience slight pain after bowel movements.
The stool is somewhat hard at the front and soft at the back.
There is no sensation when I press on the swollen area, and I don't feel any foreign body; I only experience a very mild pain when I contract my anus.
Could this be an external hemorrhoid, or is it just normal swelling from the surgery?
Glen, 20~29 year old female. Ask Date: 2023/07/31
Dr. Zhang Shuhao reply Surgery
Two weeks after hemorrhoid surgery, the wound may not be completely healed, so slight swelling and pain are still within the normal range.
External hemorrhoids are typically addressed during the procedure.
It is advisable to increase fluid intake, perform warm sitz baths, and return for follow-up appointments as scheduled.
Reply Date: 2023/07/31
More Info
After undergoing minimally invasive surgery for hemorrhoids two weeks ago, it is not uncommon to experience some swelling and discomfort in the anal area as part of the healing process. The symptoms you describe—swelling on the right side of the anus, mild pain during bowel movements, and the consistency of your stool—can be attributed to a few factors related to post-surgical recovery.
Firstly, it is important to understand that after any surgical procedure, especially in sensitive areas like the anal region, swelling is a normal part of the healing process. The body responds to surgery with inflammation, which can lead to localized swelling. This swelling can persist for several weeks as the tissues heal. The fact that you are experiencing mild pain during bowel movements, particularly if your stool is somewhat hard at the front, suggests that you may be experiencing some irritation or strain during defecation, which can exacerbate discomfort in the surgical area.
The presence of hard stool can contribute to anal discomfort, especially if you are straining to pass a bowel movement. It is crucial to maintain a diet high in fiber and to stay well-hydrated to ensure that your stools remain soft and easy to pass. This can help minimize strain and reduce the risk of further irritation or injury to the surgical site.
Regarding your concern about whether the swelling is indicative of external hemorrhoids or simply normal post-operative swelling, it is essential to consider the nature of your surgery. If the procedure was specifically for hemorrhoids, it is possible that some residual swelling could be related to the surgical site itself rather than the formation of new hemorrhoids. External hemorrhoids can also cause swelling and discomfort, but they typically present with more pronounced symptoms, such as a palpable lump or more significant pain.
The absence of a palpable mass upon pressing the swollen area and the lack of a foreign body sensation are encouraging signs that the swelling may be part of the normal healing process rather than a new external hemorrhoid. However, the extreme mild pain you feel when contracting the anal sphincter could indicate that the surgical site is still sensitive and healing.
It is advisable to monitor your symptoms closely. If the swelling persists beyond a few weeks, if you notice an increase in pain, or if you experience any other concerning symptoms such as bleeding, fever, or significant changes in bowel habits, you should consult your surgeon or healthcare provider. They may recommend a follow-up examination to assess the surgical site and ensure that there are no complications such as infection or the development of new hemorrhoids.
In summary, while some swelling and mild discomfort are typical after hemorrhoid surgery, it is essential to manage your bowel habits to prevent further irritation. Maintaining a high-fiber diet, staying hydrated, and possibly using stool softeners can help facilitate smoother bowel movements and reduce discomfort. If you have any doubts or if your symptoms do not improve, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.
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