Complications After Hemorrhoid Ligation: What to Do? - Surgery

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Hello! Thank you for your question regarding complications after hemorrhoid ligation. It sounds like you've been dealing with external hemorrhoids for quite some time, and I understand how frustrating it can be to experience changes after a procedure like ligation.

Hemorrhoid ligation, also known as rubber band ligation, is a common procedure used to treat hemorrhoids, particularly internal ones. The procedure involves placing a rubber band around the base of the hemorrhoid to cut off its blood supply, causing it to shrink and eventually fall off. However, it is important to note that ligation primarily targets internal hemorrhoids, and if you have external hemorrhoids, the procedure may not be as effective.

From your description, it seems that after the ligation, you have noticed the appearance of additional soft tissue or "tubes" around the area. This could be due to several reasons:
1. Incomplete Treatment: If the ligation was performed on internal hemorrhoids, external hemorrhoids may still be present and can become more prominent if the internal ones shrink.

2. Formation of Skin Tags: After ligation, some patients develop skin tags or excess skin in the area where the hemorrhoid was. These can feel like soft tubes and may be bothersome but are generally not harmful.

3. Recurrence of Hemorrhoids: It's also possible that new hemorrhoids have developed, which can happen if there are ongoing factors contributing to hemorrhoid formation, such as straining during bowel movements, chronic constipation, or prolonged sitting.

Since you mentioned that you are not experiencing pain but find the situation bothersome, here are a few recommendations:
- Consult Your Doctor: It's essential to follow up with your healthcare provider or a specialist in colorectal surgery. They can assess the area and determine whether the changes you are experiencing are normal post-ligation effects or if further treatment is necessary.

- Consider Lifestyle Modifications: To prevent further issues, consider dietary changes to ensure soft stools and avoid straining. Increasing fiber intake through fruits, vegetables, and whole grains, along with adequate hydration, can help.

- Topical Treatments: Over-the-counter creams or ointments may provide relief from discomfort and irritation. However, consult your doctor before using any new products.

- Surgical Options: If the soft tissue is bothersome and you wish to have it removed, your doctor may discuss surgical options with you. Procedures like excision of skin tags or further treatment for hemorrhoids may be considered.

- Monitoring Symptoms: Keep an eye on any changes in symptoms, such as bleeding, increased pain, or changes in bowel habits, and report these to your doctor promptly.

In summary, while the appearance of additional soft tissue after hemorrhoid ligation can be concerning, it is not uncommon. A thorough evaluation by a healthcare professional is the best course of action to determine the appropriate next steps. Thank you for reaching out, and I hope you find relief soon!