Post-Surgery Concerns for Stage III Hemorrhoids: What to Expect - Surgery

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Postoperative issues related to hemorrhoid surgery?


Hello Dr.
Chang, I am a grade III internal hemorrhoid patient.
I underwent minimally invasive hemorrhoid surgery at a large hospital, and it has been 56 days post-operation.
Currently, I am experiencing some strange symptoms.
I do not feel pain when using the restroom, but sometimes I have difficulty passing stool; the stool reaches the anal opening but does not come out.
The first bowel movement in the morning is normal, but after using the restroom, I experience a bit of pain and a sensation of something being stuck, although this feeling subsides after a few hours.
I have already consulted the surgeon who performed the operation, and the wound has healed perfectly with no issues of anal stenosis or fissures.
The doctor mentioned that scar tissue might be related to my symptoms.
I am currently using hemorrhoid suppositories and ointment.
I would like to ask if this could be due to scar tissue causing narrowing, and will it recover within three months?

max, 20~29 year old female. Ask Date: 2024/01/16

Dr. Zhang Shuhao reply Surgery


The tissue around the surgical wound may have reduced elasticity, and sensation might be slightly affected.
However, symptoms will improve once the scar tissue stabilizes.
If examinations show no issues with anal stenosis, there is no cause for concern.
You can continue with warm water sitz baths and maintain communication with your doctor to share your symptoms for further evaluation and recommendations.
You may see additional improvement within three months, but the specific recovery time may vary due to individual differences.

Reply Date: 2024/01/16

More Info


Post-surgery concerns for Stage III hemorrhoids can be quite common, especially after a minimally invasive procedure. It sounds like you are experiencing some unusual symptoms, which can understandably cause concern. Let’s break down your situation and what you might expect moving forward.

Firstly, it’s important to recognize that after surgery for hemorrhoids, the healing process can vary significantly from person to person. The fact that you are 56 days post-surgery and have had a check-up with your surgeon, who confirmed that your wound is healing well, is a positive sign. However, the symptoms you describe—difficulty with bowel movements, a sensation of obstruction, and occasional pain—can be attributed to several factors.

1. Scar Tissue Formation: After any surgical procedure, scar tissue can develop. This scar tissue can sometimes lead to a feeling of tightness or a sensation of obstruction during bowel movements. The body typically takes time to remodel this tissue, and while some patients may experience discomfort due to scar tissue, it often improves over time.
2. Bowel Habits and Diet: Post-surgery, it’s crucial to maintain a diet high in fiber and to stay well-hydrated. This helps to soften the stool and can ease the process of bowel movements. If you are experiencing difficulty passing stool, consider incorporating more fruits, vegetables, and whole grains into your diet, and ensure you are drinking plenty of fluids. Over-the-counter stool softeners may also be beneficial.

3. Use of Medications: You mentioned using hemorrhoid suppositories and ointments. These can help alleviate symptoms such as pain and inflammation. However, if you find that they are not providing sufficient relief, it may be worth discussing alternative treatments or adjustments with your healthcare provider.

4. Time for Recovery: The healing process can take several weeks to months. While many patients see significant improvement within three months, some may experience lingering symptoms for longer. It’s not uncommon for sensations of discomfort or tightness to persist as your body continues to heal and adjust post-surgery.

5. Follow-Up Care: Since your surgeon has already examined you and found no signs of complications such as anal stenosis or fissures, it’s essential to maintain regular follow-ups. If your symptoms persist or worsen, or if you experience new symptoms such as bleeding or severe pain, you should reach out to your healthcare provider promptly.

In summary, while your symptoms may be concerning, they can often be attributed to the normal healing process and scar tissue formation. It is essential to continue monitoring your symptoms, maintain a healthy diet, and stay in communication with your healthcare provider. If you have any doubts or if your symptoms change, don’t hesitate to seek further evaluation. Healing from surgery can be a gradual process, but with proper care and attention, many patients find relief and return to normal bowel function over time.

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