More than two months post-surgery?
Hello Doctor: I underwent minimally invasive surgery for anal fissure and hemorrhoids in mid-November last year.
However, it has been over two months since the surgery, and the wound has not healed yet.
After taking a sitz bath, I can see a red area at the anal opening that looks like a wound, and there is still a small amount of milky white discharge.
Currently, I continue to have sitz baths twice after bowel movements and showers, and I take softeners and anti-inflammatory medications twice a day.
Is this normal? I read online that recovery typically takes about a month.
I had my anal fissure for several years before addressing it; could this be the reason for the slow recovery? During my follow-up appointment, my attending physician prescribed suppositories and antibiotics, but I have tried multiple times to insert the suppositories without success.
I might be using the wrong technique, and I am also worried that forcing it could cause the wound to reopen.
If this continues for three months, will it turn into a chronic anal fissure? The thought of needing another surgery is very stressful.
Thank you for your response.
Yi, 20~29 year old female. Ask Date: 2024/01/21
Dr. Zhang Shuhao reply Surgery
The healing speed of hemorrhoid and anal fissure surgeries varies depending on the size of the wound.
Complex wounds may take longer to heal, so it is recommended to have regular follow-up appointments to monitor the wound.
Suppositories can be refrigerated to maintain their shape; before insertion, apply a small amount of ointment for lubrication.
When inserted beyond the anal sphincter, they will naturally slide in.
Anal fissure surgery involves excising the inflamed tissue and relaxing the sphincter muscle to allow the wound to heal properly, which reduces the likelihood of developing new chronic anal fissures postoperatively.
Reply Date: 2024/01/21
More Info
Post-surgery concerns regarding slow healing after anal fissure and hemorrhoid surgery can be quite distressing, especially when recovery seems to be taking longer than expected. It’s important to understand that healing times can vary significantly from person to person, and several factors can influence the recovery process.
First, it’s essential to recognize that the anal region is a sensitive area with a rich blood supply, which is crucial for healing. However, this same sensitivity can lead to discomfort and complications if the area is not cared for properly. In your case, having undergone surgery for both an anal fissure and hemorrhoids, it is not uncommon to experience prolonged healing, especially if the fissure was chronic prior to surgery. Chronic fissures can lead to scar tissue formation, which may complicate the healing process.
The presence of a red, inflamed area around the anus and the discharge of a whitish fluid you described could indicate that the surgical site is still healing. This is not necessarily abnormal, but it is crucial to monitor for signs of infection, such as increased redness, swelling, or pus. The fact that you are experiencing some discharge may suggest that the area is still in the process of healing, which can take longer than the typical one-month recovery period often cited online.
Your use of sitz baths is beneficial, as they can help soothe the area and promote healing. Additionally, softening your stool with laxatives is a good practice, as straining during bowel movements can exacerbate fissures and delay healing. It’s also important to maintain a high-fiber diet and stay hydrated to prevent constipation.
Regarding the use of suppositories, it’s understandable to feel apprehensive about inserting them, especially if you are concerned about causing further injury to the surgical site. If you are having difficulty with the suppositories, it may be helpful to consult with your healthcare provider for guidance on proper technique or alternative methods of administration. They may also suggest other treatments, such as topical medications or different forms of pain management, to help ease your discomfort.
As for the concern about developing a chronic fissure if healing does not occur within three months, it’s important to communicate openly with your surgeon. If healing is not progressing as expected, your doctor may recommend further evaluation, which could include imaging studies or a physical examination to assess the surgical site. In some cases, additional interventions may be necessary to promote healing or address any underlying issues.
In summary, while it is not uncommon for healing to take longer than expected after anal fissure and hemorrhoid surgery, it is essential to stay in close contact with your healthcare provider. They can provide tailored advice and interventions based on your specific situation. If you notice any concerning symptoms or if your condition does not improve, do not hesitate to seek further medical attention. Remember, the goal is to ensure a complete recovery while minimizing the risk of complications.
Similar Q&A
Post-Surgery Concerns: Delayed Healing After Anal Fissure and Hemorrhoid Surgery
Hello Doctor, I am the one who previously left a message regarding #204738. It has been three months since my anal fissure and hemorrhoid surgery, and the wound still shows no signs of healing. I am still taking stool softeners daily and using suppositories before bed. I felt som...
Dr. Zhang Shuhao reply Surgery
If the wound continues to exude a white fluid, it can be monitored if it is tissue fluid. However, if there is swelling, pain, and purulent discharge, a medical evaluation and treatment are necessary. When using suppositories frequently, it is important to pay attention to the in...[Read More] Post-Surgery Concerns: Delayed Healing After Anal Fissure and Hemorrhoid Surgery
Post-Surgery Care for Hemorrhoid and Anal Fissure Issues
Hello doctor, I underwent surgery for a hemorrhoidectomy and polypectomy on April 10. After a month of recovery, I have noticed symptoms of anal fissure. Currently, I experience bleeding after walking for a while, and when I soak in water and dry off at home, I also notice slight...
Dr. Xu Kaixi reply Surgery
It has been about a month since the fistula and polyp surgery on April 10th. Theoretically, the wound should have healed by now. If there are still secretions and symptoms, it indicates that the wound has not yet healed or there may be an infection. It is recommended to return to...[Read More] Post-Surgery Care for Hemorrhoid and Anal Fissure Issues
Post-Surgery Complications: Managing Wound Healing After Hemorrhoid Surgery
Hello Doctor: Almost three months ago, I underwent laser surgery for hemorrhoids, as the hemorrhoids had prolapsed outside the anus, and the doctor also excised the prolapsed portion. However, I feel that the wound has not fully healed, as I experience a light yellow tissue fluid...
Dr. Zhang Shuhao reply Surgery
If there is a fan-shaped wound, it indicates that the anally internal mucosal sutures have not healed and are in an open state. This is a common postoperative condition; as long as the wound is kept clean and not overly stimulated, it will gradually heal over time. The symptoms y...[Read More] Post-Surgery Complications: Managing Wound Healing After Hemorrhoid Surgery
Post-Surgery Concerns: Delayed Healing and Medication Queries for Hemorrhoids
Hello Dr. Ke, on March 18 of this year, I underwent surgery for internal hemorrhoids at Hospital A. However, since last September, I have already had three anal surgeries at Hospital B, including procedures for anal fistula and hemorrhoids, as well as a surgical repair for an inf...
Dr. Ke Fangxu reply Surgery
1. Anal fissures cannot occur as a result of stretching the anal opening, as there would be no injury present. 2. If the colonoscopy shows no abnormalities, performing a digital rectal examination or anoscopy will not yield new findings, but it can help assess the extent of woun...[Read More] Post-Surgery Concerns: Delayed Healing and Medication Queries for Hemorrhoids
Related FAQ
(Surgery)
Anal Fissure(Surgery)
Post-Anal Surgery(Surgery)
Post-Hemorrhoid Surgery(Surgery)
Chronic Anal Fissure(Surgery)
Anal Pain(Surgery)
Anal Bleeding(Surgery)
Anal Prolapse(Surgery)
Anal Itching(Surgery)
Internal Hemorrhoid(Surgery)