Post-Anal Abscess Surgery: Is a Hard Lump Normal After 6 Days?

Postoperative care for anal abscess?

On February 6, an incision was made for an anal abscess, resulting in a one-centimeter wound.
As of yesterday, February 11, there has been mild pain and a hard lump at the site.
I have been continuously changing the dressing and applying gentian violet ointment.
On February 12, the pain has subsided, but the hard lump remains.
I smoke and have taken sitz baths two to three times.
I would like to know if having a hard lump is normal.
Additionally, since the medication prescribed by the doctor during the New Year period has only one week’s supply left and I cannot return for a follow-up until the 16th, can I stop taking it?

123, 20~29 year old female. Ask Date: 2024/02/13

Dr. Zhang Shuhao reply Surgery

After incision and drainage of an abscess, mild pain and a lump at the wound site are common phenomena.
The lump may be due to inflammation and swelling of the surrounding tissue or a hematoma, which will gradually subside over time.
It is advisable to take warm sitz baths frequently and continue with dressing changes.
Complete the oral medications, and if there are no discomforts, you can wait until the follow-up appointment to return.
Smoking can affect wound healing and increase inflammatory responses, so it should be avoided during this period.

Reply Date: 2024/02/13

More Info

After undergoing surgery for an anal abscess, it is not uncommon to experience some discomfort and the formation of a hard lump at the surgical site. The presence of a hard lump six days post-surgery can be attributed to several factors, including inflammation, the healing process, or even the formation of scar tissue.
When an abscess is surgically drained, the body initiates a healing response, which often includes swelling and the accumulation of fluid in the area. This can lead to a firm or hard lump as the tissues heal. In many cases, this lump may gradually decrease in size and resolve over time. However, if the lump persists or is accompanied by increasing pain, redness, or discharge, it could indicate a complication such as an infection or the formation of a new abscess.
In your case, since the pain has subsided but the hard lump remains, it is likely a part of the normal healing process. However, it is essential to monitor the lump for any changes. If it becomes painful, grows larger, or if you notice any unusual discharge, you should seek medical attention promptly.

Regarding the medication you were prescribed, it is crucial to follow your doctor's instructions. If you have only one dose left and cannot return for a follow-up until the 16th, it is advisable to use the medication as directed until it runs out. If you feel that your symptoms are manageable and you are not experiencing significant pain or discomfort, you may be able to wait until your follow-up appointment. However, if you have concerns about your healing or if symptoms worsen, it is best to contact your healthcare provider for guidance.

In addition to medication, continuing with sitz baths can be beneficial for comfort and hygiene. They can help soothe the area and promote healing. Make sure to keep the surgical site clean and dry, and change dressings as instructed to prevent infection.

In summary, while a hard lump after anal abscess surgery can be normal, it is essential to keep an eye on it and consult your doctor if you have any concerns. Follow your medication regimen as prescribed, and don’t hesitate to reach out to your healthcare provider if you experience any changes in your condition. Your health and recovery are paramount, and professional guidance is always the best course of action when in doubt.

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