Post-Surgery Swelling and Bowel Issues After Mole Removal: What to Expect - Surgery

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Post-operative swelling and difficulty in bowel movements after mole removal?


Hello Doctor, I underwent minimally invasive excision of external moles two months ago and have been attending regular follow-up appointments (three visits so far).
Two months post-surgery, I have noticed two or three small lumps around the anal area that resemble the external moles before they were removed.
The physician mentioned that the swelling has not subsided and advised me to wait.
During these two months, I have been taking warm baths, anti-inflammatory medication, stool softeners, and applying ointment both internally and externally, but the lumps have not diminished.
Additionally, I have to exert a lot of effort to pass stool, which worries me about whether this will be a long-term issue.
I feel a bit helpless; is this normal, and how much longer should I wait, or are there other methods you would recommend? Thank you.

Ke Jun, 40~49 year old female. Ask Date: 2024/06/25

Dr. Ke Fangxu reply Surgery


After hemorrhoid surgery, it is common to experience abnormal sensations for a short period, but typically, these should return to normal within about two weeks.
If you are still experiencing these sensations after such a long time, it may be considered unusual.
Whether this is related to the surgery depends on the type of minimally invasive procedure performed.
If a laser was used, it could be due to excessive depth or overly strong energy causing damage to the sphincter muscle.
If a harmonic scalpel was used, it might be due to excessive cutting depth affecting the sphincter.
In the case of circumferential excision, there could be damage to the pelvic floor muscles.
It is advisable to discuss your concerns thoroughly with your surgeon to identify the cause and find appropriate treatment.

Reply Date: 2024/06/25

More Info


After undergoing a minimally invasive mole removal surgery two months ago, it’s understandable to have concerns about post-surgery swelling and bowel issues, especially when you notice small lumps near the anal area resembling the moles that were removed. Let’s break down your situation and address your concerns.


Understanding Post-Surgery Swelling
Swelling after surgery is a common occurrence as the body responds to the trauma of the procedure. The healing process involves inflammation, which can lead to temporary swelling in the area. In your case, the lumps you’re observing could be a result of this inflammation or possibly remnants of the tissue that was not completely removed. It’s also possible that these lumps are benign and will resolve over time as your body continues to heal.


Duration of Swelling
Typically, swelling can take several weeks to months to fully subside, depending on various factors including the extent of the surgery, your body’s healing response, and any underlying conditions you may have. Since your doctor has advised you to wait, it suggests that they believe this is part of the normal healing process. However, if the swelling persists beyond a reasonable timeframe or worsens, it’s essential to follow up with your healthcare provider.


Bowel Issues and Straining
Experiencing difficulty with bowel movements and the need to strain can be concerning. Straining can lead to complications such as hemorrhoids or anal fissures, which can exacerbate discomfort and swelling. It’s crucial to maintain a diet rich in fiber and stay well-hydrated to promote softer stools. You mentioned using stool softeners, which is a good step. If you continue to experience issues, consider discussing with your doctor the possibility of adjusting your medication or exploring other options such as dietary changes or additional treatments.


Recommendations Moving Forward
1. Follow-Up with Your Doctor: Since you’ve already had three follow-up appointments, it’s important to keep your healthcare provider informed about your ongoing symptoms. If the lumps do not improve or if you experience increased pain, bleeding, or any other concerning symptoms, don’t hesitate to reach out for further evaluation.

2. Monitor Symptoms: Keep track of any changes in the lumps, such as size, color, or associated symptoms like pain or discharge. This information can be valuable for your doctor in determining the next steps.

3. Diet and Hydration: Focus on a high-fiber diet, including fruits, vegetables, and whole grains, and ensure you’re drinking plenty of water. This can help alleviate straining during bowel movements.

4. Warm Baths: Continuing to take warm baths can help soothe the area and may reduce discomfort. It can also promote relaxation, which may help with bowel movements.

5. Avoid Straining: If you find yourself straining during bowel movements, consider discussing this with your doctor. They may recommend additional treatments or therapies to help ease this process.

6. Patience with Healing: Healing can be a slow process, and it’s essential to be patient with your body. If your doctor believes that the swelling and lumps are part of the normal healing process, it’s likely that they will resolve with time.


Conclusion
In summary, while post-surgery swelling and bowel issues can be concerning, they are often part of the healing process. It’s essential to maintain open communication with your healthcare provider, monitor your symptoms, and take proactive steps to support your recovery. If you have any further questions or if your symptoms change, don’t hesitate to seek medical advice. Your health and comfort are paramount, and your doctor is there to help guide you through this recovery phase.

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