Post-Surgery Bowel Movement Issues After Anal Electrocautery: What to Expect

Post-operative bowel issues after anal electrosurgery?

At the beginning of May, I underwent a half-body anesthesia electrosurgery due to a small amount of cauliflower-like growths around the anus and inside the anal canal.
The area of skin burned around the anus was relatively large.
Since the surgery, the wound has gradually healed, but currently, whenever stool approaches the anal opening, it becomes difficult to pass, requiring significant effort, and there is some bleeding.
During a follow-up appointment, the attending physician performed a digital examination and found no signs of stricture.
I was informed that the skin around the wound has not yet retracted inward, and the insufficient skin tension is causing a lack of elasticity, making it difficult for stool to pass.
However, I have been observing that the skin around the wound has retracted to about 0.5-1 cm from the anal opening.
Despite this, I still experience difficulty passing stool at the anal opening, along with tearing pain.
After passing stool, I also feel discomfort due to pulling sensations.
I would like to ask the doctor if this is a transitional phase? Will the elasticity gradually improve over time? Is there any method to facilitate recovery?

Azhong, 30~39 year old female. Ask Date: 2024/07/24

Dr. Zhang Shuhao reply Surgery

If the burn area is extensive, pain and other factors may affect bowel movements before the wound has healed.
Taking warm sitz baths can help with relaxation, along with increasing fluid intake and using stool softeners as needed to facilitate bowel movements.
If the surgery did not involve damage to the sphincter, anal stenosis is rarely a concern.
If symptoms persist, a follow-up appointment is necessary for evaluation, and medications to alleviate symptoms may be prescribed.

Reply Date: 2024/07/24

More Info

After undergoing anal electrocautery surgery, it is not uncommon to experience bowel movement issues, especially if the procedure involved a significant area of tissue removal. The symptoms you describe, such as difficulty passing stool, the need to exert considerable effort, and the presence of bleeding, can be attributed to several factors related to the healing process and the nature of the surgery.

Firstly, the electrocautery procedure can cause thermal injury to the surrounding tissues, which may lead to inflammation and scarring. This scarring can affect the elasticity of the anal sphincter and surrounding tissues, making it more challenging for stool to pass through. The fact that your doctor has confirmed there is no stricturing or narrowing is reassuring, as this suggests that the primary issue may be related to the healing process rather than a structural problem.

The healing of the anal region can take time, and the skin and tissues need to regain their elasticity and strength. As you mentioned, the wound is gradually healing and retracting, which is a positive sign. The remaining distance of 0.5-1 cm to the anal opening indicates that the tissue is indeed healing, but it may still be too tight or rigid, causing discomfort during bowel movements.

In terms of what to expect moving forward, it is reasonable to anticipate that as the tissues continue to heal, the elasticity should improve, and bowel movements may become easier over time. However, this process can vary significantly from person to person, and some may experience prolonged discomfort or difficulty.

To facilitate recovery and improve bowel movements, consider the following strategies:
1. Dietary Adjustments: Ensure you are consuming a high-fiber diet, which can help soften stools and make them easier to pass. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying well-hydrated is also crucial, as adequate fluid intake can prevent constipation.

2. Stool Softeners: Over-the-counter stool softeners can be beneficial in reducing the strain during bowel movements. These products help to increase the water content in the stool, making it softer and easier to pass.

3. Gentle Techniques: When attempting to have a bowel movement, try to relax and avoid straining. You might find it helpful to sit in a warm bath before attempting to use the bathroom, as this can help relax the anal muscles and ease discomfort.

4. Follow-Up Care: Regular follow-ups with your healthcare provider are essential. If your symptoms persist or worsen, it may be necessary to explore additional treatments or interventions. Your doctor may recommend physical therapy focused on pelvic floor rehabilitation, which can help improve muscle function and coordination in the anal region.

5. Pain Management: If you are experiencing significant pain during bowel movements, discuss pain management options with your doctor. They may prescribe medications or recommend topical treatments to alleviate discomfort.

In conclusion, while the symptoms you are experiencing are concerning, they are not uncommon following anal electrocautery surgery. With time, proper care, and possibly some dietary and lifestyle adjustments, you should see improvement in your bowel movements. However, it is crucial to maintain open communication with your healthcare provider to ensure that your recovery is on track and to address any ongoing issues you may encounter.

Similar Q&A

Post-Electrocautery Care: Managing Bowel Leakage and Hygiene Issues

After electrocautery treatment, I experience fecal leakage in the morning and often have difficulty cleaning my buttocks properly. During my follow-up appointment, the doctor mentioned that the function of the anal sphincter is normal, but I often feel that I am not completely cl...

Dr. Yu Mingchang reply Surgery
Hello: Please follow up with the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare, for your care.

Post-Anal Surgery: Managing Pain and Bleeding After Electrocautery

I apologize, but I had anal surgery using electrocautery two days ago. Today, I am experiencing significant pain during bowel movements and have been straining to pass stool, which has resulted in slight bleeding and blood clots. Last night, after passing gas in the bathroom, I n...

Dr. Yu Mingchang reply Surgery
Hello, please come back for a follow-up to check on your wound. The Ministry of Health and Welfare Changhua Hospital cares about you.

Post-Surgery Bowel Issues After Hemorrhoidectomy: Solutions and Tips

Hello! I underwent a traditional excision surgery for grade III mixed hemorrhoids five days ago. On the first day post-surgery, I experienced diarrhea-like bowel movements due to taking a stool softener. After stopping the stool softener, I had two more days of bowel movements, b...

Dr. Ke Fangxu reply Surgery
Postoperative pain and difficulty with bowel movements are common issues after hemorrhoid surgery, so a stool softener is typically prescribed. If diarrhea occurs as directed, the dosage can be adjusted accordingly. Generally, these symptoms improve within a week after surgery. I...

Post-Surgery Concerns: Managing Anal Tightness and Sexual Health Issues

Hello, doctor. It has been over a year since my last three electrocautery surgeries, and there has been no recurrence of lesions. Based on my research, I should be considered healed, but I am still experiencing some issues. 1. Since the electrocautery surgery, I have been deali...

Dr. Ke Fangxu reply Surgery
1. The issue of constipation should not be related to electrocautery unless the area treated was excessively large, causing anal stenosis; otherwise, such sequelae are unlikely. It is recommended that you consult your surgeon to check for any actual narrowing, although it is most...