Post-Surgery Concerns: Hemorrhoid Removal Recovery Issues

Q: Post-Surgery Concerns: Hemorrhoid Removal Recovery Issues

Hello： In response to your question, it typically takes about one month for the wound from hemorrhoid surgery to heal, and the pain may take approximately 4 to 6 weeks to completely subside. <br>During this period, a small amount of discharge or blood-tinged fluid is considered n

Postoperative issues after hemorrhoid surgery?

I underwent hemorrhoidectomy on July 24 for grade III hemorrhoids, which the doctor said were quite large.
It has been nearly four weeks since the surgery, and the wound has not fully healed.
I have been experiencing a small amount of brownish-yellow discharge, and I still feel pain when contracting the anal sphincter.
After bowel movements, the pain persists for a while before easing.
Is this situation normal?
Additionally, I noticed three small flesh-like growths at the anal opening post-surgery.
The doctor mentioned they are postoperative swelling and should subside.
However, it has been four weeks since the surgery, and there has been no reduction in size.
Is it possible that these so-called "swelling" will not go away? Could they develop into external hemorrhoids? Will they grow larger or bleed in the future? Why did I end up with three external hemorrhoids after having internal hemorrhoids removed? Is this situation normal?
These concerns are causing me significant distress, and I would appreciate a detailed response from the physician.
Thank you!

Yue Er, 30~39 year old female. Ask Date: 2005/08/20

Dr. Ke Fangxu reply Surgery

Hello: In response to your question, it typically takes about one month for the wound from hemorrhoid surgery to heal, and the pain may take approximately 4 to 6 weeks to completely subside.
During this period, a small amount of discharge or blood-tinged fluid is considered normal.
After surgery, there may be some skin tags that develop around the wound, which may appear as small flesh-colored lumps.
These are remnants from the healing process and usually decrease in size but may not completely disappear.
However, they generally do not have any adverse effects.

Reply Date: 2005/08/20

More Info

Post-surgery recovery after hemorrhoid removal can be a complex process, and it's understandable to have concerns about your healing and any new symptoms that may arise. Let's break down your situation and address your questions based on medical knowledge and common post-operative experiences.

Firstly, it is not uncommon to experience some discomfort and pain after hemorrhoid surgery, especially if you had a significant procedure like a third-degree hemorrhoid removal. The presence of a yellowish discharge can also be typical during the healing process, as it may indicate the body is expelling fluid and debris from the surgical site. However, if the discharge has a foul odor or is accompanied by fever, it could suggest an infection, and you should consult your physician immediately.

Regarding the pain you experience after bowel movements, this is also a common complaint among patients post-surgery. The anal area is sensitive, and the surgical site may still be healing, which can lead to discomfort during and after bowel movements. It is essential to maintain a soft stool to minimize straining, which can exacerbate pain. A high-fiber diet, adequate hydration, and possibly stool softeners can help ease this process.

Now, concerning the three small "lumps" you mentioned at the anal opening, these could be a few things. Post-operative swelling is common, and it can take several weeks for the inflammation to subside. However, if these lumps do not decrease in size after four weeks, it is crucial to have them evaluated by your surgeon. They could be remnants of the hemorrhoids, skin tags, or even new external hemorrhoids. While it is possible for these lumps to resolve on their own, there is also a chance they could persist or even become symptomatic in the future.

You asked if these lumps could develop into external hemorrhoids or if they might bleed. If they are indeed external hemorrhoids, they could potentially become larger or symptomatic, especially if you experience constipation or straining during bowel movements. It is essential to monitor these lumps and report any changes, such as increased size, pain, or bleeding, to your healthcare provider.

The concern about developing external hemorrhoids after internal hemorrhoid removal is valid. Sometimes, the surgical procedure can lead to changes in the anal area that may predispose you to new hemorrhoids. This can happen due to increased pressure in the anal region or changes in blood flow. However, this does not mean that every patient will experience this issue, and many factors, including lifestyle and dietary habits, play a significant role in hemorrhoid development.

In summary, while some discomfort and discharge are normal post-hemorrhoid surgery, persistent pain, lumps, or changes in your symptoms warrant a follow-up with your surgeon. They can provide a thorough examination and determine the best course of action. It is crucial to maintain open communication with your healthcare provider about your recovery and any concerns you may have. They can offer tailored advice and treatment options to ensure your healing process is as smooth as possible. Remember, recovery can take time, and patience is key.

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