Post-Surgery Concerns: Managing Pain and Recovery After Hemorrhoid Surgery

Q: Post-Surgery Concerns: Managing Pain and Recovery After Hemorrhoid Surgery

Hello： In response to your questions. <br>1. <br>Some individuals may experience a rejection reaction to absorbable sutures due to their body constitution, which can lead to purulent infections; this is a possibility. <br>2. <br>Generally, wounds near the anus take about a week t

Postoperative care for hemorrhoid surgery?

Hello, Doctor: I recently inquired about issues related to hemorrhoid surgery, and I appreciate your response.
I have followed up with my original surgeon regarding the persistent swelling and pain after the surgery, and I have undergone some treatments.
Initially, the doctor did not pay attention to the area I reported as swollen and painful; he suggested that we should let the absorbable sutures dissolve first, which he believed would lead to improvement.
However, after 2 to 3 follow-up visits, there was not much progress, and a part of the external anal wound continued to be swollen and painful, nearly a month after the surgery.
Four days ago, I returned to the doctor and provided a more detailed description of the painful area.
The doctor seemed to take notice, conducted an examination, and performed some treatments.
His explanation was that "there is still a small segment of suture that has not yet absorbed (which could be one of the causes of the swelling and pain?), and he removed it directly." Additionally, I am not sure if this is related, but it seems that the swollen and painful area may have become inflamed and infected.
He made an incision at the painful site, which felt like he was draining pus; this process was extremely painful, and afterward, I noticed a clean, straight incision-like wound after applying medication at home.
Over the past few days, the originally swollen and painful area has reduced in swelling, but there is still some pain, especially after sitting for long periods.
I would like to ask the doctor: 1.
Can non-absorbable sutures lead to swelling, pain, or inflammation and infection? 2.
If inflammation or infection persists for too long, will it be difficult to recover? It has been four days, and touching the skin or applying pressure still causes pain, although it has improved compared to before; there is still a sensation of pain, as if the nearby muscles are also hurting.
3.
Is my surgeon's approach to treatment and management normal and correct? 4.
Does the healing of wounds after hemorrhoid surgery really take time, and in cases like mine, does it require even longer for recovery? Thank you for taking the time to read my statement, and I appreciate your response.

Ping, 30~39 year old female. Ask Date: 2008/02/27

Dr. Ke Fangxu reply Surgery

Hello: In response to your questions.
1.
Some individuals may experience a rejection reaction to absorbable sutures due to their body constitution, which can lead to purulent infections; this is a possibility.
2.
Generally, wounds near the anus take about a week to heal.
As long as the pus is drained, they typically heal quickly, and taking warm sitz baths can further accelerate the healing process.
3.
Yes! That is the correct approach! (Although it may seem a bit harsh.) 4.
Yes, if an infection occurs at the surgical site, it can indeed delay the recovery process.
However, there is no need to worry; with proper sitz baths, it will gradually heal on its own.

Reply Date: 2008/02/27

More Info

After hemorrhoid surgery, managing pain and ensuring proper recovery can be a challenging process. Your concerns about persistent pain and swelling, especially after a month post-surgery, are valid and warrant careful consideration. Here’s a comprehensive response to your questions based on medical knowledge and common practices in post-operative care.

1. Can non-absorbable sutures lead to swelling or inflammation?
Yes, non-absorbable sutures can indeed cause localized swelling and pain if they are not removed in a timely manner or if they irritate the surrounding tissue. In some cases, if the sutures are left in place longer than necessary, they can lead to inflammation or even infection, which may manifest as pain, swelling, and discharge. It’s crucial for your surgeon to monitor the healing process and address any issues with sutures promptly.

2. Will prolonged inflammation or pus formation hinder recovery?
Prolonged inflammation or the presence of pus can complicate recovery. If an infection develops, it can delay the healing process and may require additional treatment, such as antibiotics or further surgical intervention to drain any abscesses. It’s essential to keep the area clean and follow your surgeon's post-operative care instructions. If pain persists or worsens, it’s important to communicate this to your healthcare provider, as they may need to reassess your condition.

3. Is the treatment provided by my surgeon appropriate?
From your description, it seems your surgeon is taking appropriate steps by addressing the issue of the non-absorbed sutures and managing any signs of infection. The incision made to drain pus is a common procedure when there is evidence of an abscess. However, if you feel that your concerns are not being adequately addressed, or if you continue to experience significant pain, it may be beneficial to seek a second opinion or consult with a specialist in colorectal surgery.

4. Is recovery from hemorrhoid surgery typically slow, and will my case take longer?
Recovery from hemorrhoid surgery can vary significantly from person to person. Factors such as the extent of the surgery, individual pain tolerance, and overall health can influence recovery time. Generally, it is expected that swelling and discomfort will gradually decrease over a few weeks. However, in cases where complications arise, such as infection or issues with sutures, recovery may take longer. It’s essential to be patient and allow your body the time it needs to heal. Engaging in gentle activities, avoiding prolonged sitting, and following a high-fiber diet can help facilitate recovery.

In summary, while some degree of pain and swelling is common after hemorrhoid surgery, persistent or worsening symptoms should not be ignored. It’s crucial to maintain open communication with your healthcare provider and ensure that any complications are addressed promptly. If you feel that your recovery is not progressing as expected, do not hesitate to seek further evaluation or a second opinion. Your comfort and health should always be the priority in your post-operative care.

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