Post-Surgery Concerns: Redness and Swelling After Hemorrhoid Surgery - Surgery

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Postoperative Issues After Hemorrhoid Surgery


Hello Dr.
Ko: This year I underwent surgery for internal and external hemorrhoids.
It has been nearly six months since the surgery, and my anus appears red and swollen.
What could be the reason for this? How should I treat it? Thank you.

tom, 30~39 year old female. Ask Date: 2012/08/29

Dr. Ke Fangxu reply Surgery


Traditional internal and external hemorrhoid surgery typically results in complete recovery within one month.
If recovery has not occurred after six months, it is advisable to consult the original surgeon to determine if the surgical instruments used or the suturing technique may be contributing to poor wound healing.
Describing the situation in writing may not provide sufficient information for useful recommendations.

Reply Date: 2012/08/29

More Info


After undergoing hemorrhoid surgery, it is not uncommon for patients to experience redness and swelling around the surgical site. These symptoms can be attributed to several factors, including the body's natural healing process, inflammation, and potential complications. Understanding the underlying causes of these symptoms is crucial for effective management and recovery.

Firstly, it is important to recognize that surgical procedures, including hemorrhoidectomy, can lead to localized inflammation as part of the healing process. The body responds to surgery by sending blood and immune cells to the area to promote healing. This can result in redness, swelling, and tenderness, which are typical signs of inflammation. In most cases, this inflammation will gradually subside as the tissue heals, and the symptoms should improve over time.

However, persistent or worsening redness and swelling may indicate complications such as infection or hematoma formation. An infection can occur if bacteria enter the surgical site, leading to increased redness, swelling, warmth, and possibly discharge. If you notice any of these signs, it is essential to contact your healthcare provider promptly, as infections may require antibiotic treatment or further intervention.

Another potential cause of prolonged redness and swelling is the formation of a hematoma, which is a localized collection of blood outside of blood vessels. Hematomas can occur if blood vessels are damaged during surgery, leading to bleeding in the surrounding tissues. This can result in swelling and discoloration. While small hematomas may resolve on their own, larger ones may require drainage by a healthcare professional.

In addition to these concerns, it is also important to consider the role of post-operative care in the healing process. Following hemorrhoid surgery, patients are often advised to maintain good hygiene, avoid straining during bowel movements, and follow a high-fiber diet to prevent constipation. Straining can increase pressure on the surgical site, potentially exacerbating swelling and discomfort. Using stool softeners or laxatives as recommended by your doctor can help facilitate easier bowel movements and reduce strain.

To manage redness and swelling effectively, consider the following recommendations:
1. Cold Compresses: Applying a cold compress to the affected area can help reduce swelling and provide relief from discomfort. Be sure to wrap ice or a cold pack in a cloth to avoid direct contact with the skin.

2. Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help alleviate pain and reduce inflammation. Always follow the dosage instructions and consult your doctor if you have any concerns.

3. Hygiene: Keeping the surgical area clean is crucial. Gently cleanse the area with mild soap and water, and pat dry. Avoid using harsh soaps or scrubbing the area, as this can irritate the skin further.

4. Follow-Up Appointments: Regular follow-up appointments with your healthcare provider are essential to monitor your healing progress. If you have concerns about the redness and swelling, do not hesitate to discuss them during these visits.

5. Diet and Hydration: A high-fiber diet and adequate hydration can help prevent constipation and reduce the risk of straining during bowel movements. Incorporate fruits, vegetables, whole grains, and plenty of fluids into your diet.

In summary, while some redness and swelling after hemorrhoid surgery can be a normal part of the healing process, it is essential to monitor these symptoms closely. If they persist or worsen, it is crucial to seek medical advice to rule out complications such as infection or hematoma. By following proper post-operative care and maintaining open communication with your healthcare provider, you can support your recovery and address any concerns effectively.

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