Should You See a Doctor for Enlarged External Hemorrhoids After Surgery?

Partial hemorrhoidectomy

Hello, doctor: Last year, I had a third-degree hemorrhoid due to external hemorrhoids, which bled fresh blood.
Following the doctor's advice, I underwent partial excision, but there are still some external hemorrhoids left at the anal opening, which seem to have enlarged recently.
However, they are not painful and do not bleed; I just sometimes take a long time to have a bowel movement.
Should I see a doctor about this? Thank you.

yy, 30~39 year old female. Ask Date: 2012/09/09

Dr. Yu Mingchang reply Surgery

Hello^^ It seems that after the surgery, the anus has become narrower.
If possible, it's best to consult a physician for a digital rectal examination.
Thank you!

Reply Date: 2012/09/09

More Info

After undergoing surgery for external hemorrhoids, it is not uncommon for patients to experience changes in the size or appearance of the remaining hemorrhoidal tissue. In your case, you mentioned that the external hemorrhoids seem to have enlarged but are not causing pain or bleeding. However, you also noted that you sometimes have difficulty during bowel movements, which could be a concern.

Firstly, it is important to understand that while some swelling or enlargement of external hemorrhoids can occur post-surgery, any significant changes should be evaluated by a healthcare professional. Here are several reasons why you should consider seeing a doctor:
1. Monitoring for Complications: Although you are not experiencing pain or bleeding, the enlargement of external hemorrhoids could indicate a potential complication, such as thrombosis (a blood clot) or inflammation. A doctor can assess whether there are any underlying issues that need to be addressed.

2. Bowel Movement Difficulties: You mentioned having prolonged bowel movements. This could be a sign of constipation or straining, which can exacerbate hemorrhoidal issues. A healthcare provider can offer advice on dietary changes, stool softeners, or other treatments to help ease bowel movements and prevent further irritation or enlargement of the hemorrhoids.

3. Assessment of Hemorrhoidal Tissue: It is essential to differentiate between normal post-operative changes and any abnormal growths or changes in the hemorrhoidal tissue. A doctor can perform a physical examination and, if necessary, recommend further diagnostic tests to ensure that everything is healing properly.

4. Preventive Care: If the enlarged external hemorrhoids are a result of lifestyle factors, such as diet or bowel habits, a healthcare provider can provide guidance on preventive measures. This may include recommendations for fiber intake, hydration, and proper bowel habits to minimize the risk of recurrence or worsening of hemorrhoids.

5. Surgical Considerations: If the external hemorrhoids continue to enlarge or cause discomfort, your doctor may discuss potential treatment options, which could include additional surgical interventions. It is crucial to have an open dialogue about your symptoms and concerns, as this will help guide the best course of action.

In summary, while the absence of pain and bleeding is a positive sign, the enlargement of external hemorrhoids and difficulties during bowel movements warrant a consultation with a healthcare professional. They can provide a thorough evaluation, address any concerns, and help you manage your symptoms effectively. Remember, proactive care is essential in preventing complications and ensuring optimal recovery after surgery.

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