Postoperative swelling?
Hello Dr.
Ko, I previously underwent traditional hemorrhoid surgery (three months ago, where three hemorrhoids were removed).
There was a wound at the anal opening, but it has completely healed and new tissue has formed.
Currently, when I sit down, I experience some pain in that area.
When I check while showering, I feel a hard lump that is somewhat painful when pressed, but the surrounding areas of the anus are soft.
Could you please advise if there is still inflammation inside? What treatment would be appropriate? Thank you, Lin Wang.
Lin Wang, 40~49 year old female. Ask Date: 2013/11/22
Dr. Ke Fangxu reply Surgery
Hello: If the surgery was three months ago, the wound should be completely healed.
If you still feel hardness, it may be due to scar tissue formed after healing or the sutures may not have been fully absorbed.
As long as there is no pain or bleeding, it should be fine.
Taking warm sitz baths may help.
Reply Date: 2013/11/22
More Info
After undergoing hemorrhoid surgery, it is not uncommon for patients to experience discomfort or pain in the anal area, especially when sitting or applying pressure to the site of the surgery. The presence of a lump or hardened area at the surgical site can be concerning, but it is essential to understand the potential causes and what steps to take next.
Firstly, the lump you are feeling could be a result of several factors related to the healing process. After surgery, the body goes through a natural healing phase, which can involve inflammation and the formation of scar tissue. This is particularly true in the anal region, where the tissue is sensitive and can react to surgical trauma. The hardness you feel could be scar tissue or a localized area of inflammation. It is also possible that the area is still healing, and some residual swelling may persist for a while after the surgery.
Pain upon pressure, especially when sitting, can be attributed to several reasons:
1. Inflammation: The surgical site may still be inflamed, which can cause discomfort when pressure is applied. This inflammation can be a normal part of the healing process, but if it persists or worsens, it may indicate a need for further evaluation.
2. Scar Tissue Formation: After surgery, scar tissue can form as part of the healing process. This tissue can sometimes be firmer than the surrounding tissue and may be sensitive to touch.
3. Infection: Although less common, an infection at the surgical site can lead to pain and the formation of a lump. Signs of infection may include increased redness, warmth, swelling, or discharge from the site.
4. Hemorrhoid Recurrence: In some cases, if the surgery did not completely remove all hemorrhoidal tissue, there may be a recurrence of hemorrhoids, which can present as a lump and cause pain.
Given these possibilities, it is crucial to monitor your symptoms closely. Here are some recommendations for managing your discomfort and promoting healing:
- Warm Baths: Taking warm sitz baths can help soothe the area and promote blood flow, which may aid in healing and reduce discomfort.
- Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage pain and reduce inflammation. However, consult your doctor before taking any medication, especially if you have other health conditions or are taking other medications.
- Avoid Straining: Ensure that you are not straining during bowel movements, as this can exacerbate pain and discomfort. A high-fiber diet and adequate hydration can help prevent constipation and reduce straining.
- Follow-Up with Your Surgeon: It is essential to follow up with your surgeon or healthcare provider to discuss your symptoms. They may want to examine the area to rule out any complications, such as infection or issues with healing.
- Avoid Sitting for Long Periods: If sitting causes discomfort, try to limit the time spent in a seated position. Using a cushion or a donut-shaped pillow can help alleviate pressure on the surgical site.
In conclusion, while some discomfort and the presence of a lump after hemorrhoid surgery can be normal, it is essential to keep an eye on your symptoms. If the pain worsens, the lump increases in size, or you notice any signs of infection, seek medical attention promptly. Your healthcare provider can provide a thorough evaluation and recommend appropriate treatment to ensure a smooth recovery.
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