Are Small Growths Normal After Mixed Hemorrhoid Surgery?

Is it normal to have three small granulation tissue growths outside the anus after mixed hemorrhoid surgery?

Hello, Doctor: I had a mixed hemorrhoid surgery last week, and it's been a week now.
I have a few questions: 1.
After the surgery, I find it difficult to have a bowel movement; sometimes I have to strain a lot and still can't pass stool.
Is this normal? 2.
After the surgery, I noticed three small skin tags at the anal opening (which I didn't have before), and they swell and hurt after bowel movements.
Is this normal? Will they disappear after the wound heals?

Tongku Zhongren, 30~39 year old female. Ask Date: 2014/05/01

Dr. Ke Fangxu reply Surgery

1.
Within one week after anal surgery, normal bowel movement sensations may be affected due to wound irritation, but they typically return to normal within one to two weeks postoperatively.

2.
After hemorrhoid surgery, there may sometimes be excess skin left at the anal opening.
Once the surgical wounds have healed, any swelling or pain should resolve; however, whether the excess skin will disappear depends on the size and cause of the granulation tissue.
If it is due to wound swelling, it will likely resolve.
If the skin was left intentionally to prevent anal stenosis, it will not disappear.

Reply Date: 2014/05/01

More Info

After undergoing mixed hemorrhoid surgery, it is common for patients to have concerns about their recovery process, especially regarding bowel movements and the appearance of small growths around the surgical site. Let's address your questions one by one.

1. Difficulty with Bowel Movements: It is not uncommon to experience difficulty in passing stools after hemorrhoid surgery. This can be due to several factors, including post-operative pain, swelling, and the use of pain medications that may cause constipation. It is crucial to maintain a diet high in fiber and to stay well-hydrated to facilitate easier bowel movements. Additionally, your surgeon may recommend stool softeners to help ease the process. If you find that you are straining excessively, it is important to communicate this with your healthcare provider, as excessive straining can lead to complications and hinder the healing process.

2. Presence of Small Growths: The appearance of small growths or "fleshy tags" around the anal area after surgery is relatively common. These are often referred to as skin tags or granulation tissue, which can form as part of the healing process. They may be tender or painful, especially if they become irritated during bowel movements. In many cases, these growths will diminish over time as the surgical site heals. However, if they persist or cause significant discomfort, it is advisable to follow up with your surgeon for further evaluation. They may recommend treatments such as topical medications or, in some cases, minor procedures to remove the tags if they do not resolve on their own.

Additional Considerations for Recovery
- Pain Management: Post-operative pain is a normal part of recovery. Your doctor may prescribe pain relief medications or recommend over-the-counter options. It is essential to follow their guidance on pain management to avoid straining during bowel movements.

- Hygiene: Maintaining proper hygiene is crucial after hemorrhoid surgery. Gentle cleaning with warm water and avoiding harsh soaps can help prevent irritation. Some patients find that using moist wipes instead of toilet paper can be more comfortable.

- Follow-Up Appointments: Regular follow-up appointments with your surgeon are vital to monitor your healing progress. During these visits, you can discuss any concerns, including pain levels, bowel habits, and the appearance of the surgical site.

- Signs of Complications: While some discomfort and changes are expected, be vigilant for signs of complications such as increased pain, bleeding, or signs of infection (such as fever or pus). If you experience any of these symptoms, seek medical attention promptly.

In conclusion, while some discomfort and the presence of small growths can be normal after mixed hemorrhoid surgery, it is essential to maintain open communication with your healthcare provider. They can provide personalized advice and interventions to ensure a smooth recovery. Remember, each patient's healing process is unique, and your doctor is the best resource for addressing your specific concerns.

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