Post-Surgery Complications: Pain After Mole Removal

Post-operative complications of mole removal?

Hello, Doctor.
I had a mole removal surgery in March, and I know it's normal to feel pain afterward.
I returned for follow-up checks every week, and during the fourth week, the doctor said I was healing well and there were no issues, so I didn't need to come back.
I mentioned to the doctor that I was still experiencing pain during bowel movements, and the doctor reassured me that it would get better in a few days.
However, each time I had a bowel movement, it was sometimes very painful and sometimes just a little, particularly when the stool passed through the anus.
By April, I couldn't take it anymore and wanted to go back for an examination, but I had a colonoscopy scheduled for May, so I decided to wait until after that.
During the colonoscopy, the doctor said I only had internal hemorrhoids, and everything else looked fine (the colonoscopy was done at a large hospital).
Two days ago, I went to a small clinic for a follow-up on the mole removal, and the doctor diagnosed me with an anal fissure.
I was surprised because I have regular bowel movements, and my stool is not very hard.
The doctor prescribed me ointment and stool softeners.
I would like to ask you, Doctor, do I have an anal fissure, or is it possible that the surgical site has not fully healed? If it is an anal fissure, what should I do? Is there a way to completely cure it? I didn't have anal fissures before the surgery.
The pain during bowel movements is still present, and I'm unsure what to do.

Huang, 30~39 year old female. Ask Date: 2014/05/29

Dr. Yu Mingchang reply Surgery

Hello^^ After hemorrhoid surgery, there is a possibility of developing anal stenosis, the severity of which is related to the extent of the hemorrhoids.
If the stenosis is severe and combined with hard stools, it may lead to anal fissures.
Softening the stool is currently your primary concern.
If the stool is sufficiently soft and you still experience anal fissures, a surgical procedure to partially cut the internal sphincter may be performed to relax the anal canal, which can facilitate bowel movements.
Thank you!

Reply Date: 2014/05/29

More Info

Post-surgery complications, particularly after mole removal or any surgical procedure involving the skin, can lead to various forms of discomfort and pain. In your case, it seems that you are experiencing pain during bowel movements, which has raised concerns about whether this is due to a potential anal fissure or residual pain from the surgical site.

First, it is important to understand that pain after surgery is a common experience. The body goes through a healing process that can involve inflammation and sensitivity in the area where the surgery was performed. In your situation, since the mole removal was in March and you are still experiencing pain during bowel movements, it is essential to consider a few factors.

1. Healing Process: After any surgical procedure, the body requires time to heal. While your doctor indicated that the surgical site is healing well, it is possible that the surrounding tissues are still sensitive. This sensitivity can sometimes manifest as pain during bowel movements, especially if the area is under strain.

2. Anal Fissure: The diagnosis of an anal fissure by another physician suggests that there may be a tear in the lining of the anal canal. Anal fissures can occur due to various reasons, including passing hard stools, straining during bowel movements, or even as a result of surgical trauma. Symptoms of an anal fissure typically include sharp pain during and after bowel movements, which can be quite severe. Given that you mentioned your stools are not particularly hard, it is still possible for fissures to develop if there is any straining involved.

3. Management and Treatment: If you have been diagnosed with an anal fissure, there are several treatment options available. These may include:
- Topical Treatments: Your doctor may prescribe topical ointments or creams that can help soothe the area and promote healing.

- Dietary Changes: Increasing fiber intake and ensuring adequate hydration can help soften stools, making bowel movements easier and less painful.

- Stool Softeners: Over-the-counter stool softeners can also be beneficial in preventing straining during bowel movements.

- Warm Baths: Soaking in warm water can help relax the anal muscles and alleviate pain.

4. Follow-Up Care: It is crucial to maintain communication with your healthcare provider. If the pain persists despite treatment, or if you notice any changes such as bleeding or worsening symptoms, you should seek further evaluation. Sometimes, fissures can become chronic and may require more intensive treatments, including surgical options in severe cases.

5. Psychological Impact: Chronic pain, especially in sensitive areas, can lead to anxiety and stress. It is important to address not only the physical aspects of your condition but also the emotional and psychological impacts it may have on your quality of life.

In conclusion, while it is normal to experience some pain after surgery, persistent pain during bowel movements warrants further investigation. It is essential to follow your doctor's recommendations, adhere to any prescribed treatments, and maintain a healthy diet to facilitate healing. If the pain continues or worsens, do not hesitate to seek further medical advice. Your health and comfort are paramount, and there are effective treatments available for both post-surgical pain and anal fissures.

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