Postoperative pain after hemorrhoid surgery?
I had hemorrhoid surgery almost two months ago, but I still experience significant pain at the surgical site after bowel movements.
To prevent constipation, I make sure to have a bowel movement every day, and I also soak or rinse the area after using the restroom.
Despite soaking 3 to 4 times a day, I am still in pain.
Is this level of pain a normal part of the healing process, or could there be other underlying issues? Should I consider seeing a doctor again?
Ms. Chen, 20~29 year old female. Ask Date: 2014/12/08
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: If the wound continues to be painful, it is recommended to return to the colorectal surgery department for an examination.
Wishing you safety and health.
Dr.
Lin Ming-Hui, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2014/12/08
More Info
After undergoing hemorrhoid surgery, experiencing pain at the surgical site for an extended period can be concerning. It is important to understand that while some discomfort is expected post-surgery, persistent or worsening pain may indicate complications or issues that require medical attention.
Typically, after hemorrhoid surgery, patients may experience pain, especially during bowel movements, for a few days to a couple of weeks. This discomfort is often due to the healing process of the surgical site and the trauma associated with the procedure. However, if you are nearing two months post-surgery and still experiencing significant pain, especially after bowel movements, it may not be within the normal range of recovery.
Here are some potential reasons for your ongoing pain:
1. Incomplete Healing: The surgical site may still be healing, and if there is excessive tension or strain during bowel movements, it can lead to increased pain.
2. Scar Tissue Formation: Sometimes, scar tissue can form in a way that causes discomfort or pain, especially if it is pulling on surrounding tissues.
3. Infection: If there is an infection at the surgical site, it can lead to increased pain, swelling, and possibly discharge. Signs of infection include redness, warmth, and fever.
4. Fissures or Additional Hemorrhoids: It is possible to develop anal fissures or new hemorrhoids post-surgery, which can cause significant pain during and after bowel movements.
5. Constipation: Even with efforts to maintain regular bowel movements, if you are experiencing any degree of constipation, it can exacerbate pain during defecation.
Given your situation, it is advisable to consult with your healthcare provider. They may perform a physical examination to assess the surgical site and determine if there are any complications such as infection or fissures. They can also evaluate your pain level and discuss pain management strategies, which may include topical treatments, dietary adjustments to prevent constipation, or medications to help with pain relief.
In the meantime, continue to practice good hygiene by keeping the area clean and dry, and consider using a sitz bath to help soothe the area. Maintaining a high-fiber diet and staying hydrated can also help facilitate easier bowel movements, which may reduce pain during defecation.
In summary, while some pain is normal after hemorrhoid surgery, persistent pain two months post-operation warrants a follow-up with your doctor. They can provide a thorough evaluation and appropriate treatment options to ensure your recovery progresses smoothly.
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