Post-Hemorrhoid Surgery Pain: Is It Normal or Time to See a Doctor? - Gastroenterology and Hepatology

Share to:

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.

Similar Q&A

Post-Surgery Concerns: Understanding Pain After Hemorrhoid Surgery

Hello Dr. Ke, I underwent hemorrhoid surgery at the end of July, and it has been over two months since the procedure. Occasionally, I experience a sharp pain near the anus, and there is a soreness starting about 1 cm above the anal area. The soreness occurs daily and can last all...


Dr. Ke Fangxu reply Surgery
Based on your description, it may be difficult to determine the issue. It might be necessary to conduct a rectal examination or an endoscopy to confirm the diagnosis. Generally, this is not related to surgery; otherwise, symptoms would have occurred postoperatively. Sometimes, it...

[Read More] Post-Surgery Concerns: Understanding Pain After Hemorrhoid Surgery


Post-Surgery Concerns: Understanding Pain and Recovery After Hemorrhoidectomy

Doctor, I'm sorry. I had a hemorrhoid ligation on the evening of April 27th, and today is April 29th. The pain is more manageable with pain medication, but it returns when the medication wears off. Is this normal? Also, I've experienced significant pain after bowel move...


Dr. Ke Fangxu reply Surgery
After hemorrhoid ligation, it is theoretically not painful; however, if the ligation site is closer to the anal opening, accompanying pain is a common occurrence. As long as there is no severe pain or significant bleeding, it should not be a concern. Taking warm sitz baths can he...

[Read More] Post-Surgery Concerns: Understanding Pain and Recovery After Hemorrhoidectomy


Managing Pain After Hemorrhoid Surgery: Causes and Treatments

It has been four months since the surgery for the thrombosed external hemorrhoid. Initially, there was no pain, but recently, over the past two months, the pain has returned. The pain does not occur while standing, but it does when lying down to sleep. One doctor suggested that t...


Dr. Ke Fangxu reply Surgery
Is it possible that it is an anal fissure? Generally, four months after surgery, the wound should not reopen. You can first improve your bowel habits and apply hemorrhoid ointment to avoid constipation or diarrhea. If there is no improvement, please consult a doctor for a detaile...

[Read More] Managing Pain After Hemorrhoid Surgery: Causes and Treatments


Post-Surgery Hemorrhoid Pain: Managing Discomfort and Constipation

Hello Doctor: I am on the seventh day after undergoing minimally invasive surgery for hemorrhoids. Prior to this, my bowel movements were very smooth. However, in the last two days, I have been feeling tightness and swelling at the surgical site, and the pain has become so severe...


Dr. Ke Fangxu reply Surgery
There are many types of minimally invasive surgeries for hemorrhoids, and without detailed information, it is difficult to determine which specific procedure was performed, making it hard to assess the issue. It is recommended that you consult your surgeon as soon as possible. Po...

[Read More] Post-Surgery Hemorrhoid Pain: Managing Discomfort and Constipation


Related FAQ

Hemorrhoids

(Gastroenterology and Hepatology)

Hemorrhoids

(Surgery)

Internal Hemorrhoid Bleeding

(Surgery)

Prolapsed Hemorrhoid

(Surgery)

Hemorrhoids

(Internal Medicine)

Stomach Discomfort

(Gastroenterology and Hepatology)

Hemorrhoids

(Urology)

Abdominal Bloating And Pain

(Gastroenterology and Hepatology)

Rectal Bleeding

(Gastroenterology and Hepatology)

Post-Anal Surgery

(Surgery)