It has been three months since the hemorrhoid surgery, and it has not healed?
Hello Dr.
Ke, my surgical wound from April 17 hasn't healed and has been bleeding.
There are two protrusions near the perineum, and I have persistent pain in my left buttock.
I've returned for follow-ups over ten times, and the doctor advised me to apply medication and wait for natural recovery.
There is swelling and pain near the left perineum.
I consulted another doctor, who said the protrusions are external moles, and there are three internal moles as well.
Why is this happening?
HemorrhoidTroubleMaker, 50~59 year old female. Ask Date: 2015/07/14
Dr. Huang Zhihui reply Surgery
Traditional hemorrhoid surgery involves the removal of the primary hemorrhoidal tissue, and common postoperative complications include pain, bleeding, and residual tags or small hemorrhoids.
Based on your description, it seems you may be experiencing such issues.
If you are still feeling uncomfortable after such a long time post-surgery, it is advisable to consult a specialist for an examination.
Reply Date: 2015/07/14
More Info
After undergoing hemorrhoid surgery, it's not uncommon for patients to experience a range of complications and recovery issues. Hemorrhoid surgery, while generally safe and effective, can lead to various postoperative symptoms that may cause concern for patients and their families.
Firstly, the presence of bleeding from the surgical site is a common issue. Post-surgery, some patients may notice minor bleeding, especially if they are engaging in activities that put strain on the area, such as heavy lifting or straining during bowel movements. However, if the bleeding is persistent or significant, it is crucial to consult with a healthcare provider to rule out any complications such as infection or improper healing.
The two protruding masses near the perineal area that you mentioned could be a few different things. One possibility is that they are external hemorrhoids that were not fully removed during the surgery or that have recurred. Another possibility, as suggested by the second doctor, is that these could be skin tags or external skin lesions, sometimes referred to as "external tags" or "external hemorrhoids." These can develop after surgery due to the healing process or as a result of the original condition.
Pain in the area, particularly on the left side near the perineum, is also a common complaint after hemorrhoid surgery. This pain can be attributed to several factors, including inflammation, irritation of the surrounding tissues, or even the presence of a hematoma (a localized collection of blood outside of blood vessels). It is essential to manage pain effectively, as it can hinder recovery and lead to complications such as constipation, which can exacerbate the condition.
Regarding the mention of "internal tags," it is important to clarify that internal hemorrhoids are located inside the rectum and are generally not visible externally. If there are concerns about internal hemorrhoids or other growths, a follow-up examination, possibly including a digital rectal exam or anoscopy, may be warranted to assess the situation accurately.
In terms of recovery, it is crucial to follow the postoperative care instructions provided by the surgeon. This typically includes maintaining a high-fiber diet to prevent constipation, staying hydrated, and possibly using stool softeners. Gentle hygiene practices and avoiding straining during bowel movements are also essential to promote healing.
If the symptoms persist or worsen, or if new symptoms arise, it is vital to seek further evaluation. Persistent pain, significant bleeding, or changes in bowel habits should not be ignored, as they may indicate complications that require intervention.
In summary, while some discomfort and minor complications can be expected after hemorrhoid surgery, ongoing issues such as persistent bleeding, significant pain, or the appearance of new growths should be thoroughly evaluated by a healthcare professional. Regular follow-up appointments are essential to monitor recovery and address any concerns that may arise during the healing process.
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