Experiencing External Hemorrhoids Post-Surgery: Understanding Why and What to Do

It's not uncommon to experience lingering issues after hemorrhoid surgery. Some individuals may still feel like they have external hemorrhoids after a procedure. This can be a cause for concern, especially if it persists or worsens. Understanding the reasons behind this and the appropriate steps to take can help manage your recovery effectively.

Hemorrhoid Surgery Overview

Hemorrhoidectomy is a surgical procedure used to remove hemorrhoids. This can be done with local anesthesia (where the area being operated on is numb, and you are awake but relaxed) or general anesthesia (where you are put to sleep). Hemorrhoidectomy is generally more effective than other treatments but can come with a higher risk of complications.

Types of Hemorrhoidectomies

Various types of hemorrhoidectomies exist, each with its own benefits and risks. Among these are:

Closed Hemorrhoidectomy: This involves using a sharp instrument to remove hemorrhoidal bundles, followed by complete wound closure. While it has the most postoperative discomfort, it has the best long-term results. Open Hemorrhoidectomy: Similar to the closed method but leaves the incision open. This option is chosen when wound closure is difficult or the risk of infection is high. Stapled Hemorrhoidectomy: A newer technique that uses a circular stapling device to lift hemorrhoids back to their normal position and disrupt their blood supply, leading to less postoperative pain and faster recovery. Lateral Internal Sphincterotomy: This procedure is performed in cases of high resting sphincter pressures, often to reduce postoperative pain.

Understanding Residual Swelling and Changes in Tissue

After hemorrhoid surgery, residual swelling or changes in tissue may create the appearance of external hemorrhoids. This is a common occurrence and usually resolves with time. However, if concerns persist or worsen, it is crucial to consult your healthcare provider for a thorough evaluation.

Follow your doctors' post-operative care instructions, including prescribed medications or ointments, and maintain proper hygiene. Avoid straining during bowel movements and give your body the necessary time to heal. If you experience any significant bleeding or if the symptoms worsen, contact your healthcare provider.

What to Expect After Hemorrhoid Surgery

After hemorrhoid surgery, it is essential to stay well-hydrated and to continue with a fiber supplement daily. This helps prevent constipation and promotes healing. Warm sitz baths can also reduce pain. It is normal to experience some bleeding after surgery, but if it is significant or runs down the leg, you should call your surgeon.

The recovery time can vary, with some people returning to work in a week, while others may require two to three weeks. Remember, while some discomfort is normal, persistent or worsening symptoms should be addressed promptly.

Final Thoughts and Support

Each individual's recovery experience is unique. Stay informed about your recovery process and do not hesitate to seek additional information and support. Our dedicated Quora Space on Hemorrhoid Surgery Recovery is available for helpful resources and information.