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Suggest Treatment For Rectal Swelling After Hemorrhoidectomy

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Posted on Thu, 13 Apr 2017
Question: I had a hemorroidectomy 10 days ago. All went normal and I actually felt better on day 6 and 7 and thought I was getting through the worst of it. On the 8th day what looks to be a new hemorrhoid had formed and is so swollen I can't even find the hole there anymore. I'm so raw and I'm in so much pain I don't know what to do. I have a lot of whitish discharge coming from the area as well. The swollen part is whitish in some parts and yellow in some parts and red and purple in some parts. Almost looks like parts of it are dying. My doctors nurse says this is normal but I can't even walk and sitz baths do nothing but make it hurt more now. I'm having normal bowel movements and the majority of the internal pain with bm's have stopped but the external pain is excruciating!!! Help!
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
White discharge can be pus,Indicative of infection at site of surgery.

Detailed Answer:
Hi,
Thanks for choosing HealthcareMagic for your query,

Firstly, pus/mucus(white discharge) can be suggestive of ongoing infection at surgical site and should not be neglected.
The swollen area is not a new hemorhoid but is most likely a surgical skin tag(fibro epithelial tisue) and will wither away in few weeks by itself.Don't freakout it's normal.
Excruciating external pain in the area is either due to surgical muscle reflexes or ongoing infection.It its due to inflammation of muscles it will remain there for 3-4 weeks,Ask you gastroenterologist to prescribe you with anti infammatory like Diclofenac in combination of Serratiopeptidase for few days(just taking ibuprofen will not do),until the muscles in anorectal starts to relax and comes back to normal.Surgical excision of Hemorrhoids has caused inflammation at the site of surgery hence anti inflammatory in combination with vitamin C and wound healers like chymotrypsin and trypsin should be given for 4-5 days.
As there is pus formation(white dischage) a culture and microscopy should be done and if required supportive therapy with antibiotic can be started for a week.
After hemorrhoidectomy the area of rectum is left exposed so as a natural physiological phenomenon fibro epithelial tissue starts covering up the exposed area(referred to you as new hemorrhoid).Don't worry its natural and will settle down soon.However immediate cultures of white discharge should be done to rule out the possibility of infection at surgical site.

Tke metamucil daily along with laxative like lactulose to allow stools to pass with minimal straining for few weeks.This will help in early recovery and healing of surgical site.

Advice
Pus culture and microscopy to be done as soon as possible.

Follow up with reports.
I hope i answered your query well.Feel free to follow up.
If possible send 2-3 high resolution clear photos of the outgrowth,Want to see it once to be sure that its fibro epithelial tissue mass.
Thanks.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ramesh Kumar (19 hours later)
Hi, I have provided some attachments. Please review them.
doctor
Answered by Dr. Ramesh Kumar (11 hours later)
Brief Answer:
Follow up answer.

Detailed Answer:
Hi dear,
Have seen the attachement,
Its a fibro epithial outgrowth.
Will take time to heal.
Don't worry and follow all advices given above.
Thanks!
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Ramesh Kumar (13 hours later)
Thank you so much. My doctor did get me in today to check on everything and I don't have an infection thank goodness!!! He did say the swelling was excessive and gave me stuff for that and said the same thing you did. Thank you for easing my mind at a time I couldn't get in to see him!
doctor
Answered by Dr. Ramesh Kumar (3 hours later)
Brief Answer:
Get well soon,

Detailed Answer:
Hi again,
Your welcome.
Have a happy and safe recovery.
In case of any problem feel free to ask!

Thanks.
Get well soon.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2913 Questions

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Suggest Treatment For Rectal Swelling After Hemorrhoidectomy

Brief Answer: White discharge can be pus,Indicative of infection at site of surgery. Detailed Answer: Hi, Thanks for choosing HealthcareMagic for your query, Firstly, pus/mucus(white discharge) can be suggestive of ongoing infection at surgical site and should not be neglected. The swollen area is not a new hemorhoid but is most likely a surgical skin tag(fibro epithelial tisue) and will wither away in few weeks by itself.Don't freakout it's normal. Excruciating external pain in the area is either due to surgical muscle reflexes or ongoing infection.It its due to inflammation of muscles it will remain there for 3-4 weeks,Ask you gastroenterologist to prescribe you with anti infammatory like Diclofenac in combination of Serratiopeptidase for few days(just taking ibuprofen will not do),until the muscles in anorectal starts to relax and comes back to normal.Surgical excision of Hemorrhoids has caused inflammation at the site of surgery hence anti inflammatory in combination with vitamin C and wound healers like chymotrypsin and trypsin should be given for 4-5 days. As there is pus formation(white dischage) a culture and microscopy should be done and if required supportive therapy with antibiotic can be started for a week. After hemorrhoidectomy the area of rectum is left exposed so as a natural physiological phenomenon fibro epithelial tissue starts covering up the exposed area(referred to you as new hemorrhoid).Don't worry its natural and will settle down soon.However immediate cultures of white discharge should be done to rule out the possibility of infection at surgical site. Tke metamucil daily along with laxative like lactulose to allow stools to pass with minimal straining for few weeks.This will help in early recovery and healing of surgical site. Advice Pus culture and microscopy to be done as soon as possible. Follow up with reports. I hope i answered your query well.Feel free to follow up. If possible send 2-3 high resolution clear photos of the outgrowth,Want to see it once to be sure that its fibro epithelial tissue mass. Thanks.