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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Abdominal Pain

Hi Doctor, I have been operated infrared method rectal mucosal prolapse and piles 18 days back. But pain is still there. My surgeon checked and said it takes some more time to relieve. I have severe pain after 2 to BMs, following strict diet also and lots of water.
Wed, 2 Aug 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
Surgery for rectal mucosal prolapse and piles/hemorrhoids by infrared 18 days ago should have been absolutely painless by this time.
The pain on passing bowel movements indicates one of the following reasons:
Infection locally.
Hematoma that did not resolve.
Involvement of skin in the procedure which is sensitive and causes pain on passing BM.
This can be diagnosed by the following:
Per-rectal digital examination.
Ano-proctoscopy and colonoscopy at a later date when the pain allows.
MRI of the area can show any hidden inflammation, pus or so.
If needed a small procedure may be needed if there is a collection.
Take painkiller with anti-inflammatory property like Ibuprofen.
Laxatives.
Sitz bath in a tub with warm water.
If required take a second opinion of another SUrgeon for proper diagnosis and proper management.
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Suggest Treatment For Abdominal Pain

Hi. Thanks for your query. Noted the history and understood your concerns. Surgery for rectal mucosal prolapse and piles/hemorrhoids by infrared 18 days ago should have been absolutely painless by this time. The pain on passing bowel movements indicates one of the following reasons: Infection locally. Hematoma that did not resolve. Involvement of skin in the procedure which is sensitive and causes pain on passing BM. This can be diagnosed by the following: Per-rectal digital examination. Ano-proctoscopy and colonoscopy at a later date when the pain allows. MRI of the area can show any hidden inflammation, pus or so. If needed a small procedure may be needed if there is a collection. Take painkiller with anti-inflammatory property like Ibuprofen. Laxatives. Sitz bath in a tub with warm water. If required take a second opinion of another SUrgeon for proper diagnosis and proper management.