Even after 2.5 months of hemorrhoidectomy, I have anal pain. Is it normal?

Question

Hi doctor,

I had severe burning pressure and pain in the rectum. I used all creams. On MRI, I was diagnosed with a fistula at 6 o'clock. After doing an examination under anesthesia, my doctor did not found a fistula. But I had second-grade internal hemorrhoids at 3 o'clock, 7 o'clock, and 11 o'clock. After that, I did a hemorrhoidectomy. Now it has been two and a half months. My condition seems to be better than before but I still feel the discomfort, pain, and stretch feeling inside the anus. I have pressure and pain while sitting. Please advise. Are these symptoms seem to be normal after surgery? How long will it take to get recovered?

Answer 1

Hi,

Welcome to icliniq.com.

I have some concerns regarding the operation done while you are having burning and pain in the rectum as hemorrhoid surgery is not required in your case. Initially, it should have been explored with a sigmoidoscopy. As you have done surgery, some pain with narrowing of the anus and difficulty in passing stools occurs. You need to have a local examination of the anorectal area.

Usually, hemorrhoid surgery is not done unless they are grade 3 or 4, grade 2 with active bleeding, or due to failure of non--surgical therapies. You did not have any of these conditions to have surgery. Your problem seems to be a combination of your previous condition which has led you to the operating table and part of your problem is a sequela of hemorrhoid surgery. Please share the investigations done to guide you further. After going through the current and past symptoms, then I can be able to guide you further.