Swollenness After Hemorrhoidectomy
One of the most alarming discoveries after the hemorrhoidectomy was a swollen butt. I almost fainted when I first saw it, both because of the unsightly look and also the fear that I’ve developed some new hemorrhoids! I searched online and found out this might be the swollenness that everyone talked about. However, either the online posts I found or my doctor could tell me what’s going to happen with the swollenness eventually. That is frustrating. So I decide to write this post to cover my entire experience with the swollenness so interested readers (or sufferers) can reference if applicable.
By now (about four months after my hemorrhoidectomy), I have had several episodes of the swollenness. So yes, it does come and go.
The first time, my worst episode, happened about a week or so after the surgery and after I had a couple difficult and painful BMs. I felt the pain started to build there and I could feel something extra was there. It became so painful that I could hardly walk. When I had the courage to look in a mirror, I saw a few pink large jelly bean looking lumps there. Its very painful to touch. Fearing they were new hemorrhoids, I went to see a doctor (not before I lost several nights of sleep either from the pain or the fear itself).
My doctor convinced me it’s swollenness, instead of thrombosed hemorrhoids. They sound different, right?
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FYI – Swelling is an increase in the size or a change in the shape of an area of the body. Swelling can be caused by collection of body fluid. Thrombosed hemorrhoid is a painful swelling in the anal tissues caused by a clot (or “thrombus”) in one or more of the small veins in the anal skin. This may brought on by prolonged sitting or constipation, but can also occur spontaneously.
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Anyway, the doctor prescribed Hydrocortisone Acetate 2.5% (a steroid cream) and Lidocaine (a numbing cream), which may have provided some relief afterward, but could be psychologically. The actual swollenness took more than a month to completely fade away. There were some skin tags leftover, but small enough (Hey, after all this pain and suffering, I can take some small skin tags for a normal life).
And of course, hemorrhoidectomy can’t be that easy.
Swollenness did come back at least twice now (four months post surgery). Luckily the swelling wasn’t nearly as bad as the first time, although each time the pain did restrain me from normal activities for a day or two. The swollenness also took less time to disappear – about one week.
As to what triggers the flare up, I wish I know for sure. straining does seem to initiate swollenness, although I haven’t figured out exactly how the most recent one started.
IMPORTANT:
Fellow patients – I did not find warm sitz bath helpful with swollenness. I assume heat brings more blood supply to the area, which can exacerbate the swelling initially. The biggest relief I received was from cold compress.
My cheap cold compress kit was a tight zip lock bag with ice and water in it. Press it against your tender rear for as long as you can take. Or a reusable ice pack shaped perfectly for this area may be more user friendly. Either way, it would do the trick. In fact, I wish I knew the effect of cold compress and have had applied it as the first line of defense when hemorroids first showed their ugly heads. Unfortunately, most of us did not know much about hemorroids and waited too long before the best and easiest options are out – a topic for another post.
Hope you learned something useful here.
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