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

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

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?

Answered by Dr. Ajeet Kumar

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

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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.

Medically reviewed by Dr. Sneha Kannan
Published At September 7, 2020
Reviewed At March 1, 2023

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

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Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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