r/hemorrhoid

2 months post-op: daily discharge, painful bowel movements. Is it normal?

Hi, 2 months ago I underwent surgery for multiple hemorrhoids (internal, external, and mixed) using a combination of LHP (laser hemorrhoidoplasty) + a conventional hemorrhoidectomy for the largest one.

Even after 2 full months I am still experiencing:

  • Daily discharge (which increases after a bowel movement)
  • Swelling/a lump that gets larger after bowel movements
  • Mild pain/discomfort lasting for 2-3 hours after a bowel movement
  • A minimal amount of blood in my stool
  • Recent perianal dermatitis/eczema (likely caused by the discharge and friction).

My last follow-up was 1 month ago, and my doctor told me that everything was healing well and there were no complications. My next check-up is in a few days.

I wanted to ask: in your experience, is this normal? Does it usually take this long for post-op symptoms to completely go away?

Also, I tried going back to the gym and lift very light weights, but I immediately felt discomfort in the area and had to stop.

Thanks!

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u/Livid-Cat3293 — 20 hours ago

Anal tag healing help

I am in a serious mission to heal my anal tag completely or even 90% in 1 month. I have had anal tag since past 5 years because I had severe constipation at one point that I could not even sit but now I am really getting annoyed of it and I want it removed at any cost.

I cant get surgery or go to doctor because then I would have to tell my parents which is something I want to avoid.

Those who have healed their anal tag not via surgery please help me out🙏🏻🙏🏻

Its not hemorrhoids it is anal skin tag its visible to me atleast I have not shown my ass to anyone. It's size is around idk it's mid but on a smaller size.

PLEASE HELP ME OUT🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻

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u/TheseAd9743 — 1 day ago

No pain during BM but bleeding after walking/running?

I had a LIS last year. After that there's been no pain from BM but I've been getting a stinging, stabby sort of pain from perianal region (I think). The bleeding I see is bright and usually after I walk a lot or run. I think the bleeding is from the perianal area and not from inside because that area is also sore when I touch it or when I use bidet.

I've been to 6 different doctors (yes) trying to figure this out. One said I'm chafing, one said it's the old fissure, rest are clueless. There's no hemorrhoid, internal or external. The old wound is healing and no new fissure too.

I'm at my wits end. Any advice?

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u/Kronikaetor — 3 days ago

Banding 3/3 Report

Hello again and welcome to the play by play for my hemmorrhoid bandings that no one asked for. Bit my experiences have been fairly textbook, so I wanted to share them foe those who are anxious.

Honestly, I wanted to cancel but only because I know the night of sleep after the procedure will be shot to hell. Also, I was a bit constipated leading up to the procedure, so I took a glycerin suppository that morning l, which worked like a charm. But that meant my bum was a bit irritated going in, which wasn't very fun. Doable but not ideal.

The procedure was as normal as the first two. Painless, over in 30 seconds. It is the dull, achy discomfort afterwards that sucks. It feels like a combination of constipation pressure and a menstrual cramp. Generally no higher than a 3/10 of pain for me, but it is constant the rest of the day and night. Usually, by morning I feel back to normal-- will report back as we go.

I take alternating Tylenol and Advil for the discomfort, but the only things that help are walking/activity and sitz baths. And sleep, but I struggle to fall asleep. But generally, all 3 of mine were textbook. Painless, fast, discomfort afterwards that resolves the next day.

Here's hoping I won't need to do this again for a long time! Drink the fiber supplements, yall! And don't be afraid of the banding-- just make sure you go to a colo-rectal surgeon if possible, because they gwt much more training on it than GI docs.

Cheers and hydrate,

rosa

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u/rosa_lunae — 3 days ago

22 F France I had an anal skin tag removed a week ago, but a skin fold extending toward my vulva that was there before surgery is still the same size. Has anyone had this? Did it shrink after healing, or did you need another procedure to remove it?

u/Top-Equipment-1520 — 4 days ago

Any extreme hem shrinking remedies outside of the box/the normally recommended?

Edit: I misspoke. Didn't mean "extreme", I meant "alternate"

I'm curious if anyone has shrunk external/thrombosed hems in a pinch with other things? Like what about those skin firming, tightening beauty products like that eye cream that's always in ads with some dude's name on it? Sometimes desperation leads to innovation. Thoughts?

#I'minsomuchpain

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u/blahblahblahx99 — 5 days ago

Anyone underwent PPH/Stapler surgery for hems?

26M with Grade 3 internal hemorrhoids.
They prolapse after bowel movements but go back in on their own. I also have swelling and pain for about an hour afterward.

My surgeon recommended PPH/stapler surgery but warned me about possible recurrence.
I’m confused about whether I should go ahead with it or consider other options like traditional hemorrhoidectomy

Has anyone with Grade 3 hemorrhoids had PPH/stapler surgery? How was the recovery, and did they experience recurrence?
Would you recommend getting a second opinion before deciding?

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u/light_in_double_slit — 4 days ago

39M USA - Before and after HAL-RAR surgery

Not sure if this is to be considered an improvement. I am only a few days post surgery and have both problems urinating and having bowel movements as a result of the trauma to my pelvic floor.

Can anyone provide any personal experience on what I should expect for improvement in the next couple of weeks? My surgeon has said that we will have to wait and see but a hemorrhoidectomy is the next option if this doesn't help.

I just kind of expected more from this surgery... But it is also very early after the operation. The doctor knew what it looked like before; I don't know all of what he did up inside there, but I was expecting a better result than this post-op.

Should I expect this hemorrhoid to shrink over time from the stitches inside on the artery?

Also, I am not leaking anything as a result of the surgery. That's just a photo I took while on the toilet.

u/Professional-Rock-51 — 4 days ago

Is there any other way?

I am a mom of two littles (4 and 5) and don’t have the help necessary for a hemorrhoidectomy. I wouldn’t be able to have any down time.
I am in agony. I have chronic constipation and am on Linzess (290mcg). I have had hemorrhoids for years, even before kids. They went away at one point.
I try Prep H, witch hazel, hot soaks, vaseline, sugar and with hazel, etc… it is burning and I have these external buddies that I hate.
I am not overweight, I workout regularly and I am constantly on the go with my kids.
What are non invasive things I can do or minor surgical procedures. I have had banding procedures but with little to no help.
It isn’t feasible now for me to do the full surgery.

Any help would be much appreciated. Thanks in advance.

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u/positive_salticidae — 5 days ago

Hemorrhoids?

28 year old male

Ongoing problem for the last year or so. Constant pain during and after bowel movements. Constant cycles of pain during the week with minor relief for one or two days every now and then. Very occasional bright red blood on toilet paper. Feeling of poop forcing it’s way out. Feelings of constant swelling. Also some sticky feeling when wiping. Have been to the GP twice and have done two 4 week courses of rectogesic and an 8 week course of diltiazem.

I eat lots of fibre and 2-3 litres of water a day but there seems to be nothing that can consistently change this. Am constantly thinking about what i’m eating and the effect it might have on a bowel movement. Feel i can no longer drink coffee due to the onset effect it has on me.

I have an appointment with a colorectal specialist next week but would love some second opinions as to what could be the main source of pain here. My GP did everything he could and suspects a chronic anal fissure but was not sure.

Someone give me some form of hope here please 😅

u/No-Psychology-2848 — 5 days ago

Help please

48 F I had Botox, skin tag excision (from a hammy), and fistulotomy on August 6th. The CRS marsupialized the fistulotomy with stitches. I'm still in a lot of pain and wondered if there's anyone out there at all that can tell me if this needs attention? My CRS doesn't seem to be concerned enough to even want me to come in to see it.

u/amywog — 5 days ago

29F what i think is an external hemorrhoid since 2022

Please help this is ruining my life lol it started when i was pregnant in 2022, it was small back then though and i thought it would go away, it didn’t cause me issues so i let it be. Now 4 years later i am miserable. Flare up’s come and go. i thought it was leaving behind skin tags every time it shrunk back down. Now it just looks like a huge cluster of them and idk what the heck is going on. this is what it looks like right now in this current flare up. It’s very painful. I really do not want to have surgery but idk what else will help? These are external right?? I’ve never tried to push them in or anything cause it’s always looked and felt like it was on the outside. I feel like every time i look up treatment options it shows stuff for internal. I just can’t keep living like this im also too afraid to be intimate with anyone because i am so insecure about this.

Also last two pics is at different times you can see dates in pics

u/Proof_Dig_5163 — 6 days ago

Ice and warm baths question

Can using an ice pack or something similar for 15 mins or so and then taking a warm sitz bath for 15 mins as well help speed up the healing process of a Thrombosed Hemorrhoid or should I just keep sticking to warm sitz baths? I've been doing sitz baths for 3 to 4 times a day for the last week and I have seen no improvement and I haven't used the special ice packs for hemorrhoids in a few months. So I was just curious if doing ice and then warm will help it a lot.

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u/Ashx99 — 4 days ago

Any more tips on what to do to reduce hemorrhoid swelling

I've had a very small pea sized external hemorrhoid that will go back inside when it isn't inflamed and in pain. I haven't been able to get it to relax tho and every time it seems like im making progress on getting it to settle down no matter how soft my stool is it re-triggers it to get swollen again and resets my progress all over again. I have tried to get it to go away now for like 3 months and it will not stop swelling and hurting. I feel so discouraged, its not even a huge one and i can feel it hurting whenever i try to sit or lay on my back, i've tried several things like forces of nature, iodine pads, laying on my stomach, making sure my stool is soft, taking diosmin hesperidin and even kegels to trying and relax enough to push it back in but it wont stay in and just hurts all the time now. I only have prep H and copper supplements left from the list of things to try. If there is anything anyone can recommend to help out like a routine or anything else i'm up for anything. If i could get it removed i would but its not even that big.

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u/BluebearTheBear — 4 days ago

37M - First timer, 4 weeks in. These 2 externals…it’s hard to tell what’s going on here. People mention pushing them in but the far one is so far away. What am I missing?

u/TheBronJames2000 — 5 days ago

My experience with hemorrhoids 38/m

Posting my experience with hemorrhoids because I felt reading medical sites were not really descriptive or helpful. Maybe this will be useful for someone experiencing the same.

It started when I felt something extra in my rectum while defecating and soon after that I started feeling pressure.

I had never before had any symptoms like this. It was not painful and I wondered what it was and though that I’ll have to visit a physician as it could be anything.

It came and went, started causing slight pain and then progressed in a few weeks to external hemorrhoids. I got one or two pea sized external hemorrhoids around the anus that appeared and slowly disappeared. I would feel sudden pressure and pain somewhere around my anus, e.g. close to the perineum and a new external hemorrhoid would appear which would cause discomfort and slight pain.

This was reassuring for me that it was hemorrhoids as the piles were soft to the touch and collapsible. It made me quite sure that they were not cancerous growths as such generally are hard masses and don’t shift places.

This phase was also accompanied by feeling pressure inside the rectum on a particular side like left and then it disappeared, getting something on the right and then it disappeared, then more generalized pressure and it got better and reappeared. The symptoms were accompanied by a small external hemorrhoid at times. These came in waves so first feeling pressure or getting a bump and then it dissipated in a few days until it again reappeared.

These came pretty much on their own and I don’t feel like any particular activity caused them. Not exercise, not defecating strenuously, not particular foods.

When I had flare ups I would have to lie down on my stomach on the bed with my rear elevated to relieve the pressure and discomfort. I washed myself with a bidet shower head and soap and applied Abilar wound balm to help with the itching, just something I had at hand.

My stool was without blood and otherwise normal. I had one episode of thin stool when the pressure inside the rectum was the worst and it was a bit worrying but it lasted only two days.

At this point I was about a month into the episode.

I read some people had benefits of taking copper and I had myself been supplementing daily with 15 mg zinc citrate for at least a year. As zinc interferes with copper absorption so I thought there might be something to it and that maybe my supplementation had caused an issue with connective tissue and caused my problems.

I stopped zinc supplementation and started taking 2 mg copper bisglycinate daily for a few weeks. The symptoms were still present but slowly over time started getting fewer with more time in between.

Now about 3 months since it began I have been without any symptoms for about a month.

I have been otherwise completely healthy, I am normal weight, I ate healthy food and exercised.

What caused it? No idea.

Did taking copper and stopping zinc help? No idea.

For me at least it seems like it was some temporary disorder, metabolic or whatever that caused swollen and inflamed hemorrhoids. Now everything is back to normal and I don’t think I could have avoided this by drinking more water, eating more fiber, changing excretion habits or anything.

Just posting this as I was searching online every source says that hemorrhoids appear and get better in a few days but this was more of a series of instances that lasted almost a few months.

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u/ponzi_money — 5 days ago

18m IM scared asf, If this IS anal warts i cant tell my parents theyll disown me and the treatment is expensive since im in hs now, how do i get rid of this? Does iquimoid work

• Present: I noticed it about 2 weeks ago.

• Location: It is located right at the opening of the anus.

• Timeline: It seems to have stayed about the same and I haven't noticed it getting bigger or spreading.

• Symptoms: It is not painful. I sometimes experience very mild itching, but it is not severe.

• Treatments tried: I applied salicylic acid to the area, but I have not used any other treatment. I am considering using imiquimod but have not started it.

• Relevant background: I am not currently taking any medications.

u/fancyisafrequency — 6 days ago

Hemorrhoidectomy 8/16/26

Hello everyone, 38 male very active …just wanted to share my journey thus far. I’ve dealt with hemorrhoids for several years and I can honestly say it was the most annoying deliberating thing I’ve ever had to deal with. Day in and day out I could not do any activities. If I would go to the gym for 10 min it would come out and be irritating. I couldn’t go on long walks, I couldn’t go to a club, I couldn’t go to a bar, outside was pretty much dead to me because I’d be miserable and in pain. The weeks leading up to surgery were horrible. So much pain so much blood and hems were thrombosed. Throughout reading all the horror stories that absolutely scared me, I just couldn’t live like this anymore. I ended up biting the bullet and doing surgery. Currently on day 6 and so for these are how my days went….

Day 0 - SURGERY DAY. Surgery was done around 10am and took about 40-50 minutes and I was done and rolled back into my hospital room. Not much to say about this day since I was drugged up on Dilaudid and Toradol.

Day 1 - first half in the hospital and had my first bowel movement and my God, I won’t lie it was the most painful thing I’ve ever had to endure. Pain was 10/10. Luckily, right when I had it the nurse put me on Dilaudid right away and toradol a hour later. Dealt with the pain no more than 5 min because the drugs sedated me heavily, but that 5 min stretch ooooff I was scratching the walls. Right after BM ended up being discharged and headed home. Not much else this day besides resting.

Day 2/3 - Took medication (norco/diazapam/tylenol) as prescribed throughout these couple days. A lot of resting and the only pain I was dealing with was walking or farting. Didn’t want to walk much. Farting only slight pain as it passes then sudden relief right after. Sitz baths 6-8x both these days with 2 baths to clean myself up. Farting blood and discharge.

Day 4 - This day was tough. I was going through Rectel Tenesmus. Meaning the sphincter is a persistent, painful urge to pass stool even when your bowels are already empty. So it’s somewhat a false alarm and happened throughout day 4 and 5. Numerous times had to run to the RR to see if I would have a BM. Eventually around 11pm at night, had my second bowel movement. Very little blood and discharge. I made sure I had it in my bath and let me tell you it’s a cheat code!!! Pain was 5/10 and lasted about 30-45 min. You feel pain for sure but right away relief from the warm/hot water. I really recommend anytime you have a BM do it in the tub or your sitz bath either way is fine. It will be messy but it’s so dang worth it. Other than that that was day 4.

Day 5 - Third bowel movement and again did it in my tub and very little pain. Little blood and Yes very messy but again it’s a cheat code. The only pain was it coming out for a few seconds but definitely manageable. The hot water eased everything for me. Walking around a lot more, constantly farting, still a lot of discharge, and still dealing with Rectel Tenesmus. I think dealing with that is the most annoying about these first 5 days. Because you just don’t know if you have to go or not and it’s painful. Pain lvl for that is around 5-7/10. Depending on the person I’d assume everyone is different with pain tolerance. And I must say my pain tolerance is somewhat low it is not high.

Day 6 (currently) - Woke up today night and day difference. No pain whatsoever. Had some mashed potato’s and chicken breast for dinner. First actual food in 6 days. Right now it was 11pm and I’m having that Rectel Tenesmus again. I feel like I have to go but I don’t. All day I did not feel this until about 10pm. Other than this, today was a fairly decent day. Not much else besides watching movies with my cousin laying on my side.

All in all….im so happy I did this surgery. It’s not AS BAD as everyone makes it out to be. Definitely PREPARE. Definitely RESEARCH. Definitely DO YOUR HOMEWORK on this post op recovery. It will help you tremendously. It did for me. I’ve read all the horror stories. I’ve read the stories with light at end of the tunnel. I’ve talked to family members who have gone through this procedure. I’ve used AI. Almost everything you can think of to research.

Day 1-4 I was on liquid diet. Didn’t eat no food only drank liquids including chicken broth.

MiraLAX will be your new best friend (it’s what I used and worked flawlessly)

Buy bulk pads or diapers…you going to need it.

Have a partner through this. Do not go through this alone as it can mentally drain you and put you in a place you don’t want to be. Have someone with you at all times to keep your mentally boosted and just in general the company.

All in all….so far it’s not as bad as everyone made it out to be. Yes it’s frustrating. Yes the recovery is not easy, but it’s all in your mind. I’m hoping to see the light at the end of the tunnel. I can see it now but it’s still a long stretch. I hope this helps anyone. Sorry I’m not good at writing things out like this as I’ve never done this before. Bear with me. God bless you all going through this. We will be ok. We will
Make it through. And we will have a better/new beautiful life ahead.

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u/Eastern-Clock-4583 — 5 days ago

29M male I had a laser lateral internal sphincterotomy (LIS) for a chronic anal fissure about 9 days ago.

​

Since the surgery, I've noticed a swollen/pile-like structure protruding from the anal opening. It sometimes looks more prominent after bowel movements and then appears smaller at other times.

There is also an open/pink healing area next to the swollen tissue, with some whitish/yellowish material around it. I don't know whether this is normal postoperative healing tissue, swelling/granulation tissue, a hemorrhoid, or something else.

I've attached photos from yesterday and today so you can see how it has changed.

For anyone who has had LIS or similar anal surgery:

Did you experience a swollen/pile-like lump during the first 1–2 weeks?

How long did it take for the swelling/protruding tissue to go down?

u/Temporary-Baby8134 — 6 days ago