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After hemorroidplexy surgery
I can still feel a mass protruding out from anus if I am a little constipated after hemmoroid surgery .. I went for staple surgery 4and it has been 4 months
The mass coming out is the same as the one I had earlier for which I went for surgery
This time the mass coming out is soft compared to before surgery but causes obstruction while popping
Is surgery failed or it is normal after surgery
Answers (10)
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have to meet ur surgeon again
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Residual / Recurrent Hemorrhoids – incomplete removal or recurrence.
2. Mucosal Prolapse – common after stapler hemorrhoidectomy, especially if staple line placed high.
3. Rectal prolapse (partial thickness) – if larger soft mass, especially with straining.
4. Polyp / other rectal mass – less common but needs exclusion.
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✅ Immediate Advice to Patient
This is not normal after 4 months of surgery.
It does not mean surgery “failed” but recurrence or prolapse is possible.
Needs proctology (surgeon) follow-up with proctoscopy/sigmoidoscopy to confirm.
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🔑 Symptomatic Management (till surgeon visit)
Constipation control is essential:
High-fiber diet (green vegetables, fruits, whole grains).
Adequate hydration (2–3 L/day).
Avoid prolonged straining.
Stool softeners: Lactulose syrup 15–30 ml at bedtime or Isabgol husk with water.
Sitz bath (lukewarm water, 10–15 min twice daily) for comfort.
Topical local anesthetic/soothing ointment (e.g., Lignocaine jelly) if pain.
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🚨 Red-Flag Symptoms → Urgent Surgical Review
Continuous bleeding per rectum.
Severe pain not relieved by routine meds.
Inability to pass stool/gas.
Increasing prolapse not reducible.
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👨⚕️ Final Consultation Note for Patient
> You have a soft protruding anal mass even after stapler hemorrhoid surgery, which may represent recurrence, mucosal prolapse, or another rectal mass. This requires direct examination by your treating surgeon to confirm and plan further management. In the meantime, keep stools soft with diet, fluids, and stool softeners. Please avoid straining, and do not delay follow-up.
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May be recurrent or rectal mass go to treating doctor.
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Need few more details
Kindly connect
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Sir as per the complaints you have mentioned
After stapled haemorhoidopexy possibilities are there could be recurrence of hemmorhoids or incomplete rectal mass prolapsing out of aus itself. So it is essential to undergo a per rectal examination and a protoscopy to be done.
Kindly mention more details any bleeding while passing stools ,pain on defamation, feeling constipated?
Next Steps
Kindly Consult a General surgeon or a Colrectal surgeon for further management
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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You can consult me directly on Practo, or reach out via WhatsApp:
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Early consultation helps avoid complications — feel free to connect.
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To have to meet ur surgeon again
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Take general surgeon opinion
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