At 5 weeks after surgery, the symptoms you describe—itching while walking, occasional pricking sensation, and pain when sitting for long periods—are quite common during recovery from procedures like Hemorrhoidectomy, Anal Dilatation, and Lateral Internal Sphincterotomy.
These procedures involve sensitive tissues in the anal canal, and complete healing can take 6–8 weeks or sometimes a little longer. The itching and pricking feeling often occur because the surgical wound is still healing and new nerve endings are regenerating.
Since your stools are soft and you no longer have significant pain during bowel movement, it suggests that healing is progressing normally.
Next Steps
• Continue warm sitz baths 2–3 times daily, especially after bowel movements.
• Keep stools soft with high-fiber diet and adequate water intake. If stools start becoming hard again, a mild stool softener like **Lactulose may be used temporarily if advised by your doctor.
• Avoid prolonged sitting; use a soft cushion or donut pillow if needed.
• Maintain good local hygiene and keep the area dry to reduce itching.
Contact your surgeon if you notice increasing pain, swelling, bleeding, pus discharge, or fever, as those may suggest infection.
Health Tips
• Eat fiber-rich foods (fruits, vegetables, oats, whole grains) to maintain smooth bowel movements.
• Drink 2–2.5 liters of water daily unless restricted.
• Gentle walking improves blood circulation and healing.
• Avoid heavy straining or lifting during the recovery period.
Most patients feel significantly better by 6–8 weeks, with gradual improvement in residual sensations like itching or pricking.
If you would like, you can also share whether there is any swelling, discharge, or bleeding currently, and I can guide you further about whether your healing course is completely normal or needs review during an online consultation.