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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How long will I notice blood during bowel movements after a lateral anal sphincterotomy?

Lateral anal sphincterolysis with large skin tag removed 6 weeks ago but still slight bleeding during bowel movements. There was no bleeding for 10 days after the operation but occurring since then till now. There is a line of blood on stool and some Blood during wiping. Doctor says it is due to the large skin tag removal. When will the bleeding stop?
Wed, 19 Jun 2019
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General Surgeon 's  Response
Hello,

As per my surgical experience, the natural healing process after surgery of lateral anal sphincterotomy is around 3-4 weeks duration in usual instances.

However, there are various reasons for persistent bleeding at a period of 6 weeks after surgery as
- hard stool via constipation
- straining during defecation
- unhealed scar
- food habits
- consumption of high amount wine, tobacco
- infection at operative part
- uncontrolled diabetes
- unresolved chromic catgut or vicryl suture causing tissue reaction
- others

Kindly consult me in my OPD if you wish for further guidelines in this instance.

Till the time being, sitz bath, bulk laxatives and local application of xylocaine (5%) jelly help great.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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