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