35 days after hemorrhoid operation, my stool hurts a little. I feel that the anus is not as big as before. I'm afraid my anus will get smaller. What should I do?

1. Patients with mild stenosis, difficulty in defecation, abdominal distension, bowel sounds or constipation due to internal treatment belong to qi stagnation and intestinal dryness and heat. Therefore, it is advisable to relax the intestines and regulate qi, moisten the intestines and relieve constipation, and give Runchang pills. Such as abdominal distension, bowel sounds, pale tongue, white fur and rapid pulse. Such as constipation, intestinal dryness, dry mouth, red tongue, thin yellow fur and rapid pulse.

2. External treatment of anal dilatation therapy: it is suitable for mild stenosis of anus or anal canal. Operation method: the doctor puts on finger cuff, spreads liquid paraffin, slowly extends into the patient's anus and anal canal, gently presses around the anal canal for 1 ~ 2 times a day, or dilates the anus with small, medium and large anoscope and anal dilator for 1 ~ 2 times a week, and then the interval is gradually extended until the stenosis dissipates and there is no recurrence, which generally takes 6 ~ 8 weeks to achieve the curative effect.

3. Surgical therapy

(1) Anal dilatation: it is suitable for mild stenosis of anus or anal canal. The patient takes lateral position or lithotomy position, local routine disinfection, infiltration anesthesia around anus, incision of anal canal skin and sphincter of posterior midline of anus to enlarge anus, and covering with vaseline gauze.

(2) Radiation incision scar release: it is suitable for mild and moderate stenosis of anus and anal canal.

The most important treatment for anal stenosis is prevention, including avoiding excessive injury of skin mucosa and sphincter, so as to ensure normal anorectal volume after operation.