How does it still hurt 34 days after having mixed hemorrhoid surgery? I should say that there is still pain in the surgical wound or in the anus when defecating. Generally speaking the recovery time of the wound after mixed hemorrhoid surgery is 15 to 25 days, and the recovery varies depending on the individual’s physique. If the surgical wound still hurts 34 days after having mixed hemorrhoid surgery, it is considered to be related to psychological factors, intraoperative factors, defecation factors, etc. However, it is not excluded that the hemorrhoid has recurred or postoperative complications have occurred, resulting in a slower wound recovery and the wound may not have healed completely. Therefore, if pain is still present 34 days after surgery, a review should be conducted at the hospital to clarify the specific cause. I. Psychological factors Patients have a fear of surgery and postoperative trauma and are sensitive to pain sensation, which amplifies the pain felt when the trauma is not healed. Second, intraoperative factors surgery can expose local traumatic nerve fibers, which can produce pain sensation if stimulated before the trauma heals, such as when forceful defecation. In addition, the location of the ligature in the surgery is below the dentate line, which is rich in nociceptive nerves and can cause pain before the trauma heals. The nerve injury heals slowly, and some patients can recover in a few weeks or even a few days, but some patients have pain that can last for months or even years, and this situation requires timely hospital consultation. If the patient has dry stool or strong diarrhea caused by eating a lot of spicy and irritating food, the perianal area is stimulated by feces, which can cause pain in the local incision. In addition, patients who have long-term defecation difficulties, post-operative trauma due to strong stool or long squatting, at this time, the anus can also be caused by prolonged stretching pain. Fourth, hemorrhoid residue, recurrence, regeneration if the surgery is not complete, residual hemorrhoid nuclei can continue to exist to cause pain. If the difficulty in defecation persists after surgery without relief, or if a woman is pregnant or gives birth, new hemorrhoids may be produced again, leading to pain. V. Post-operative complications 1. perianal and rectal strictures: this condition is mostly seen in patients after mixed hemorrhoid circumcision, which can lead to painful defecation and difficulty in passing stool and change in stool properties; 2. perianal infection: infection caused by unclean trauma and stool stimulation, which in turn produces pain and is accompanied by swelling. In severe cases, abscesses and even fistulas can be formed, and the pain will increase; 3. Local granulation: proliferation around the trauma surface, resulting in inflammatory granulomas, which can cause pain. And the granulation grows too fast will cause difficulty in healing the trauma and accompanied by bleeding and other conditions, such cases should be promptly to the hospital to cut out the granulation. If you still have pain in your anus 34 days after your mixed hemorrhoid surgery, first observe if there is bleeding, pus or exudate on the tissue used to wipe your anus. If there is no abnormality on the tissue, then feel whether the pain is a slight pain or burning pain, if it is only a slight pain it may be due to psychological factors or long squatting; also pay attention to whether the process is accompanied by dry stools, diarrhea, etc., or whether the daily diet uses a lot of chili peppers, these conditions can also lead to pain around the anus, these conditions are usually associated with bad bowel habits or These conditions are usually related to poor bowel habits or improper diet, so you should have regular bowel movements and pay attention to a light diet.