Patient: I am 55 years old, female, suffering from hemorrhoids hemorrhoids for more than 20 years, laboratory tests, mixed hemorrhoids is very serious. I had a ligation surgery in May 2008, because it was not clean, I had a second surgery in June, so far it has been two months and the wound has not healed, I use light pp sitz baths 2-3 times a day, I take acacia pills, honey, fruits, and add vitamins to help heal the wound, but it has not healed. Is it possible to get a doctor to do some stitches for me? Can stitches cause anal stenosis? Can the stenosis heal on its own? If it doesn’t, should I be hospitalized to treat the stenosis? I would like to know the answer to each of these questions. Thank you, doctor. According to your complaint, mixed hemorrhoids can easily cause anal stenosis after surgery. Anal stenosis is characterized by difficulty in defecation, thinning of the stool, a feeling of lodging in the anus, and easy recurrence of external hemorrhoids. If there is anal stenosis, and then surgery or recurrence, the key is to perform anal dilatation, only the anal sphincter relaxation satisfaction, defecation without obstruction, external hemorrhoids will not be easy to recur, the anal canal wounds will soon be healed. The anal dilatation can be completed under local anesthesia, and the local hospital specialists will basically be able to do it. If you go to a regular hospital for treatment, specialists are relatively experienced in dealing with these postoperative anal sequelae.