Patient Question: Pain in the anus after surgery. Description: The first two surgeries were for hemorrhoids and the last one was a lateral anal incision. The post-operative anal pain started with the second surgery and I always felt pain at the surgical site. After the second surgery, the anus became smaller and bowel movements were not smooth. It has been a year since the last surgery and the pain has subsided. Sometimes when I feel uncomfortable, I take Dextran for a few days to relieve it. These days, I feel pain at the surgery site again. But there is no lesion at the surgery site. Is this condition of mine anal neurosis? My husband says I am mentally ill, and I think so. I hope to provide help:I read your article on treating anal neurosis, am I suffering from this condition? Because I have no anal lesions now, my bowel movements are normal and I don’t have pain when I defecate, but I just keep feeling that the area where I had surgery before sometimes hurts and sometimes it doesn’t. I wonder if I should take Dexedrine and Gentiana tablets for a longer period of time. We sell Dextran here, but not Gentiana tablets. The last one was painless for a year after the surgery, but now the surgery site is starting to hurt again Medication: Drug name: Dailixin Dosing instructions: sometimes take a two or three days, the pain relief will not eat Doctor: from the symptoms you describe you may be anal neurosis, I use Dailixin and our own pharmaceutical gentiana tablets in the clinical treatment of anal neurosis combined with the effect you can try. Some patients are resistant to taking Dexin when they see that it is written on the instructions for depression and anxiety, feeling that they are not depressed why they take this drug, in fact, some people are not necessarily depressed with anxiety, but because of repeated treatment of somatic discomfort with poor results and secondary anxiety, there is an anxiety condition that is also known as somatization disorder. It’s a good idea to take Dextran for the right reasons. Some people say that they are dependent on Dexedrine and are worried that they will not be able to stop taking the drug. For this reason, I will share with you the clinical instructions on how to take the medication: take Dexedrine twice a day, one tablet each time, one in the morning and one at noon. After 3-5 days of taking the drug, you will see the effect, the symptoms will improve, but then do not stop taking the drug, continue to take this way for 1 month, Dailixin to 1 time a day 1 tablet (taken in the morning), continuous medication for 1 month and then changed to 2 days 1 tablet (taken in the morning) for 1 month. Then 3 days to take 1 tablet, so the amount to eat 10 times. In this order, you can stop taking Dexin slowly. Gentiana tablets are taken 3 times a day 10 times a day, divided into morning, midday and evening. To prevent the stimulation of the stomach, you can take them half an hour after meals. Gentiana tablets have been used together with Dexin for about 3-4 months, that is, 10 tablets 3 times a day. You may not have taken the medication according to the course of treatment because you stopped taking Dailixin 3-5 days, so you relapsed. I suggest you take it as I said and wish you a speedy recovery.