THD Failure? New Internal Hemorrhoid One Week After Operation!!

Hi,

I would like to say that this is a great forum, I learned more from here than from my doctor. I am a 25 yr old male who suffered from hemorrhoid since teen. Whenever I have a bowel movement my rectum would slightly prolapse and will be uncomfortable for about 20 minutes until it automatically slowly goes back (or I physically push it). Some times, one of this "prolapse" would remain there and form a painful thrombosed hemorrhoid which usually resolve in about a week to 10 days. I do not strain for BMs nor push hard yet my rectum still prolapse and will still get those hemorrhoid. My doctors tell me that the thrombosed hemorrhoids are external.

Last time I decided I am fed up and after reading about THD I thought this is a good option for me. I went to an "experienced" doctor with this procedure (according to him he did about 200 THD operations). At the time of the visit I had a throbmosed hemorrhoid which was in the "shrinking" stage. It was no longer painful. Upon examining me, he said that I have three hemorrhoid. One internal (which I never knew about, as I never had bleeding), one external hemorrhoid and one internal/external hemorrhoid as he called it which is the recently thrombosed one. He recommended the surgery to avoid having the problem and he told me that he can "lift" the rectum as well.

I did the procedure and today is day 8. After the operation he told me every thing went well and he is quite happy with the result. The post operation recovery was very painful and uncomfortable. I have very vigorous spasms (involuntary contractions) during BM's. On day 1 after taking liquid Lactulose, it provoked those spasms and allowed passing some stool but the pain of straining was extreme to say the least. I stopped taking it since then because I thought, my body is forcing those spasms on me anyway. I wasn't sure how bad my constepation was. During the later spasms/BMs I don't pass stool but pass pieces of blood/clots. Some times small pieces of blood coated dark stools are passed. However, I did not have a decent bowel movement until day 6. 

One the first week I did feel what could be a new external thrombosed hemorrhoid forming. When I say my doctor on day 4 he told me that this is not a hemorrhoid but rather a thrombosed hematoma which is supplied by a different network of arteries. He offered to lance it to remove the clot which will help relieve my pain. He did and that was taken care of. He told me that the reason I had it is that I am unlucky.

After that, as my bruise-type pain started to slowly ease, I started feeling like a foreign object is always in my anus. Before the surgery I would say this would have been a stuck stool ready to fall. However, obviously there is no stool. I did not put my finger to feel what is in there.

On day 6, and this is the important part, after getting really uncomfortable because of the constipation I decided to take a tablet laxative called Senokot. That did help with my constepation and allowed me to have a better BM on that day. During the night after a heavy dinner I sensed the urge to go and watched a video on the best position to pass stool while consetpated and applied that which helped in allowing a decent BM that night. However after that BM I felt like a decent size tube is prolapsing from my anus. It was very scary! I looked at the mirror and it was what I think is a new prolapsed internal hemorrhoid.I put my finger in and followed it along to about the second joint of my finger. It feels like a vein tube inside the wall of the rectum running from about 5 cm or more all the way to my anus and protruding. It is a very uncomfortable feeling but because I have been having all types of pain I can't tell when did it form.

This same prloapsed vein was seen forming in the next two BMs about 12 hours apart. Last seen, few minutes a go.

I went to see my doctor the very next day to express my deep worries about this new internal hemmerhoid. He examined me and said he could find any thing. I told him that I see it only after BMs and he told me that he can't find out for sure until he does a full colenscopy. 

 However, according to him he does NOT think that this is a new internal hemorrhoid. He thinks that this is a rectal swelling because of the operation. he told me that during the operation he lifted the prolapsed rectum and since I am still recovering this is likely to be a swelling rectum that will ease as I recover down the road and adjust to position. He says he can't confirm any thing until three weeks after the operation or even after by doing full colonscopy. I asked if he is wrong and it is indeed a new internal hemorrhoid how come it formed when he stitched the artery? He assured me that he stitched the main classical artery but told me there is a lot of arteries in the anus and he can't stich them all. It is possible that this one is supplied by different artery.

MY QUESTION is: Should I believe him in thinking that what I am seeing is just a post operation swelling or is it a new internal hemorrhoid that has formed which means this operation has in fact caused a new never existing before hemorrhoid despite?

On the positive side, my pain is easing to mild. The only pain I get is during BM. My other hemorrhoid seem to have "deflated" to a skin tag. It does swell a bit during BM.

P.S since the operation until now I am still bleeding. I see drops of blood every time I have a BM.