Surgical Options for Anal Bleeding and Discharge Issues - Surgery

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Rectal bleeding and discharge of pus?


Hello Dr.
Ke, thank you for answering my previous question.
Today I returned to the hospital where I had surgery last year for an examination.
The doctor noted that there is pain and discharge when pressing on the surgical site.
The doctor mentioned that the wound has not healed completely and feels uneven.
It is possible that fecal matter may contaminate the wound after bowel movements, and they suggested surgery to clean it out, which would require spinal anesthesia and a three-day hospital stay.
Could you please explain what kind of surgery this is? I don't understand.
The outpatient doctor spoke professionally, but I didn't fully grasp it.
Is this surgery absolutely necessary, or are there other options available? Thank you for clarifying.

Jin Yu, 40~49 year old female. Ask Date: 2016/06/20

Dr. Ke Fangxu reply Surgery


Without a personal examination, I cannot provide you with a definitive answer.
It could be a wound infection or the formation of a fistula.
Surgical treatment is a more definitive approach.
If you prefer not to undergo surgery, you may consider trying oral antibiotic therapy; however, symptoms may worsen or recur.
Please discuss the possibility of non-surgical treatment thoroughly with your attending physician.

Reply Date: 2016/06/20

More Info


When it comes to surgical options for anal bleeding and discharge issues, it’s essential to understand the underlying condition that necessitates surgery. Based on your description, it seems that you have undergone a previous surgical procedure related to an anal condition, possibly involving hemorrhoids, fissures, or abscesses. The presence of pain, discharge, and an incomplete healing process suggests that there may be residual issues that need to be addressed.


Understanding the Surgical Procedure
The surgery your doctor is recommending likely involves a procedure to clean out any remaining infection or debris from the surgical site. This could be a debridement procedure, where the surgeon removes dead or infected tissue to promote healing. In some cases, if there is a fistula (an abnormal connection between the anal canal and the skin), the surgery may also involve repairing this connection. The use of half-body anesthesia indicates that the procedure will be performed under regional anesthesia, which numbs the lower half of your body while allowing you to remain awake.


Is Surgery Necessary?
Whether or not surgery is necessary depends on several factors:
1. Severity of Symptoms: If you are experiencing significant pain, persistent discharge, or if the wound is not healing properly, surgery may be the best option to prevent further complications.

2. Risk of Infection: An unhealed wound can become infected, leading to more severe health issues. If your doctor believes that the risk of infection is high, surgical intervention may be warranted.

3. Quality of Life: If the symptoms are affecting your daily life, such as causing discomfort during bowel movements or leading to anxiety about hygiene, surgery might be the best course of action.

4. Alternative Treatments: Depending on the specific diagnosis, there may be non-surgical options available, such as medication to manage pain or topical treatments to promote healing. However, these may not be effective if there is a significant structural issue that requires surgical correction.


Recovery and Aftercare
If you decide to proceed with the surgery, it’s crucial to follow your doctor’s post-operative care instructions. This may include:
- Wound Care: Keeping the surgical site clean and dry to prevent infection.

- Dietary Adjustments: Eating a high-fiber diet to soften stools and reduce strain during bowel movements.

- Pain Management: Using prescribed pain relief medications as needed.

- Follow-Up Appointments: Attending follow-up visits to monitor healing and address any concerns.


Conclusion
In summary, the decision to undergo surgery for anal bleeding and discharge issues should be made in consultation with your healthcare provider, considering the severity of your symptoms and the potential risks of not having the procedure. If you have concerns or feel uncertain about the necessity of the surgery, it’s important to communicate openly with your doctor. They can provide you with detailed information about the procedure, expected outcomes, and any alternative treatment options that may be available. Remember, your health and comfort are paramount, and understanding your options is key to making an informed decision.

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