Anal Itching After Fistula Surgery: Causes and Remedies

Anal itching

Two weeks ago, I underwent an anal fistula incision procedure.
About a week later, I started experiencing increasing itching around the anal area.
During my follow-up appointment today, the doctor diagnosed it as eczema and prescribed a different ointment.
I forgot to ask the doctor whether I should stop taking sitz baths (though I still rinse with water after bowel movements).
Additionally, I would like to ask about my body hair.
I have always felt that I have an unusually high amount of body hair (even long hair on my abdomen as a female).
However, I didn't seek medical advice because I felt my body was normal.
Recently, I have been experiencing various discomforts in the genital area (such as vaginal infections, anal itching, and issues related to the fistula).
I wonder if this could be related to excessive or long body hair, and I would also like to know if my condition might indicate some sort of hormonal imbalance (as my skin is also prone to dryness and I have experienced hives).
Are there any potential methods for improvement?

Pang Pang, 20~29 year old female. Ask Date: 2017/02/23

Dr. Ke Fangxu reply Surgery

1.
Post-operative itching at the site of hemorrhoid surgery is often related to the use of povidone-iodine solution during sitz baths.
It is recommended that you continue with sitz baths but stop adding povidone-iodine to the water.

2.
These issues are likely unrelated to excessive body hair and are more about hygiene.
In addition to maintaining cleanliness, you may consider appropriately trimming body hair.
For other improvement methods, it would be best to consult a dermatologist for more clarity.

Reply Date: 2017/02/23

More Info

Anal itching after fistula surgery can be a common and distressing symptom that many patients experience. The causes of this itching can vary, and understanding them can help in managing the discomfort effectively.
Firstly, it’s important to recognize that after any surgical procedure involving the anal area, such as a fistula surgery, the skin and tissues can become sensitive and irritated. This irritation can lead to conditions such as dermatitis or eczema, which may manifest as itching. In your case, your doctor has diagnosed the itching as eczema, which is a common skin condition characterized by red, inflamed, and itchy skin.
Regarding your question about whether to stop sitz baths, it is generally advisable to continue gentle cleansing of the area after bowel movements. Sitz baths can help soothe the area and promote healing, but it’s essential to ensure that the water is not too hot, as excessive heat can exacerbate irritation. If your doctor has prescribed a new ointment, it may be beneficial to follow their advice on how to use it in conjunction with your bathing routine. If the itching persists or worsens, it would be wise to follow up with your healthcare provider for further evaluation.

As for your concerns about excessive body hair and its potential connection to your current symptoms, it’s worth noting that conditions like hirsutism (excessive hair growth in women) can sometimes be linked to hormonal imbalances, such as polycystic ovary syndrome (PCOS). This condition can also lead to other symptoms, including skin issues, irregular menstrual cycles, and metabolic concerns. If you are experiencing discomfort in the genital area, it could be due to a variety of factors, including irritation from hair, infections, or skin conditions.

In terms of managing your symptoms, here are a few recommendations:
1. Hygiene: Continue to maintain good hygiene, especially after bowel movements. Use gentle, unscented soap and avoid harsh chemicals that can irritate the skin.

2. Moisturization: Since you mentioned having dry skin, consider using a fragrance-free moisturizer on the affected areas to help alleviate dryness and irritation.

3. Hair Removal: If you believe that excessive hair is contributing to your discomfort, you might consider discussing hair removal options with a dermatologist. Options include shaving, waxing, or laser hair removal, each with its own benefits and risks.

4. Diet and Hydration: Ensure you are drinking plenty of water and consuming a balanced diet rich in vitamins and minerals to support skin health.

5. Follow-Up: Given your history of skin issues, it may be beneficial to consult with a dermatologist or an endocrinologist to explore any underlying hormonal imbalances that could be contributing to your symptoms.

6. Medication: If your symptoms do not improve with topical treatments, your doctor may consider prescribing oral medications or other therapies to address any underlying conditions.

In conclusion, while anal itching after fistula surgery can be uncomfortable, it is often manageable with appropriate care and treatment. It’s essential to communicate openly with your healthcare providers about your symptoms and any concerns you may have regarding your overall health, including potential hormonal issues. By taking a proactive approach, you can work towards finding relief and improving your quality of life.

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