Post-Fistula Surgery Recovery Concerns: Complications - Surgery

Share to:

Postoperative recovery issues after fistula surgery?


Hello, doctor.
I underwent fistula surgery on February 10th of this year.
Initially, my recovery was quite good; I experienced minimal pain and had little discharge.
However, two days ago (on March 3rd), I decided to try moving around a bit and went to the field.
During the process, I only took a few light steps, bent down to pick up a ball, and did a little running.
As a result, I started to feel some pain around the wound and the anal area, and there was some light bleeding.
Today, the pain has eased somewhat, and there is not much bleeding anymore, but when I woke up this morning, I noticed an increase in discharge, and my buttocks felt a bit damp.
Is it possible that the wound has opened up, leading to a recurrence of the fistula? I'm really a bit worried.
Thank you, doctor, for your response.

Dan You de Tong Xue, 20~29 year old female. Ask Date: 2017/03/05

Dr. Ke Fangxu reply Surgery


The wound from anal fistula surgery typically takes about a month to fully heal.
During this time, general activities are usually fine, but running should be temporarily avoided to prevent frequent friction on the wound.
While this does not necessarily lead to a recurrence of the fistula, it is advisable to refrain from vigorous exercise for the time being.

Reply Date: 2017/03/05

More Info


After undergoing fistula surgery, it is common for patients to have concerns about recovery, potential complications, and the overall healing process. Based on your description, it seems that you initially experienced a positive recovery trajectory, with minimal pain and discharge. However, the recent activities you engaged in, such as bending and light running, have led to some discomfort, bleeding, and increased discharge, which understandably raises concerns about the integrity of the surgical site.

First, it is important to understand that post-operative recovery from fistula surgery can vary significantly among individuals. Generally, the healing process can take several weeks to months, depending on the complexity of the fistula, the surgical technique used, and individual health factors. During this time, it is not uncommon to experience fluctuations in symptoms, including periods of discomfort or mild bleeding, especially if the area is subjected to strain or movement.

The symptoms you are experiencing—pain, slight bleeding, and increased discharge—could be indicative of several scenarios. One possibility is that the physical activity you engaged in may have caused some irritation or strain on the surgical site, leading to temporary discomfort and minor bleeding. This is particularly plausible if you were not fully healed at the time of your activities. It is also possible that the increased discharge could be a normal part of the healing process, as the body may produce more fluid as it works to heal the area.

However, your concern about the potential for the wound to have reopened or for the fistula to have recurred is valid. If the surgical site has indeed reopened, it could lead to increased drainage and the risk of infection. Signs of infection may include increased redness, swelling, warmth, or a change in the character of the discharge (such as becoming purulent or foul-smelling). If you notice any of these symptoms, it is crucial to seek medical attention promptly.

To address your concerns, here are some recommendations:
1. Rest and Avoid Strain: It is essential to allow your body adequate time to heal. Avoid activities that put strain on the surgical site, such as heavy lifting, vigorous exercise, or any movements that cause discomfort.

2. Monitor Symptoms: Keep an eye on your symptoms. If the pain worsens, if you notice significant changes in the discharge, or if you develop new symptoms (such as fever or increased swelling), contact your healthcare provider.

3. Follow-Up Appointment: It is advisable to schedule a follow-up appointment with your surgeon or healthcare provider. They can assess the surgical site, determine if there are any complications, and provide guidance on your recovery.

4. Hygiene and Care: Maintain good hygiene in the area to prevent infection. Gentle cleaning with mild soap and water, and avoiding harsh chemicals or irritants, can help.

5. Pain Management: If you are experiencing discomfort, over-the-counter pain relief medications may help, but consult your doctor before taking any new medications.

In conclusion, while some discomfort and changes in discharge can be normal during recovery from fistula surgery, it is essential to remain vigilant and proactive about your health. If you have any doubts or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and reassurance. Your recovery is a priority, and addressing any issues early can help ensure a smoother healing process.

Similar Q&A

Post-Surgery Concerns: Managing Discharge and Bleeding After Fistula Repair

Hello doctor, I had a fistula surgery a month ago. The outside of the wound looks like it has healed, but there is still a little discharge that resembles pus. Is this normal? Also, last week I experienced some bleeding while using the restroom due to hard stools. Will this affec...


Dr. Ke Fangxu reply Surgery
The recovery period after fistula surgery is generally longer, typically requiring one to two months. During this time, there may be discharge from the wound. If the wound has healed but purulent discharge appears, it may indicate a recurrence of the fistula. It is generally reco...

[Read More] Post-Surgery Concerns: Managing Discharge and Bleeding After Fistula Repair


Post-Surgery Concerns After Anal Fistula Procedure: Your Questions Answered

Hello Doctor, I apologize for bothering you multiple times. I underwent a fistula micro-surgery in January, and it has been about four months since then. I would like to ask the following questions: 1. I still experience some pain at the surgical site after prolonged sitting. I...


Dr. Zhang Shuhao reply Surgery
1. The size of the surgical wound for a fistula may take several months to heal completely. A qualified colorectal surgeon's assessment of the fistula's condition is generally reliable. If a more skilled surgeon believes the surgery has failed, it is advisable to consul...

[Read More] Post-Surgery Concerns After Anal Fistula Procedure: Your Questions Answered


Post-Fistula Surgery: Do You Need Assistance for Recovery?

After the fistula surgery, will I need assistance, or can I manage all my daily activities independently until discharge? The surgery has already been scheduled, and the doctor mentioned that I can be discharged the day after the surgery. Also, will I be able to have normal bowel...


Dr. Zhang Shuhao reply Surgery
Postoperative pain is the main concern after a simple fistula surgery. With appropriate analgesics, daily activities can be managed independently. Patients can resume normal bowel movements and bathing after the procedure. There may be a small amount of blood and discharge from t...

[Read More] Post-Fistula Surgery: Do You Need Assistance for Recovery?


Post-Surgery Concerns: Managing Drainage After Fistula Surgery

Hello, Director Hsu: I underwent a fistula surgery in Taipei on December 29. After the anal packing was removed on the 30th, I have been experiencing a discharge of blood-tinged fluid, and today, the 31st, I still have this fluid seeping out at home (which has a foul odor). Is th...


Dr. Xu Kaixi reply Surgery
The recovery of the wound after fistula surgery typically takes about one to two weeks. During this period, some bleeding or discharge is normal. It is not recommended to rinse the wound directly with warm water, as this can be more irritating than sitz baths and may not be benef...

[Read More] Post-Surgery Concerns: Managing Drainage After Fistula Surgery


Related FAQ