Post-Fistula Surgery: When to Seek Medical Attention? - Surgery

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After undergoing fistula surgery, it is essential to monitor your recovery closely, as complications can arise even after the initial healing phase. Based on your description, it sounds like you are experiencing some concerning symptoms that warrant further evaluation.

Firstly, it is not uncommon for surgical sites to have some degree of swelling as they heal. However, the presence of fresh blood, especially if it is coming from the internal wound, is a significant concern. Fresh blood can indicate that there may be an issue such as infection, reopening of the wound, or other complications that need to be addressed. While some minor oozing or discharge can be normal, the fact that you are seeing fresh blood suggests that it is not just a typical part of the healing process.

In general, after fistula surgery, you should seek medical attention if you experience any of the following symptoms:
1. Increased Swelling or Redness: While some swelling is expected, significant increases in size or redness around the surgical site can indicate infection or other complications.

2. Discharge: Any discharge that is foul-smelling or contains pus is a sign of infection and should be evaluated by a healthcare professional.

3. Bleeding: If you notice fresh blood, especially if it is more than a small amount or if it continues to ooze, you should contact your doctor. This could indicate that the wound has reopened or that there is bleeding from a deeper source.

4. Pain: While some discomfort is normal after surgery, if you experience a sudden increase in pain or if the pain becomes severe, it is important to seek medical advice.

5. Fever: A fever may indicate an infection, particularly if it is accompanied by other symptoms such as chills or malaise.

6. Changes in Bowel Habits: Since fistula surgery can affect bowel function, any significant changes should be discussed with your doctor.

Given that you have noticed swelling and fresh blood from the internal wound, it is advisable to return to your healthcare provider for an evaluation. They may want to assess the wound, check for signs of infection, and determine if any further treatment is necessary.
In the meantime, continue with the sitz baths as recommended, as they can help promote healing and comfort. However, do not hesitate to reach out to your healthcare provider sooner if your symptoms worsen or if you have any additional concerns.

In summary, while some swelling can be normal post-surgery, the presence of fresh blood is not typical and should be evaluated by a medical professional. It is always better to err on the side of caution when it comes to post-operative care.