Fistula surgery postoperative wound
Today is the 21st day post-surgery.
The wound feels numb and is no longer painful, but there is an unusual odor on my underwear.
Is this normal? Is it also normal for the wound to occasionally feel itchy?
Tom, 20~29 year old female. Ask Date: 2018/03/05
Dr. Ke Fangxu reply Surgery
The wound from anal fistula surgery typically takes over a month to fully heal.
During this time, it is normal for the wound to have some discharge, which may cause staining of underwear.
It is recommended to use feminine pads to absorb the discharge.
Mild itching at the wound site is also a normal occurrence.
Taking warm sitz baths can help alleviate the symptoms.
Reply Date: 2018/03/05
More Info
Post-surgery care is crucial for ensuring proper healing and minimizing complications, especially after a procedure like fistula surgery. It’s great to hear that you are 21 days post-operation and that you are not experiencing pain at the wound site. However, the presence of odor and occasional itching can raise some concerns that are worth discussing.
Firstly, it is not uncommon for surgical wounds, especially those related to fistula surgeries, to have some odor. This can be due to several factors, including the type of drainage that may occur from the wound, the presence of bacteria, or even the healing process itself. If the odor is mild and not accompanied by other symptoms, such as increased redness, swelling, or discharge that appears purulent (thick and yellow or green), it may be considered normal. However, if the odor becomes strong or foul, it could indicate an infection, and you should consult your healthcare provider promptly.
The itching you are experiencing can also be a normal part of the healing process. As the skin and tissues heal, nerve endings may regenerate, leading to sensations of itching. This is often a sign that the healing process is progressing. However, if the itching is severe or accompanied by a rash, redness, or swelling, it could indicate an allergic reaction or infection, and you should seek medical advice.
Here are some general post-surgery care tips that can help you manage your recovery effectively:
1. Keep the Wound Clean and Dry: Follow your surgeon's instructions on how to clean the wound. Typically, you should gently wash the area with mild soap and water, pat it dry, and avoid soaking it in water until it has fully healed.
2. Monitor for Signs of Infection: Keep an eye out for increased redness, swelling, warmth, or discharge from the wound. If you notice any of these signs, contact your healthcare provider.
3. Manage Odor: If you are concerned about odor, ensure that you are changing your dressings regularly and keeping the area clean. You might also consider using breathable, moisture-wicking underwear to help manage any drainage and odor.
4. Avoid Scratching: While itching can be bothersome, try to avoid scratching the area, as this can introduce bacteria and lead to infection. If the itching is severe, consult your doctor for possible treatments, such as antihistamines or topical creams.
5. Follow-Up Appointments: Make sure to attend all follow-up appointments with your surgeon. These visits are essential for monitoring your healing progress and addressing any concerns you may have.
6. Healthy Diet and Hydration: Eating a balanced diet rich in vitamins and minerals can support your healing process. Staying hydrated is also crucial, as it helps maintain skin elasticity and overall health.
7. Rest and Activity: While it’s important to stay active to promote circulation, be sure to follow your doctor’s recommendations regarding physical activity. Avoid strenuous activities until you have been cleared by your healthcare provider.
In conclusion, while some odor and itching can be normal after fistula surgery, it is essential to monitor these symptoms closely. If you have any concerns or if the symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your recovery is important, and maintaining open communication with your medical team will help ensure the best possible outcome.
Similar Q&A
Managing Unpleasant Odors After Surgical Drain Placement: What to Do?
Hello Dr. Ke: I had surgery on July 20th of this year, and it has been over a month since my recovery period began. During this time, my wound has been healing well, but in the past few days, I have noticed a sour odor coming from the wound, along with some yellowish-green discha...
Dr. Ke Fangxu reply Surgery
The doctor's response is as follows: It is normal to have a small amount of discharge before the wound is completely healed. However, if this occurs one month post-surgery, it is advisable to have the doctor examine it. If it is not a complex fistula surgery, there is a poss...[Read More] Managing Unpleasant Odors After Surgical Drain Placement: What to Do?
Understanding Post-Surgery Discharge After Anal Fistula Surgery
Hello Dr. Fang: I had anal fistula surgery over two months ago, but I am still experiencing green discharge that has a foul odor. Could this be a recurrence of the fistula?
Dr. Ke Fangxu reply Surgery
Two months after anal fistula surgery, the wound should be mostly healed. If there are still abnormal secretions, it is likely due to infection or poor healing. It is recommended that you consult your surgeon to determine if medication or a repeat surgery is necessary.[Read More] Understanding Post-Surgery Discharge After Anal Fistula Surgery
Post-Surgery Concerns: Understanding Discharge and Infection Risks After Anal Fistula Surgery
Hello, Doctor. I recently underwent my third excision surgery on August 6, with the surgical site located at the 12 o'clock position above the anus and near the perineum. The wound measures approximately 2cm x 1.5cm x 0.4cm. Since the surgery, I have not experienced signific...
Dr. Ke Fangxu reply Surgery
1. It is normal to have a small amount of discharge after fistula surgery before the wound has completely healed. 2. No. 3. No, different bacterial infections can produce different odors; any description of this is subjective. If there is no redness, swelling, heat, or pain, ...[Read More] Post-Surgery Concerns: Understanding Discharge and Infection Risks After Anal Fistula Surgery
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
(Surgery)
Post-Anal Fistula Surgery(Surgery)
Fistula(Surgery)
Post-Anal Abscess Surgery(Surgery)
Postoperative Care(Surgery)
Anal Fistula(Surgery)
Wound Healing(Surgery)
Post-Hernia Surgery(Surgery)
Post-Surgery(Otolaryngology)
Postoperative(Urology)