Post-Fistula Surgery Concerns: Diet, Recovery, and Healing Questions

Post-operative questions regarding fistula surgery?

1.
After fistula surgery, is it okay to eat fish? I have seen some people online say that fish should be avoided.
I have eaten quite a bit of it.

2.
Is it normal to have the urge to pass gas sometimes after surgery?
3.
How many times a day is it advisable to take a warm sitz bath?
4.
It has been two months since my surgery, and there is still a small wound inside the anal area that hasn't healed yet.
Is it because it's difficult to heal when it's confined inside the anus, or could it be a sign of a recurrence of the fistula? Sorry for the many questions, and thank you, Dr.
Ke, for your patient answers.

A-Liang, 30~39 year old female. Ask Date: 2018/08/03

Dr. Ke Fangxu reply Surgery

1.
Yes.

2.
It is normal for the anal area to become sensitive due to wound irritation, which may lead to increased frequency of gas or bowel movements.

3.
Generally, it is recommended to apply the antiseptic solution four times a day: morning, noon, evening, and before bed.
If it is inconvenient during work hours, the midday application can be skipped.
Be careful not to use too much povidone-iodine solution to avoid irritating the skin around the anus.

4.
The wound should be healed within one month post-surgery.
If it has not healed, it is likely an external anal wound.
It is advisable to consult your surgeon for further evaluation.

Reply Date: 2018/08/03

More Info

After undergoing fistula surgery, it is essential to focus on a proper diet and recovery plan to ensure healing and minimize complications. Here are answers to your questions, along with additional insights regarding post-operative care.

1. Can I eat fish after fistula surgery?
Yes, you can eat fish after fistula surgery unless your doctor has specifically advised against it. Fish is a good source of protein and omega-3 fatty acids, which can help reduce inflammation and promote healing. However, if you have any allergies or specific dietary restrictions, you should consult your healthcare provider or a registered dietitian for personalized advice.

2. Is it normal to feel the urge to pass gas after surgery?
Yes, it is normal to experience increased gas and the urge to pass gas after surgery. This can be due to several factors, including anesthesia, changes in diet, and the healing process. After surgery, your digestive system may take some time to return to normal function, which can lead to gas buildup. If you experience severe discomfort or any other concerning symptoms, it is advisable to consult your physician.

3. How many times a day is it advisable to take warm sitz baths?
Warm sitz baths can be beneficial for promoting healing and providing relief from discomfort. Generally, it is recommended to take sitz baths 2 to 3 times a day, especially after bowel movements. This can help soothe the area, reduce inflammation, and promote cleanliness. Ensure that the water is warm but not hot, and limit the duration to about 15-20 minutes per session.

4. Why is the wound at the anal area not healing after two months?
If you notice that the wound at the anal area has not healed after two months, it is essential to consult your healthcare provider. Several factors can affect wound healing, including moisture, infection, and the presence of underlying conditions. The area may remain moist, which can hinder healing, or there may be a recurrence of the fistula. Your doctor may need to assess the wound and determine if further treatment is necessary.

Additional Considerations for Recovery:
- Dietary Recommendations:
After fistula surgery, it is crucial to maintain a balanced diet rich in nutrients to support healing. Focus on high-protein foods, such as lean meats, fish, eggs, dairy, legumes, and nuts. Incorporate plenty of fruits and vegetables for vitamins and minerals, and ensure adequate hydration. If you experience constipation, which can be common post-surgery, consider increasing your fiber intake gradually and drinking plenty of fluids.

- Avoid Straining:
Straining during bowel movements can put pressure on the surgical site and hinder healing. If you experience constipation, consider using stool softeners or fiber supplements as recommended by your healthcare provider.

- Follow-Up Care:
Regular follow-up appointments with your healthcare provider are essential to monitor your recovery. They can assess the surgical site, address any concerns, and provide guidance on managing symptoms.

- Physical Activity:
While rest is important after surgery, gentle physical activity can promote circulation and aid in recovery. However, avoid heavy lifting or strenuous activities until cleared by your doctor.

In summary, it is essential to maintain a balanced diet, monitor your symptoms, and follow your healthcare provider's recommendations for a successful recovery after fistula surgery. If you have any concerns or experience unusual symptoms, do not hesitate to reach out to your healthcare team for guidance.

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