Is it possible to see another doctor to evaluate the condition more than three months after the fistula surgery?
After more than four months post-surgery for a fistula, the external wounds appear to have healed, but there is still discharge from the anal area.
I have returned for follow-up visits twice, and the doctor has said that no further visits are necessary.
I continue to soak in warm water, but the discharge seems abnormal, and I feel quite anxious about it.
Is it possible to switch to another hospital to see a different doctor? I'm concerned that other doctors may not take my situation seriously.
Should I bring my medical records when changing hospitals? Thank you, Dr.
Ke, for taking the time to answer my questions.
Xiao Yong, 30~39 year old female. Ask Date: 2018/09/15
Dr. Ke Fangxu reply Surgery
In this situation, it is advisable to seek a second opinion from another physician.
Generally, there should not be any discharge more than three months post-surgery.
There is no need for medical records; just clearly explain the medical history.
Reply Date: 2018/09/15
More Info
After undergoing fistula surgery, it's completely reasonable to have concerns about your recovery and any ongoing symptoms you may be experiencing. In your case, it has been over four months since the surgery, and while the external wound appears to have healed, the presence of discharge from the anal area is indeed something that warrants further evaluation.
First and foremost, it is important to understand that while some discharge can be normal after fistula surgery, especially in the initial weeks of recovery, persistent or unusual discharge after several months may indicate that there is still an underlying issue that needs to be addressed. This could be due to incomplete healing, infection, or even the formation of a new fistula. Therefore, your feelings of anxiety and concern are valid, and seeking further medical advice is a prudent step.
You absolutely have the right to consult another doctor after your surgery. In fact, seeking a second opinion is a common practice in medicine and can provide you with additional insights into your condition. If you feel that your current doctor is not addressing your concerns adequately, or if you simply want reassurance about your recovery, it is perfectly acceptable to seek care from another healthcare provider.
When you visit a new doctor, it is advisable to bring your medical records, including any relevant details about your surgery, follow-up visits, and the symptoms you are experiencing. This information will help the new physician understand your medical history and provide a more informed assessment of your condition. If you have any imaging studies or lab results from your previous doctor, those should be included as well.
In terms of finding a new doctor, you can look for specialists in colorectal surgery or gastroenterology, as they are typically well-versed in conditions related to fistulas and can provide you with the care you need. You might also consider asking for recommendations from friends, family, or your primary care physician.
It's also important to communicate openly with the new doctor about your symptoms, your concerns regarding the discharge, and any other issues you may have experienced since the surgery. This will help them make a more accurate diagnosis and develop an appropriate treatment plan.
In summary, you are well within your rights to seek a second opinion after your fistula surgery. Persistent discharge is a symptom that should be evaluated, and consulting another physician can provide you with peace of mind and potentially lead to a more effective treatment plan. Remember, your health and comfort are paramount, and advocating for yourself is an essential part of the healing process.
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