Post-Surgery Concerns: Discomfort After Fistula Surgery - Surgery

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Post-fistula surgery


Doctor, I just had a fistula incision surgery this week, and I keep feeling the urge to push at the anus even though I don't need to have a bowel movement.
This happens even after I've just gone to the bathroom.
Although it doesn't hurt, it is quite uncomfortable.
Is this normal?

Niming, 20~29 year old female. Ask Date: 2020/04/04

Dr. Ke Fangxu reply Surgery


After anal surgery, experiencing abnormal sensations within two weeks is normal.
It is recommended to take warm sitz baths, which should help alleviate the symptoms.
If the symptoms persist without improvement, you should consult your surgeon for an examination and possible medication.

Reply Date: 2020/04/04

More Info


After undergoing fistula surgery, it's not uncommon to experience discomfort or unusual sensations in the anal area. The feeling of needing to push or exert pressure, even when there is no urge to defecate, can be attributed to several factors related to the surgical procedure and the body's healing process.

Firstly, it's important to understand that fistula surgery involves the creation of an incision to allow for drainage and healing of the fistula tract. This surgical intervention can lead to temporary changes in the normal function of the anal sphincter and surrounding tissues. The sensation of needing to push may be a result of the surgical site healing, as the body adjusts to the changes made during the procedure.
Additionally, the anal region is highly sensitive, and any surgical manipulation can lead to heightened awareness of sensations in that area. This can manifest as a feeling of pressure or the urge to push, even when there is no actual need to defecate. It's also possible that the surgical site is still inflamed or irritated, contributing to these sensations.

Another factor to consider is the psychological aspect of surgery. After a procedure, patients may become more attuned to bodily sensations, leading to increased anxiety or awareness of normal bodily functions. This heightened sensitivity can sometimes be misinterpreted as a need to exert pressure.

While discomfort is a common experience post-surgery, it's essential to monitor your symptoms. If the sensation of needing to push becomes painful, or if you experience any other concerning symptoms such as bleeding, severe pain, or signs of infection (such as fever or increased swelling), it is crucial to contact your healthcare provider promptly. They can assess your condition and determine if any further intervention is necessary.

In terms of management, here are a few recommendations that may help alleviate discomfort:
1. Follow Post-Operative Care Instructions: Adhering to the care guidelines provided by your surgeon is vital for optimal healing. This may include keeping the area clean and dry, using prescribed medications, and attending follow-up appointments.

2. Pain Management: If you experience discomfort, over-the-counter pain relievers may help. However, consult your doctor before taking any medication to ensure it is appropriate for your situation.

3. Dietary Adjustments: To prevent constipation and straining during bowel movements, maintain a diet rich in fiber and stay well-hydrated. This can help ensure that your bowel movements are soft and easy to pass.

4. Gentle Activity: Engaging in light physical activity, as tolerated, can promote circulation and aid in the healing process. However, avoid any strenuous activities that may strain the surgical site.

5. Relaxation Techniques: If anxiety about the sensations is contributing to discomfort, consider relaxation techniques such as deep breathing exercises or mindfulness practices.

In conclusion, while the sensation of needing to push after fistula surgery can be uncomfortable, it is often a normal part of the healing process. However, it is essential to remain vigilant about your symptoms and communicate with your healthcare provider if you have any concerns. They can provide reassurance and guidance tailored to your specific situation, ensuring a smoother recovery.

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