Sitz baths after fistula surgery may cause stinging pain?
Hello Dr.
Ke, I underwent fistula surgery on June 22, and it has been almost a week since then.
A few days ago, I didn't experience much pain during sitz baths, but for the past two days, I've started to feel sharp pain as soon as I come into contact with warm water.
However, I still managed to complete the sitz baths.
I'm wondering if I need to return for a follow-up appointment with the doctor due to this issue.
Additionally, I've noticed that the discharge (pus and blood) has been somewhat excessive and occasionally leaks onto my underwear.
Is this phenomenon normal within a week after surgery? Thank you, Dr.
Ke.
Mr. Su, 30~39 year old female. Ask Date: 2020/06/27
Dr. Ke Fangxu reply Surgery
Mild bleeding and discharge after fistula surgery are normal occurrences; however, if there is significant bleeding or purulent discharge, it may indicate a problem with the wound.
It is advisable to consult the surgeon for an evaluation.
Reply Date: 2020/06/27
More Info
After undergoing a fistula surgery on June 22, it is understandable to have concerns about post-operative pain and discharge. It has been nearly a week since your surgery, and you are experiencing increased pain during sitz baths, as well as a notable amount of discharge that includes pus and blood. Let's break down your concerns and provide some guidance on when to consult your doctor.
Pain Management Post-Surgery
It is common to experience some level of pain after surgery, especially in the first week as your body begins to heal. However, the fact that you are experiencing a sharp, stinging pain when coming into contact with warm water during sitz baths could indicate a few things. It might be a normal part of the healing process, but it could also suggest that there is irritation or inflammation at the surgical site.
In general, post-operative pain should gradually decrease over time. If you notice that the pain is worsening or becoming more intense, or if it is accompanied by other concerning symptoms, it is advisable to reach out to your healthcare provider.
Discharge and Wound Care
Regarding the discharge you are experiencing, it is not uncommon to have some bleeding and discharge after surgery, particularly within the first week. However, the presence of pus can be a sign of infection. If the discharge is excessive, has a foul odor, or is accompanied by fever, chills, or increased redness and swelling around the surgical site, these could be signs of an infection that requires immediate medical attention.
When to Consult Your Doctor
1. Increased Pain: If the pain becomes severe or does not improve with over-the-counter pain relief methods, you should consult your doctor.
2. Excessive Discharge: If the amount of discharge increases significantly, especially if it is accompanied by pus or a foul smell, this could indicate an infection.
3. Signs of Infection: Look for symptoms such as fever, chills, increased redness, or swelling around the surgical site. If you experience any of these, it is crucial to seek medical attention promptly.
4. Persistent Symptoms: If you have any concerns about your healing process or if symptoms persist beyond what you were told to expect, do not hesitate to reach out to your healthcare provider.
Conclusion
In summary, while some pain and discharge can be expected after fistula surgery, it is essential to monitor your symptoms closely. If you notice any worsening of pain, excessive discharge, or signs of infection, it is important to consult your doctor. They can provide a thorough evaluation and determine if any further treatment is necessary. Always err on the side of caution when it comes to post-operative care, as timely intervention can prevent complications and promote a smoother recovery.
If you have any further questions or concerns, please do not hesitate to reach out to your healthcare provider for personalized advice and support. Your health and well-being are the top priority, and it is always better to ask if you are unsure about your recovery process.
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