Wound issues
I just had surgery three days ago, and when I have a bowel movement, it seems like some stool is coming out from the surgical site.
Is this normal or abnormal? Should I return for a follow-up appointment, or should I just continue to observe the wound and keep it clean?
A Tang, 20~29 year old female. Ask Date: 2020/07/13
Dr. Ke Fangxu reply Surgery
Since I don't know what type of surgery you had, I cannot determine whether it's normal for feces to come out of the surgical site.
It's common to feel sensitivity in the anal area shortly after anal surgery.
If you have any concerns, it's best to have your doctor examine the wound again.
Keeping the area clean is essential, and taking warm sitz baths may be helpful.
Reply Date: 2020/07/13
More Info
After surgery, it is not uncommon for patients to have concerns regarding their wounds and any unusual symptoms they may experience. In your case, noticing stool or fecal matter coming from the surgical site is definitely a concerning symptom that should not be taken lightly. Here’s a detailed explanation of what might be happening and what steps you should take.
1. Understanding the Situation: If you are seeing stool coming from the surgical site, this could indicate a few potential issues. One possibility is that there is a fistula, which is an abnormal connection between two body parts, in this case, between the bowel and the surgical site. This can occur due to infection, inflammation, or improper healing. Another possibility is that the surgical site has become infected, leading to the breakdown of tissue and allowing contents from the bowel to leak out.
2. Normal vs. Abnormal: It is not normal for stool to come from a surgical wound. Surgical wounds should typically be clean and free of any fecal matter. The presence of stool suggests that there may be a complication that needs to be addressed. Normal post-operative care involves monitoring the wound for signs of infection, such as increased redness, swelling, warmth, or discharge that is not clear or blood-tinged.
3. Immediate Actions: Given the situation, it is crucial that you do not ignore this symptom. You should contact your surgeon or healthcare provider as soon as possible to discuss what you are experiencing. They may want to see you for an evaluation to determine the cause of the stool coming from the surgical site. It is better to err on the side of caution when it comes to potential complications after surgery.
4. Wound Care: In the meantime, it is essential to keep the area clean. You can gently clean the wound with mild soap and water, but avoid scrubbing the area. Keeping the wound dry and covered with a sterile dressing can help prevent further contamination. If you notice any signs of infection, such as increased pain, fever, or foul-smelling discharge, seek medical attention immediately.
5. Follow-Up Appointments: If you have a scheduled follow-up appointment, it is important to inform your doctor about this issue during that visit. If you do not have an appointment soon, you should make one as soon as possible. Your healthcare provider may need to perform imaging studies or other tests to assess the situation properly.
6. Long-Term Considerations: If a fistula or infection is confirmed, treatment may involve antibiotics, further surgical intervention, or other management strategies depending on the severity and nature of the issue. Early intervention is key to preventing more serious complications.
In conclusion, seeing stool from a surgical wound is not normal and should be addressed promptly. Maintain cleanliness, monitor for any additional symptoms, and reach out to your healthcare provider for further evaluation and management. Your health and recovery are paramount, and it’s always best to be proactive in addressing any concerns that arise post-surgery.
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