Post-Surgery Care: Can I Continue Sitz Baths After Pain and Bleeding? - Surgery

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Post-fistula surgery


Dr.
Ke, it has been five days since my surgery.
During my first follow-up appointment, the doctor informed me that I no longer needed to take warm sitz baths.
However, I have recently been experiencing pain when using the restroom, along with some slight bleeding.
Is it still advisable for me to take warm sitz baths?

Qiaji, 10~19 year old female. Ask Date: 2020/08/27

Dr. Ke Fangxu reply Surgery


Generally, it is recommended to take sitz baths for at least two weeks after fistula surgery, or until the wound is completely healed, meaning there is no longer any discharge.
If it is only the fifth day post-surgery and you wish to continue taking sitz baths, that is certainly acceptable.
However, I am unsure why your surgeon advised you to stop.
The surgeon may have specific reasons for this recommendation, so it would be a good idea to consult with them for clarification.

Reply Date: 2020/08/27

More Info


After surgery, particularly for procedures involving sensitive areas such as the anal or genital regions, post-operative care is crucial for recovery. It is understandable to have concerns about continuing sitz baths, especially when experiencing pain and bleeding.
Sitz baths are often recommended after surgeries to promote healing, reduce discomfort, and maintain hygiene. They involve sitting in warm water, which can help relax the muscles and improve blood circulation to the area, potentially aiding in the healing process. However, the decision to continue sitz baths after experiencing pain and bleeding should be approached with caution.

1. Pain and Bleeding: Experiencing pain and slight bleeding five days post-surgery is not uncommon, but it can indicate that the area is still healing or that there may be irritation. If the bleeding is minimal and not accompanied by other concerning symptoms (like heavy bleeding, fever, or increasing pain), it may be acceptable to continue sitz baths, but with modifications.
2. Consult Your Doctor: Since your doctor advised against sitz baths during your first follow-up, it is essential to adhere to their guidance. If you are experiencing increased pain and bleeding, it would be prudent to contact your healthcare provider for further evaluation. They may want to assess the surgical site to ensure there are no complications, such as infection or excessive irritation.

3. Modifying Care: If your doctor permits you to continue sitz baths, consider reducing the frequency or duration. Instead of prolonged baths, you might opt for shorter sessions to see if that alleviates discomfort. Ensure the water is warm but not hot, as excessive heat can exacerbate bleeding or irritation.

4. Alternative Pain Management: If pain persists, discuss with your doctor about appropriate pain management strategies. They may recommend over-the-counter pain relievers or prescribe medication to help manage your discomfort.

5. Signs of Complications: Be vigilant for signs of complications, such as increased bleeding, severe pain, fever, or any unusual discharge from the surgical site. If you notice any of these symptoms, seek medical attention promptly.

6. Hygiene Practices: Maintaining cleanliness in the area is vital, especially if you are experiencing bleeding. If sitz baths are not advisable, consider gentle cleansing with mild soap and water, avoiding any harsh chemicals or scrubbing that could irritate the area.

In summary, while sitz baths can be beneficial for post-operative care, your current symptoms warrant a careful approach. Always prioritize communication with your healthcare provider regarding any changes in your condition or symptoms. They can provide personalized advice based on your specific situation and surgical procedure. Remember, your recovery is a priority, and following professional guidance is essential for optimal healing.

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