Anal Fistula Surgery: Recovery, Symptoms, and Prevention - Surgery

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Surgical treatment for anal fistula?


Hello Doctor, I had surgery in August due to an abscess issue, and recently I underwent a second surgery because of a recurrence.
However, I was informed that the surgery was too deep and there is a risk of damaging the sphincter, so a third surgery will be necessary in three months.
Today is the third day after my second surgery.
I understand that it is normal to feel discomfort due to the large wound, but is it also normal to feel discomfort in the anal area? It feels tight, similar to anal fissures.
Additionally, since the surgery, my appetite has been poor, and I have been experiencing nausea and a desire to vomit.
Is this normal? Regarding the fistula issue, I asked my attending physician, and he mentioned that it is a matter of luck and not related to immunity.
Is that really the case? Are there any ways to prevent or reduce this issue? I hope that the discomfort from the third surgery will be lessened and that this condition can be cured.
Thank you, Doctor!

H, 20~29 year old female. Ask Date: 2020/11/15

Dr. Yu Mingchang reply Surgery


Hello: When you have time, please consider seeking a second opinion from another colorectal specialist.
The Changhua Hospital of the Ministry of Health and Welfare cares about you.

Reply Date: 2020/11/15

More Info


Understanding anal fistula surgery and its recovery process is crucial for patients who have undergone such procedures. An anal fistula is an abnormal connection between the anal canal and the skin surrounding the anus, often resulting from an infection or abscess. Surgery is typically required to treat this condition, and recovery can involve various symptoms and challenges.

Recovery After Surgery:
After undergoing surgery for an anal fistula, it is common to experience discomfort, especially in the anal region. The feeling of tightness or discomfort that you describe may be related to the surgical site healing. The anal sphincter muscles can be affected during surgery, which may lead to sensations similar to anal fissures. It is important to communicate any persistent or severe pain to your healthcare provider, as they can assess whether this is part of the normal healing process or if there are complications.

Nausea and Appetite Changes:
Experiencing nausea and a decreased appetite after surgery can be attributed to several factors. Post-operative pain, the effects of anesthesia, and the body’s natural response to surgery can all contribute to these symptoms. It is not uncommon for patients to feel unwell for a few days following surgery. However, if these symptoms persist or worsen, it is essential to consult your doctor to rule out any complications, such as infection or adverse reactions to medications.

Understanding Recurrence and Prevention:
The recurrence of anal fistulas can be frustrating and is often influenced by various factors, including the complexity of the fistula, the presence of underlying conditions, and individual healing responses. Your surgeon's comment about it being a matter of luck and immune response reflects the unpredictable nature of healing in some cases. While there is no guaranteed way to prevent recurrence, maintaining good hygiene, a healthy diet, and regular follow-ups with your healthcare provider can help manage the risk.

Managing Discomfort and Future Surgeries:
As you prepare for a potential third surgery, it is crucial to discuss your concerns about discomfort with your surgeon. They may provide strategies to minimize pain, such as pain management protocols, dietary adjustments to ease bowel movements, and recommendations for sitz baths to promote healing. Additionally, ensuring that you are well-hydrated and consuming a fiber-rich diet can help soften stools, reducing strain during bowel movements, which is essential for recovery.

Conclusion:
In summary, recovery from anal fistula surgery can involve discomfort, changes in appetite, and the potential for recurrence. It is essential to maintain open communication with your healthcare provider regarding your symptoms and concerns. They can provide tailored advice and interventions to help manage your recovery effectively. While the journey may be challenging, with proper care and attention, many patients find relief and improved quality of life post-surgery. Always remember that your health and comfort are paramount, and seeking help when needed is a vital part of the recovery process.

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