Post-Surgery Care: Managing Discharge and Recovery After Fistula and Hemorrhoid Surgery - Surgery

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Post-fistula surgery


I had a fistula surgery and hemorrhoidectomy 19 days ago.
I have a few questions:
1.
Is it normal to still have yellow-green discharge at this stage, and how long is it expected to last before it disappears?
2.
I take warm sitz baths 3-4 times a day and apply medication afterward.
Should I continue applying the medication until there is no discharge?
3.
I currently have no pain in the anal area, but I do feel a sensation similar to hemorrhoids.
Is this normal?
4.
Using pads daily should not affect the wound, right?
Thank you for your responses, doctor.
I appreciate it.

Yi Qie Dou Shi Huan Jue, 30~39 year old female. Ask Date: 2021/12/22

Dr. Ke Fangxu reply Surgery


1.
It typically takes about a month for complete healing.

2.
Yes.

3.
Yes.

4.
No, it will not.

Reply Date: 2021/12/22

More Info


After undergoing fistula and hemorrhoid surgery, it's essential to understand the recovery process and manage any post-operative symptoms effectively. Here’s a comprehensive response to your questions based on medical knowledge and practices.

1. Discharge and Color of Secretions: It's not uncommon to experience yellow-green discharge after surgery, especially within the first few weeks. This discharge can be a result of the healing process, including the presence of serous fluid, which is a normal part of tissue repair. Typically, this type of discharge should gradually decrease and may last anywhere from a few days to several weeks, depending on individual healing rates and the extent of the surgery. If the discharge persists beyond a few weeks or if it becomes foul-smelling, it may indicate an infection, and you should consult your healthcare provider.

2. Application of Medication: When it comes to applying topical medications, it is generally advisable to continue until the discharge has significantly reduced or stopped. However, you should follow your surgeon's specific instructions regarding medication application. Over-application can sometimes lead to irritation, so it's important to balance effective treatment with gentle care. If you notice any adverse reactions or if the discharge does not improve, it’s best to reach out to your healthcare provider for further guidance.

3. Sensation of Hemorrhoids: Experiencing a sensation similar to hemorrhoids post-surgery can be quite common. This feeling may arise from swelling or residual inflammation in the area where the surgery was performed. As the tissues heal, these sensations should diminish. However, if you experience significant pain, bleeding, or if the sensation worsens, it is crucial to consult your doctor to rule out any complications.

4. Use of Pads: Using pads post-surgery is generally acceptable and should not interfere with the healing process as long as they are changed regularly to maintain hygiene. It’s important to ensure that the pads are not too tight and do not cause additional irritation to the surgical site. Keeping the area clean and dry is vital for preventing infections and promoting healing.

In addition to addressing your specific questions, here are some general post-operative care tips for managing recovery after fistula and hemorrhoid surgery:
- Hygiene: Maintain good hygiene by gently cleaning the area with warm water. Avoid using harsh soaps or scrubbing the area, as this can irritate the surgical site.


- Diet: A high-fiber diet can help prevent constipation, which is crucial after such surgeries. Incorporate fruits, vegetables, and whole grains into your meals, and stay well-hydrated.

- Pain Management: If you experience discomfort, over-the-counter pain relievers like acetaminophen or ibuprofen can be helpful. However, always follow your doctor's recommendations regarding medication.

- Activity Level: Gradually increase your activity level as tolerated. Avoid heavy lifting or strenuous activities until your doctor gives you the green light.

- Follow-Up Appointments: Attend all scheduled follow-up appointments with your healthcare provider to monitor your healing process and address any concerns.

In conclusion, while some discharge and sensations are normal during the recovery phase, it’s essential to remain vigilant for any signs of complications. Always consult your healthcare provider if you have concerns about your recovery or if symptoms persist or worsen. Your proactive approach to managing your post-operative care will significantly contribute to a smoother recovery process.

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