Post-Surgery Concerns: Fistula Surgery Aftereffects

Post-operative issues following fistula surgery?

Hello, I had a fistula surgery last September and have been living normally for a while.
Recently, due to increased stress, I noticed that my stools have become thinner (I have been observing this for two days).
I also feel a sense of heaviness and a slight pressure in my rectum (though it's not very pronounced, just a feeling of fullness in the anus).
The initial stools also don't seem as plentiful as before.
I would like to ask the doctor if this situation could possibly be a complication from the fistula surgery, or if it could be related to other symptoms.
I found information online that relates to colorectal cancer, and I plan to go to the hospital for an examination if this continues for a few days.
However, I would appreciate Dr.
Ke's advice.
Thank you.

Xiao Bao, 20~29 year old female. Ask Date: 2022/06/24

Dr. Ke Fangxu reply Surgery

It should not be the case, as it has been quite a while.
The probability of developing colorectal cancer at the age of 25, while not zero, is generally very low.
Based on your description, it seems more like hemorrhoidal swelling.
I recommend starting with a light diet and maintaining a good lifestyle.
Spicy, irritating, and greasy foods should be avoided, and increasing your intake of dietary fiber can also be helpful.
If symptoms persist without improvement, you may want to consult a physician for medication or to undergo a colonoscopy.

Reply Date: 2022/06/24

More Info

Post-surgery concerns, especially after a fistula surgery, can be quite common and often lead to anxiety about potential complications or long-term effects. Based on your description, you are experiencing changes in your bowel movements, including thinner stools, a sensation of heaviness or pressure in the anal area, and a feeling of incomplete evacuation. These symptoms can understandably raise concerns about whether they are related to your previous surgery or if they signify a new issue.

Firstly, it is important to recognize that changes in bowel habits can occur for a variety of reasons, and not all of them are directly related to surgical interventions. Stress, dietary changes, hydration levels, and even the type of medications you may be taking can all influence bowel function. The fact that you have been under increased stress could be a significant factor contributing to the changes you are observing. Stress can lead to gastrointestinal disturbances, including changes in stool consistency and frequency.

Regarding the specific symptoms you mentioned, such as the feeling of heaviness or pressure in the anal region, this could be related to several factors. After fistula surgery, the surrounding tissues may still be healing, and any residual inflammation or scarring could contribute to sensations of discomfort or pressure. It is also possible that the surgery may have altered the normal anatomy of the anal canal, leading to changes in how stool passes through.

The sensation of incomplete evacuation is not uncommon after anal surgeries, including fistula repairs. This can be due to changes in the anal sphincter function or the presence of scar tissue that may affect how well the anal canal can relax and accommodate stool. If you are experiencing persistent symptoms, it is crucial to consult with your healthcare provider. They may recommend a physical examination to assess for any complications, such as strictures or new fistulas, and to evaluate the function of the anal sphincter.

In terms of your concern about the possibility of colorectal cancer, while it is always prudent to be vigilant about changes in bowel habits, it is essential to consider the context of your recent surgery. If your symptoms persist for more than a few days, or if you experience additional symptoms such as significant pain, bleeding, or changes in your overall health, it would be wise to seek medical attention promptly. Your healthcare provider may suggest imaging studies or a colonoscopy to rule out any serious underlying conditions.

In the meantime, maintaining a healthy diet rich in fiber, staying well-hydrated, and managing stress through relaxation techniques or counseling can help improve your bowel function. Additionally, gentle exercises may also aid in reducing stress and promoting regular bowel movements.

In summary, while your symptoms could potentially be related to your previous fistula surgery, they may also be influenced by other factors such as stress and dietary changes. It is essential to monitor your symptoms closely and consult with your healthcare provider for a thorough evaluation to ensure that any underlying issues are addressed appropriately. Your health and peace of mind are paramount, and open communication with your medical team is key to navigating these post-surgical concerns.

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