Post-Surgery Care Tips for Attending Classes After Fistula Surgery

Post-operative concerns regarding tube drainage surgery in class?

Hello Doctor: I had anal fistula surgery on August 8th, and today is the sixth day post-operation.
I still experience pain during bowel movements, but I don't feel much pain while walking.
I would like to ask if starting classes on August 23rd (full day) will affect my healing.
How should I care for the wound? Currently, I am taking sitz baths in the morning, afternoon, evening, and before bed (or more if needed).
If I have to attend class and cannot take a sitz bath at noon, can I still go to class? If I do attend, what should I use to cushion the area to avoid direct contact with my underwear?

abc, 10~19 year old female. Ask Date: 2022/08/14

Dr. Ke Fangxu reply Surgery

The healing of the anal fistula surgical wound may take about a month.
Currently, if walking does not cause pain, that is already quite excellent.
Attending classes will not affect the healing process; however, it is best to get up and walk around after class.
If sitting baths are inconvenient at noon, they can be replaced with morning, afternoon, and before bedtime baths.
By that time, the discharge should be less, and it is recommended to use feminine hygiene pads to absorb the discharge and maintain wound cleanliness.

Reply Date: 2022/08/14

More Info

After undergoing fistula surgery, it is essential to prioritize proper post-operative care to ensure a smooth recovery and minimize complications. Given that you are six days post-surgery and experiencing pain during bowel movements, it is crucial to address your concerns about returning to class and managing your recovery effectively.

Pain Management and Recovery
Firstly, it is not uncommon to experience pain after fistula surgery, especially during bowel movements. This discomfort can be attributed to the healing process and the sensitivity of the surgical site. It is essential to follow your surgeon's recommendations regarding pain management, which may include over-the-counter pain relievers or prescribed medications. If the pain becomes severe or unmanageable, you should contact your healthcare provider for further evaluation.

Attending Classes
Regarding your upcoming classes starting on August 23, it is important to consider how your body will respond to prolonged sitting. While attending classes is possible, it is advisable to take precautions to avoid putting undue pressure on the surgical site. Here are some tips:
1. Use a Cushion: Consider using a soft cushion or a donut-shaped pillow to sit on during class. This can help alleviate pressure on the area and provide comfort while sitting for extended periods.

2. Frequent Breaks: If possible, take breaks during class to stand up, stretch, and walk around. This can help improve circulation and reduce discomfort.

3. Avoid Straining: Be mindful of your bowel movements. If you experience pain, try to avoid straining, as this can hinder the healing process. A high-fiber diet and adequate hydration can help facilitate smoother bowel movements.

Wound Care
You mentioned that you are currently practicing sitz baths multiple times a day, which is an excellent way to promote healing and cleanliness. Sitz baths can help soothe the area and reduce discomfort. However, if you are unable to take a sitz bath during class, consider the following:
1. Keep the Area Clean: Ensure that you maintain proper hygiene by gently cleaning the area with mild soap and water after bowel movements. Pat the area dry with a clean towel.

2. Avoid Direct Contact: If you are concerned about your wound coming into contact with your underwear, consider wearing loose-fitting clothing and using a soft, breathable pad to provide a barrier without causing irritation.

3. Monitor for Signs of Infection: Keep an eye out for any signs of infection, such as increased redness, swelling, or discharge from the surgical site. If you notice any concerning symptoms, contact your healthcare provider immediately.

Conclusion
In summary, while it is possible to attend classes after fistula surgery, it is essential to take precautions to protect your healing wound. Use a cushion, take breaks, and maintain proper hygiene to support your recovery. If you experience significant pain or any signs of complications, do not hesitate to reach out to your healthcare provider for guidance. Your health and comfort should always come first, and it is crucial to listen to your body as you navigate your post-operative recovery.

Similar Q&A

Post-Fistula Surgery: Do You Need Assistance for Recovery?

After the fistula surgery, will I need assistance, or can I manage all my daily activities independently until discharge? The surgery has already been scheduled, and the doctor mentioned that I can be discharged the day after the surgery. Also, will I be able to have normal bowel...

Dr. Zhang Shuhao reply Surgery
Postoperative pain is the main concern after a simple fistula surgery. With appropriate analgesics, daily activities can be managed independently. Patients can resume normal bowel movements and bathing after the procedure. There may be a small amount of blood and discharge from t...

Post-Surgery Symptoms After Fistula Surgery: What to Expect and Manage

Hello, I underwent a fistula repair surgery at a hospital near Madou on February 14th due to a fever. It has been over a month since the surgery. 1. Although the surgical wound has healed, I occasionally experience swelling and pain beneath the wound, especially at night, requi...

Dr. Xu Kaixi reply Surgery
Hello: It is normal to experience discomfort such as swelling, pain, or itching at the surgical site after fistula surgery, as well as some bleeding. These symptoms typically improve over time. The recovery process can be alleviated with the use of topical medications in conjunct...

Post-Surgery Care: Managing Bathroom Needs After Fistula Surgery

Hello, I am scheduled for a fistula surgery, and the doctor advised me to avoid having a bowel movement on the first night after the procedure (I did not have a bowel prep the night before at the clinic). However, I tend to have a sensitive digestive system and often feel the urg...

Dr. Ke Fangxu reply Surgery
I don't understand the reason for not having a bowel movement the day before. Generally, bowel cleansing is required before undergoing anal surgery to reduce the risk of wound infection and to help clarify the surgical field. After the surgery, you will definitely need to us...

Post-Surgery Care for Anal Fistula: Healing Tips and Exercise Guidelines

Dear Dr. Chang, I hope this message finds you well. It has been a month since my fistula excision surgery, and during my follow-up visit the day before yesterday, the doctor mentioned that my recovery is progressing well and that I no longer need to return for follow-up appointm...

Dr. Zhang Shuhao reply Surgery
1. If there is still exudate from the wound, it indicates that it has not fully healed. You can clean it normally, pat it dry, and apply a small amount of ointment. Maintain this until the wound is completely dry. 2. You can engage in activities, but you should avoid prolonged ...