Post-Surgery Concerns: Is Your Fistula Recurring After Two Months? - Surgery

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Post-fistula surgery


Two months after surgery, the wound has opened up during bowel movements, bleeding, and there is a slight yellowish discharge.
Could this be a recurrence of a fistula?

Mr. Zheng, 30~39 year old female. Ask Date: 2023/04/08

Dr. Zhang Shuhao reply Surgery


After the fistula surgery, if the wound has just healed, there is a possibility of bleeding due to friction or excessive pulling on the wound.
However, it usually does not recur that quickly.
It is recommended to take warm sitz baths and change the dressing with ointment.
If there is no swelling, pain, or discomfort, you can continue to monitor the situation.

Reply Date: 2023/04/08

More Info


After undergoing surgery, particularly for conditions involving the hip joint, knee, or other orthopedic issues, it is not uncommon for patients to experience a range of discomforts and complications during the recovery phase. In your case, the concern about a potential recurrence of a fistula after two months post-surgery is significant and warrants careful consideration.

A fistula is an abnormal connection between two body parts, often resulting from surgical procedures, infections, or chronic inflammation. The presence of blood and a yellowish discharge from the surgical site could indicate several possibilities, including infection, improper healing, or indeed, the formation of a fistula. It is crucial to monitor these symptoms closely.

In the context of your question, here are some important points to consider:
1. Signs of Infection: The yellowish fluid you mentioned could be pus, which is a sign of infection. Other signs include increased redness, swelling, warmth around the area, and fever. If you notice these symptoms, it is essential to seek medical attention promptly.

2. Healing Process: The healing process after surgery can vary significantly from person to person. Factors such as the type of surgery, the extent of the injury, individual health conditions, and adherence to post-operative care instructions all play a role. Generally, soft tissue healing can take several months, and it is not uncommon for patients to experience intermittent discomfort during this time.

3. Fistula Formation: If a fistula is suspected, it is crucial to have it evaluated by your healthcare provider. They may perform imaging studies or a physical examination to determine the nature of the discharge and the integrity of the surgical site. If a fistula is confirmed, treatment options may include antibiotics, drainage, or further surgical intervention.

4. Activity Limitations: Until you have a clear understanding of your condition, it is advisable to limit activities that may exacerbate the issue. This includes heavy lifting, prolonged standing, or any activity that puts strain on the surgical site. Rest is essential for recovery, and you should follow your physician's recommendations regarding activity levels.

5. Follow-Up Care: Regular follow-up appointments with your surgeon or healthcare provider are crucial. They can monitor your recovery, assess for complications, and provide guidance on managing any discomfort. If you have not already scheduled a follow-up, it is advisable to do so, especially given your current symptoms.

6. Pain Management: If you are experiencing pain, discuss pain management options with your healthcare provider. They may recommend medications or physical therapy to help alleviate discomfort and promote healing.

In summary, while some discomfort is expected after surgery, the symptoms you are experiencing—particularly the discharge and potential recurrence of a fistula—should be evaluated by a medical professional. Early intervention can prevent complications and promote a smoother recovery process. Please do not hesitate to reach out to your healthcare provider for a thorough evaluation and appropriate management of your symptoms.

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