Post-Surgery Symptoms: Itching and Discomfort After Fistula Repair

Fistula healing

I had surgery for an anal fistula one month ago.
Initially, it was said that it would take about a month to heal, but it healed in approximately two weeks, and the doctor mentioned that the recovery was good.
Now, the area where the wound was occasionally itches, and perhaps due to the heat, I feel some chafing while walking because of sweating.
The area looks a bit red, and when touched, there is a mild, stinging sensation, like a slight abrasion.
What could be the reason for this?

11, 10~19 year old female. Ask Date: 2015/08/05

Dr. Ke Fangxu reply Surgery

It is likely scar tissue left after the wound has healed, and there is no need to be overly concerned.
If there is itching or discomfort, it is recommended to apply hemorrhoid cream.
If the symptoms do not improve over time or if there is redness, swelling, or pain, you should consult a physician for further evaluation.

Reply Date: 2015/08/05

More Info

After undergoing a fistula repair surgery, it's not uncommon to experience symptoms such as itching, discomfort, and slight redness at the surgical site. These symptoms can be attributed to several factors, including the healing process, sensitivity of the skin, and potential irritation from sweat or friction.

Firstly, itching is a common part of the healing process. As the skin and underlying tissues begin to heal, nerve endings can become more sensitive, leading to sensations of itching. This is often a sign that the body is repairing itself. However, if the itching is accompanied by redness, swelling, or discharge, it may indicate an infection or an allergic reaction to materials used during the surgery, such as sutures or topical medications.

The slight redness you observe could be a normal part of the healing process, especially if the surgery was recent. However, if the redness persists or worsens, it may warrant further investigation. It's essential to monitor the area for any signs of infection, such as increased warmth, swelling, or pus. If these symptoms occur, it is crucial to contact your healthcare provider promptly.

The discomfort you feel, described as a "stinging" sensation, could be due to the sensitivity of the healing tissue. The skin around the surgical site may still be tender, and activities such as walking can cause friction, especially if you are sweating. This friction can lead to irritation, which may exacerbate the discomfort. Wearing loose-fitting clothing and ensuring that the area remains dry can help minimize irritation.

In terms of management, here are some recommendations:
1. Keep the Area Clean and Dry: Gently clean the surgical site with mild soap and water. Pat it dry instead of rubbing, as this can help prevent further irritation.

2. Moisturize: If the skin feels dry, consider using a gentle, fragrance-free moisturizer to help soothe the area. However, avoid applying anything directly on the wound unless advised by your doctor.

3. Avoid Irritants: Be cautious with products that may irritate the skin, such as perfumed soaps or lotions. Additionally, consider wearing breathable fabrics to reduce sweating and friction.

4. Cold Compress: If itching or discomfort becomes bothersome, applying a cold compress to the area may provide temporary relief.

5. Medications: Over-the-counter antihistamines can help alleviate itching. However, consult your healthcare provider before taking any new medications, especially if you are currently on other treatments.

6. Follow-Up: Since you mentioned that the wound healed faster than expected, it's a good idea to have a follow-up appointment with your surgeon. They can assess the healing process and determine if any further treatment is necessary.

In conclusion, while itching and discomfort after fistula repair surgery can be normal, it is essential to monitor the symptoms closely. If you notice any signs of infection or if the symptoms persist or worsen, do not hesitate to reach out to your healthcare provider for further evaluation and management. Your comfort and recovery are paramount, and addressing any concerns early can help ensure a smooth healing process.

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