How to Properly Clean Your Anus After Bowel Movements - Surgery

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How to perform anal irrigation?


Hello, Doctor… It has been 50 days since my fistula surgery, and I don't need to return for a follow-up or soak in a basin; I was only instructed to rinse the area well after a bowel movement.
Now, every morning after I have a bowel movement, I rinse with water and then take a warm sitz bath for 15 minutes.
However, I am constantly worried about whether my anus is clean, so I rinse for a long time and even stretch the anus while rinsing.
I've noticed that stretching the anus while rinsing sometimes causes a stinging pain, which can last all day.
Am I rinsing too thoroughly? What is the proper way to clean the anus after a bowel movement? I feel like having an anal fistula makes it seem like I am not clean, but that is not the case… Thank you.

tian, 40~49 year old female. Ask Date: 2015/11/12

Dr. Ke Fangxu reply Surgery


Anal fistulas are a complication caused by bacterial infection and are not related to personal hygiene.
Rinsing the anal area can help maintain good local hygiene, but excessive washing can lead to skin damage around the anus, which can be counterproductive.
It is recommended to clean the area moderately, as the anal region is not a sterile environment to begin with, so there is no need for excessive concern.

Reply Date: 2015/11/12

More Info


Cleaning the anus properly after bowel movements is essential for maintaining personal hygiene and preventing irritation or infections. It’s understandable to have concerns about cleanliness, especially after undergoing a surgical procedure like a fistula operation. Here’s a comprehensive guide on how to clean your anus effectively and safely.


Proper Cleaning Technique
1. Wiping Direction: After a bowel movement, the general recommendation is to wipe from front to back. This helps prevent the transfer of bacteria from the rectal area to the urethra, which can lead to urinary tract infections (UTIs). If you are using toilet paper, ensure that you use a gentle motion to avoid irritation.

2. Water Cleaning: Using water to clean the anal area is an excellent practice. You can use a handheld bidet, a peri bottle, or simply a gentle stream of water from the toilet. Aim the water towards the anus and clean thoroughly but gently. Avoid using excessive force, as this can cause irritation or pain.

3. Sitz Baths: After bowel movements, taking a warm sitz bath can be beneficial. This involves sitting in a few inches of warm water for about 15-20 minutes. It can help soothe the area, reduce irritation, and promote healing, especially after surgery. However, be cautious not to make the water too hot, as this can exacerbate discomfort.

4. Drying: After cleaning, gently pat the area dry with a soft towel or toilet paper. Avoid rubbing, as this can cause irritation. If you experience discomfort, consider using a hairdryer on a low setting to dry the area without direct contact.

5. Moist Wipes: If you find that toilet paper alone is not sufficient, consider using unscented, alcohol-free moist wipes. These can provide a more thorough clean without the irritation that can come from excessive wiping with dry paper.


Signs of Over-Cleaning
If you are experiencing pain or a stinging sensation after cleaning, it may indicate that you are over-cleaning or using too much pressure. Here are some signs to watch for:
- Persistent Pain: If you feel pain that lasts throughout the day after cleaning, it may be a sign that you are irritating the skin.

- Redness or Swelling: Look for any signs of redness or swelling around the anal area, which could indicate irritation or inflammation.

- Bleeding: If you notice any bleeding during or after cleaning, it’s crucial to stop and consult with a healthcare professional.


Hygiene and Health
Maintaining cleanliness is important, but it’s equally important to avoid overzealous cleaning practices that can lead to irritation. The goal is to keep the area clean without causing harm. If you have concerns about cleanliness or if you notice any unusual symptoms (like persistent pain, bleeding, or discharge), it’s advisable to consult your healthcare provider for personalized advice.


Conclusion
In summary, proper cleaning of the anus after bowel movements involves gentle wiping from front to back, using water for rinsing, and possibly incorporating sitz baths for comfort. Pay attention to your body’s signals; if you experience pain or discomfort, it may be a sign to adjust your cleaning technique. Remember, maintaining hygiene is important, but it should not come at the cost of your comfort and health. If you have ongoing concerns, don’t hesitate to reach out to your healthcare provider for guidance.

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