Post-Surgery Symptoms of Anal Fistula: What to Expect

Anal fistula

Hello Dr.
Ke, it has been 25 days since my fistula surgery, and I still have yellow discharge.
Is this normal? Also, my attending physician prescribed an ointment for me to apply after sitz baths.
Is this necessary? Is it normal to feel a sharp pain during bowel movements?

A-Ming, 30~39 year old female. Ask Date: 2015/12/12

Dr. Ke Fangxu reply Surgery

It is normal to have discharge from the wound within one month after anal fistula surgery.
If the surgery was for a complex fistula, the healing time may be extended.
Mild stinging at the wound site is also considered normal during this period.
The wound will heal completely over time.
Since I am unaware of the specific ointment prescribed by your doctor, I cannot determine if it is necessary to use it.
I recommend that you consult your attending physician regarding the timing and frequency of ointment application.

Reply Date: 2015/12/12

More Info

After undergoing anal fistula surgery, it is common to experience a range of symptoms as part of the healing process. The presence of yellow discharge 25 days post-surgery can be concerning, but it is not uncommon. This discharge may indicate that your body is still in the process of healing, and it can be a sign of the normal inflammatory response. However, it is essential to monitor the discharge for any changes in color, consistency, or odor, as these could indicate an infection. If the discharge becomes foul-smelling or if you notice an increase in pain or swelling, it is crucial to contact your healthcare provider for further evaluation.

The use of medicated ointments and sitz baths, as prescribed by your doctor, is often recommended after anal fistula surgery. Sitz baths can help soothe the area, promote blood flow, and facilitate healing by keeping the surgical site clean. Applying the ointment after the sitz bath can also help reduce inflammation and discomfort. It is essential to follow your doctor's instructions regarding the frequency and duration of sitz baths, as well as the application of any topical medications.

Experiencing sharp pain during bowel movements is also a common symptom after anal fistula surgery. This pain can be attributed to several factors, including the healing of the surgical site, irritation of the surrounding tissues, or even the presence of scar tissue. It is important to ensure that your bowel movements are soft to minimize discomfort. You may want to consider dietary adjustments, such as increasing fiber intake or using stool softeners, to help ease the passage of stool. Staying well-hydrated is also crucial in preventing constipation, which can exacerbate pain during bowel movements.

In addition to these measures, it is vital to maintain open communication with your healthcare provider. If your symptoms persist or worsen, or if you have any concerns about your recovery, do not hesitate to reach out for advice. Your doctor may want to assess your healing progress and determine if any additional treatments or interventions are necessary.

In summary, while some discharge and pain can be expected after anal fistula surgery, it is essential to monitor your symptoms closely. Follow your doctor's recommendations for care, including the use of ointments and sitz baths, and make dietary changes to promote softer stools. If you experience any concerning symptoms or if your pain becomes unmanageable, seek medical attention promptly. Your recovery is a process, and with proper care and attention, you can expect to see improvement over time.

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