Managing Recurrent Inflammation and Abscess After Anal Fistula Surgery
Recurrent inflammation and suppuration of anal abscess? Hello Dr. Ke, About a month ago, I underwent drainage surgery for a high anal abscess, which was approximately 6 to 7 centimeters deep. I took oral antibiotics for the first 10 days after the drainage, but currently, the w...
Dr. Ke Fangxu Reply:
Patients with anal abscesses may develop fistulas. If the inflammation is still present, medication will be administered to assess whether surgery is necessary. If the infection remains uncontrolled, direct surgical drainage is also one of the treatment options. As for endoscopic...[Read More] Managing Recurrent Inflammation and Abscess After Anal Fistula Surgery
Post-Fistula Surgery: Understanding Pain, Itching, and Healing
Post-fistula surgery Hello Doctor, I had a fistula surgery on January 23rd. I have been soaking in the bath 4 to 5 times a day and changing the dressing as well. It has been two weeks now. Is it normal to experience pain and itching? Also, is it normal for the area around the wou...
Dr. Ke Fangxu Reply:
It is normal to experience swelling and pain at the wound site after fistula surgery. Complete recovery typically takes about a month, and as long as there is no infection or bleeding, there is no cause for concern.[Read More] Post-Fistula Surgery: Understanding Pain, Itching, and Healing
Understanding Post-Surgery Urgency: Is It Temporary or Long-Term?
Urgent bowel movement urge? Hello Doctor: Since I had surgery before the Lunar New Year, there is still some time before my follow-up appointment after the holiday. I would like to ask for your advice. Since the surgery on January 28, I have been experiencing strong urges to defe...
Dr. Ke Fangxu Reply:
Since the letter did not specify which type of surgery, I will assume it is related to hemorrhoid or fistula surgery. Such anal surgeries can cause abnormal bowel movements due to wound irritation within 1-2 weeks post-operation. Taking warm sitz baths should help alleviate disco...[Read More] Understanding Post-Surgery Urgency: Is It Temporary or Long-Term?
Understanding Granulation Tissue After Fistula Surgery: Risks and Care Tips
Fistulous granulation tissue Hello doctor, two weeks after the fistula surgery, during my follow-up appointment, the doctor informed me that there is granulation tissue at the wound site. I would like to ask if this increases the risk of recurrence. Additionally, regarding sitz b...
Dr. Ke Fangxu Reply:
Answer: It is correct to use povidone-iodine for sitz baths in the early postoperative period. Whether to continue using povidone-iodine thereafter is a matter of personal preference. The issue with long-term use of povidone-iodine is that it can cause skin irritation around the ...[Read More] Understanding Granulation Tissue After Fistula Surgery: Risks and Care Tips
Post-Fistula Surgery: Recovery, Concerns, and Sexual Health Insights
Post-fistula surgery Hello Doctor: I underwent fistula surgery on December 20, 2018, and was discharged three days later. I had previously looked in the mirror and saw that the surgical incision was about 2-3 cm next to the sphincter, with an external incision of 2-3 cm that was ...
Dr. Chen Jiaming Reply:
1. The depth of the anal fistula varies among individuals, and the healing time for surgical wounds also differs. 2. It is common to have discharge from the anus after anal fistula surgery; however, some may experience pus while others may only have normal intestinal secretions...[Read More] Post-Fistula Surgery: Recovery, Concerns, and Sexual Health Insights
Post-Surgery Sitz Bath: Why Is It Causing Pain After Fistula Surgery?
Sitz bath after fistula surgery? Hello, doctor. It's been about nine days since my fistula surgery (three in total), and when I started taking warm sitz baths, I experienced sharp pain at the incision site as soon as it came into contact with water, making it impossible to c...
Dr. Ke Fangxu Reply:
If sitting baths cause pain, reducing the amount of povidone-iodine in the water or using plain water can help. Typically, the stinging sensation during a sitz bath is caused by excessive addition of povidone-iodine.[Read More] Post-Surgery Sitz Bath: Why Is It Causing Pain After Fistula Surgery?
Post-Fistula Surgery: Concerns About Prolapsed Hemorrhoids
Prolapse of hemorrhoids after fistula surgery? Hello Doctor, I previously had a problem with a protruding hemorrhoid that I could push back after bowel movements. A week ago, I underwent fistula surgery, but the hemorrhoid has been continuously protruding, and due to the pain fro...
Dr. Ke Fangxu Reply:
If hemorrhoids are large enough to protrude outside the anus, conservative treatment is generally less effective. However, during fistula surgery, hemorrhoids are often removed to prevent the situation where both the surgical site and the hemorrhoids are painful. Currently, the b...[Read More] Post-Fistula Surgery: Concerns About Prolapsed Hemorrhoids
Post-Surgery Anal Fistula: Understanding Pain and Recovery Issues
Postoperative soreness is common after anal fistula surgery? Hello Doctor, I underwent anal fistula surgery on September 5th of this year. Although the surgeon mentioned that the location of my fistula was difficult to locate, they managed to address it based on their experience....
Dr. Xu Kaixi Reply:
Hello, based on your description, you have undergone surgical treatment for an anal fistula, and the wound has healed. Recently, you have been experiencing soreness and other symptoms in the anal area, which may be due to scar tissue following the healing of the wound. You might ...[Read More] Post-Surgery Anal Fistula: Understanding Pain and Recovery Issues
Post-Surgery Care for Fistula and Hemorrhoids: Your Questions Answered
Fistula and hemorrhoid surgery follow-up questions? Hello, doctor. I would like to ask about my situation. I was admitted for a fistula surgery yesterday, and the doctor mentioned that they would also remove part of my hemorrhoids. They said that if too much is removed at once, i...
Dr. Ke Fangxu Reply:
This situation may simply be swelling of the wound, but it is also possible that the hemorrhoidal tissue was not completely excised. However, it is currently not recommended to push it back in, as this could increase pain at the site and there is no guarantee it won't protru...[Read More] Post-Surgery Care for Fistula and Hemorrhoids: Your Questions Answered
Managing Pain After Fistula and Hemorrhoid Surgery: Can Warm Baths Help?
Anal fistula and surgical treatment of ulcers? Hello, doctor. I was admitted for surgery on an anal fistula, during which the surgeon also removed hemorrhoids. I was advised not to take warm water baths during the first week, but currently, the pain from the hemorrhoids is worse ...
Dr. Ke Fangxu Reply:
Yes, personally, I started taking sitz baths the day after the surgery; otherwise, the wound cannot be kept clean, which could lead to complications. However, I would recommend waiting to apply the ointment until the amount of discharge decreases.[Read More] Managing Pain After Fistula and Hemorrhoid Surgery: Can Warm Baths Help?
Post-Surgery Care for Anal Fistula: What to Expect and Healing Tips
Fistula surgery Hello, doctor. I had an anal fistula surgery on December 3rd. After the surgery, the doctor instructed me to change the dressing regularly and did not prescribe any topical medication, only antibiotics, pain relievers, and stool softeners. I would like to ask if t...
Dr. Ke Fangxu Reply:
The healing time for anal fistula surgery can vary from two weeks to two months, depending on the complexity of the procedure. During this period, it is normal to experience pain and some bleeding from the wound. The principle for managing the fistula wound is to maintain cleanli...[Read More] Post-Surgery Care for Anal Fistula: What to Expect and Healing Tips
Post-Surgery Care: Using Suppositories and Ointments for Healing
Please provide information regarding the use of suppositories and ointments prescribed by the physician after fistula surgery? Hello Dr. Ke, I visited you yesterday regarding the reason my wound has not fully healed one and a half months after the fistula surgery. You mentioned t...
Dr. Ke Fangxu Reply:
1. It is generally recommended to use suppositories before bedtime to prevent the medication from slipping out after movement. 2. A suppository should be fully inserted into the rectum; as long as it remains within the anal sphincter, it will not slip out. Urination can cause r...[Read More] Post-Surgery Care: Using Suppositories and Ointments for Healing
Post-Surgery Concerns: Understanding Swelling and Pain After Fistula Repair
Post-fistula surgery wound swelling? Hello! I would like to ask Dr. Ke about my condition. I underwent fistula surgery in mid-September, and about two weeks post-surgery, the wound had healed. However, I experienced some swelling and pain, and after a few days, the healed wound d...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a recurrence. We can start with antibiotic treatment to see if it helps. If the treatment is ineffective or if there are repeated episodes, it may be necessary to undergo surgery again.[Read More] Post-Surgery Concerns: Understanding Swelling and Pain After Fistula Repair
Understanding Anal Fistulas: Symptoms, Concerns, and Prevention Tips
Suspected anal fistula? Hello, Doctor. I apologize for interrupting you during your busy schedule. I underwent anal fistula surgery on July 10 of this year, with the location being slightly to the right of the anal opening. I am recovering well, with only scar tissue remaining an...
Dr. Ke Fangxu Reply:
1. It is also possible that it is a benign subcutaneous tumor or a smaller external hemorrhoid at the anal opening. Since I cannot perform a physical examination, I cannot provide a definitive answer, but I recommend continued observation. 2. Of course, a newly formed fistula i...[Read More] Understanding Anal Fistulas: Symptoms, Concerns, and Prevention Tips
Can I Consult Another Doctor After Fistula Surgery?
Is it possible to see another doctor to evaluate the condition more than three months after the fistula surgery? After more than four months post-surgery for a fistula, the external wounds appear to have healed, but there is still discharge from the anal area. I have returned for...
Dr. Ke Fangxu Reply:
In this situation, it is advisable to seek a second opinion from another physician. Generally, there should not be any discharge more than three months post-surgery. There is no need for medical records; just clearly explain the medical history.[Read More] Can I Consult Another Doctor After Fistula Surgery?
How to Prevent Recurrence of Anal Fistula After Surgery
Preventing the recurrence of anal fistulas? Three years ago, I underwent a fistula surgery, which involved direct excision and healing by secondary intention. I recently came across information stating that the recurrence rate for fistulas is around 10%, and I am quite worried ab...
Dr. Ke Fangxu Reply:
If there is no recurrence after three years post-surgery, it is generally considered that there will not be a recurrence at the same site. Washing with water or taking warm sitz baths can be beneficial for anal care, but they do not guarantee complete prevention of recurrence.[Read More] How to Prevent Recurrence of Anal Fistula After Surgery
How to Prevent Recurrence of Anal Fistulas After Surgery
Preventing the recurrence of anal fistulas? Three years ago, I underwent a fistula surgery, which involved direct excision and healing by secondary intention. I recently came across information stating that the recurrence rate for fistulas is around 10%, and I'm worried abou...
Dr. Ke Fangxu Reply:
If there is no recurrence for three years after surgery, it is generally believed that the same site is unlikely to experience a recurrence. Washing with water or taking warm sitz baths can be beneficial for anal care, but it does not guarantee complete prevention of recurrence.[Read More] How to Prevent Recurrence of Anal Fistulas After Surgery
Minimally Invasive Treatments for Anal Fistulas: LIFT and More
Fistula treatment methods Hello, doctor. May I ask if anal fistulas can be treated with minimally invasive surgery or the LIFT procedure? Is the incision small, and is it possible to be hospitalized for just one day? Do major hospitals have this technology? Thank you.
Dr. Ke Fangxu Reply:
The essence of anal fistula surgery lies in destroying the fistula structure and reconstructing the surrounding tissues to prevent recurrence. Many clinics seem to promote this approach to attract patients. As for the LIFT procedure you mentioned, from what I understand, it is no...[Read More] Minimally Invasive Treatments for Anal Fistulas: LIFT and More
Post-Surgery Care for Fistula: Cleaning and Hygiene Tips
Post-operative cleaning issues with a fistula for more than two months? Dr. Ke, I have another question. Last week during my follow-up visit, the doctor advised me to rinse after bowel movements instead of wiping, as wiping can irritate the skin around the anus. Additionally, I w...
Dr. Ke Fangxu Reply:
After two months post-anal fistula surgery, the wound should be healed and generally does not require special care. After sitz baths, do not insert toilet paper into the anus to avoid mucosal injury. The internal anal environment is not sterile, so excessive cleaning is unnecessa...[Read More] Post-Surgery Care for Fistula: Cleaning and Hygiene Tips
Post-Surgery Concerns: Hardness and Pain After Anal Fistula Repair
More than three months after anal fistula surgery, the anal area still feels hard? Hello Doctor: I underwent fistula surgery in mid-May of this year, and it has been three months since then. The wound has completely healed. I take a sitz bath once a day and apply a topical medica...
Dr. Ke Fangxu Reply:
1. Scar tissue after surgery generally takes about six months to gradually absorb, and it is normal for the wound to feel firm during this period. 2. If it has been more than three months since the surgery, there should be no need to continue applying ointment. If the phenomenon...[Read More] Post-Surgery Concerns: Hardness and Pain After Anal Fistula Repair