Can I Take Other Medications After Fistula Surgery?
Could you please clarify your question regarding the use of other medications in relation to fistula surgery? Doctor Ke, I have had a fistula for two months and have developed dermatitis on both sides of my buttocks. I have seen a dermatologist; can I take other medications? Will...
Dr. Ke Fangxu Reply:
There should be no impact; sometimes excessive sitz baths or the overuse of povidone-iodine can cause this. It is recommended to reduce the frequency of sitz baths and discontinue the use of povidone-iodine, which should also help.[Read More] Can I Take Other Medications After Fistula Surgery?
Post-Fistula Surgery Concerns: Diet, Recovery, and Healing Questions
Post-operative questions regarding fistula surgery? 1. After fistula surgery, is it okay to eat fish? I have seen some people online say that fish should be avoided. I have eaten quite a bit of it. 2. Is it normal to have the urge to pass gas sometimes after surgery? 3. How m...
Dr. Ke Fangxu Reply:
1. Yes. 2. It is normal for the anal area to become sensitive due to wound irritation, which may lead to increased frequency of gas or bowel movements. 3. Generally, it is recommended to apply the antiseptic solution four times a day: morning, noon, evening, and before bed. I...[Read More] Post-Fistula Surgery Concerns: Diet, Recovery, and Healing Questions
Post-Surgery Concerns After Anal Fistula Surgery: What to Expect
Postoperative issues following anal fistula surgery? Hello, I underwent anal fistula surgery on June 4th. Postoperatively, I felt that the wound has healed and looks quite normal now. However, occasionally there is a small amount of discharge at the surgical site, which can be ab...
Dr. Ke Fangxu Reply:
After hemorrhoid surgery, it typically takes about a month to recover from mild pain. The use of topical ointments and regular warm sitz baths can be helpful. As long as constipation is avoided, the pain should subside.[Read More] Post-Surgery Concerns After Anal Fistula Surgery: What to Expect
Post-Surgery Concerns: Managing Anal Fistula and Hemorrhoid Recovery
Postoperative care for anal fistula surgery? Hello, I underwent surgery for anal fistula and hemorrhoids on June 30th. Initially, in mid-June, I had a noticeable swelling, but it subsided on its own after a couple of days (it can still be felt, but it has shrunk significantly and...
Dr. Ke Fangxu Reply:
Based on the photo you provided, it appears to be an unhealed wound from an anal fistula surgery. Since this type of wound cannot be sutured, it typically takes about a month to heal. Regular warm sitz baths and follow-up appointments are recommended. Additionally, hair growth ar...[Read More] Post-Surgery Concerns: Managing Anal Fistula and Hemorrhoid Recovery
Understanding Post-Surgery Discharge After Fistula Surgery: What to Expect
Fistula surgery Hello, doctor. I had a fistula surgery last week, and since then, I've been taking sitz baths at least three times a day. I've been using sanitary pads, but each time I change them, I notice a small amount of blood and a yellowish fluid on the pad. The f...
Dr. Ke Fangxu Reply:
The surgical wound from an anal fistula typically takes about one month to heal. If it is a complex fistula, the healing time may be longer. It is normal to have discharge during this period, as long as there are no signs of redness, swelling, heat, or pain. Cleaning the surgical...[Read More] Understanding Post-Surgery Discharge After Fistula Surgery: What to Expect
Managing Anal Abscess and Fistula Concerns During Pregnancy
Anal issues Hello Doctor, last year I was diagnosed with an anal abscess and underwent surgery. The surgeon mentioned that my recovery was good. However, I later noticed some abnormalities at the surgical site. When I returned for a follow-up, the doctor also indicated that there...
Dr. Ke Fangxu Reply:
After anal abscess surgery, approximately 50% of patients may experience the complication of fistula. If this occurs, a second surgery may be required for definitive treatment. Pregnancy does not absolutely contraindicate surgery; however, most physicians, including myself, do no...[Read More] Managing Anal Abscess and Fistula Concerns During Pregnancy
Post-Surgery Bleeding: Managing Bowel Movements After Fistula Surgery
Seventh day post-fistula surgery, experiencing rectal bleeding? I had a hemorrhoidectomy and anal fistula surgery last Tuesday (May 15). After the surgery, I took stool softeners, but they caused diarrhea, and I had to go to the bathroom every two hours on average. The wound has ...
Dr. Ke Fangxu Reply:
1. If taking a laxative results in diarrhea, the medication needs to be adjusted because diarrhea, like constipation, can be detrimental to the wound. Please discuss with your physician how to modify the medication. 2. Mild bleeding from the surgical site is a normal occurrence...[Read More] Post-Surgery Bleeding: Managing Bowel Movements After Fistula Surgery
Do I Really Need Surgery for an Anal Fistula?
Anal abscess Hello Doctor: A few days ago, I had diarrhea for a whole day and experienced some pain in my anus, but it didn't affect my daily activities. I ate seafood and drank beer the day before, and the next day I was in unbearable pain. After work, I went to the pharmac...
Dr. Ke Fangxu Reply:
An anal abscess refers to an acute bacterial infection of the anus that leads to pus formation. Half of the individuals will completely recover after medical treatment or incision and drainage, while the other half may develop a fistula due to incomplete healing. An anal fistula ...[Read More] Do I Really Need Surgery for an Anal Fistula?
Post-Surgery Abscess: Concerns and Care After Fistula Surgery
Abscess after fistula surgery Hello Doctor, I previously asked you about the small abscess that developed five weeks after my fistula surgery. During my follow-up visit, the doctor mentioned that there was some residual mucus that wasn't cleaned out during the surgery, which...
Dr. Ke Fangxu Reply:
After fistula surgery, there may occasionally be mild skin infections around the wound. In such cases, sitz baths combined with antibiotic treatment can gradually improve the condition. Adding povidone-iodine to the water is acceptable, but the concentration should not be too hig...[Read More] Post-Surgery Abscess: Concerns and Care After Fistula Surgery
Post-Surgery Care: Understanding Wound Healing and Odor After Fistula Surgery
Fistula surgery postoperative wound Today is the 21st day post-surgery. The wound feels numb and is no longer painful, but there is an unusual odor on my underwear. Is this normal? Is it also normal for the wound to occasionally feel itchy?
Dr. Ke Fangxu Reply:
The wound from anal fistula surgery typically takes over a month to fully heal. During this time, it is normal for the wound to have some discharge, which may cause staining of underwear. It is recommended to use feminine pads to absorb the discharge. Mild itching at the wound si...[Read More] Post-Surgery Care: Understanding Wound Healing and Odor After Fistula Surgery
Post-Surgery Concerns: Understanding Recovery After Fistula Surgery
Post-fistula surgery Hello doctor, I underwent fistula excision surgery five weeks ago. Two weeks ago, during my follow-up appointment, the doctor said my recovery was going well and that I didn't need to return for further visits. Currently, the wound has not yet healed but...
Dr. Ke Fangxu Reply:
Based on your description, it seems like symptoms of a recurrence; however, it is essential to have a physician examine you in person to confirm whether it is indeed a recurrence. Please visit your surgeon's clinic for an evaluation.[Read More] Post-Surgery Concerns: Understanding Recovery After Fistula Surgery
Post-Surgery Concerns: Unexpected Bleeding After Fistula Surgery
Postoperative care for fistula surgery? Today is the 8th day post-surgery, and I suddenly felt my buttocks were damp in the evening. Upon inspection, I discovered that the wound was bleeding profusely, specifically from the area near the incision. At first glance, it seemed like ...
Dr. Ke Fangxu Reply:
This is likely just a simple wound oozing blood. The surgical site for anal fistula repair typically takes about a month to fully heal, so it is important to avoid constipation or diarrhea during this period, as these conditions can easily lead to bleeding from the wound. Additio...[Read More] Post-Surgery Concerns: Unexpected Bleeding After Fistula Surgery
Understanding Internal Hemorrhoids and Anal Fistula Surgery
Internal hemorrhoids and anal fistula? Hello, doctor. I have a small bump located just above the anus towards the spine, which is painful. After diagnosis, it was identified as an internal hemorrhoid. Can internal hemorrhoids cause swelling and pain in the skin around the anus? A...
Dr. Ke Fangxu Reply:
Answer: Because there is a protrusion behind the anus accompanied by pain, I suspect you may have an anal fissure rather than internal hemorrhoids. However, a proper diagnosis can only be made through a physical examination. Additionally, due to the presence of a wound from surge...[Read More] Understanding Internal Hemorrhoids and Anal Fistula Surgery
Understanding Surgical Options for Fistula: Open vs. Excision Techniques
Surgical methods for fistula? Hello, Director Ke: I underwent traditional surgery for a fistula and learned online that there are two methods: incision and excision. After consulting with my attending physician, it was determined that I have a simple fistula. However, the attendi...
Dr. Ke Fangxu Reply:
The mainstream approach for fistula surgery is open surgery because it has a lower recurrence rate, rather than being associated with smaller wounds. In fact, open surgery typically results in larger incisions and longer recovery times. Since we cannot see your fistula, it is dif...[Read More] Understanding Surgical Options for Fistula: Open vs. Excision Techniques
Post-Surgery Concerns: Managing Drainage After Fistula Surgery
Post-operative issues following fistula surgery? Hello, Director Hsu: I underwent a fistula surgery in Taipei on December 29. After the anal packing was removed on the 30th, I have been experiencing a discharge of blood-tinged fluid, and today, the 31st, I still have this fluid s...
Dr. Xu Kaixi Reply:
The recovery of the wound after fistula surgery typically takes about one to two weeks. During this period, some bleeding or discharge is normal. It is not recommended to rinse the wound directly with warm water, as this can be more irritating than sitz baths and may not be benef...[Read More] Post-Surgery Concerns: Managing Drainage After Fistula Surgery
Understanding Fistula Surgery: Is My Condition Recurring?
Recurrence after laparoscopic surgery? Hello doctor, I underwent fistula surgery on September 3rd, and it has been almost two months now. I have been taking sitz baths three times a day, but I am still experiencing yellow, thick discharge from the anus. Could this indicate a recu...
Dr. Xu Kaixi Reply:
I apologize for the delayed response due to the email forwarding process. In theory, surgical wounds typically heal within two to three weeks. If there is still discharge from the surgical site three months post-surgery, it is advisable to return to the original surgeon's cl...[Read More] Understanding Fistula Surgery: Is My Condition Recurring?
Should You Add Povidone-Iodine to Sitz Baths After Anal Fistula Surgery?
Is it necessary to add Betadine to sitz baths after anal fistula surgery? Hello, the Ministry of Health and Welfare has been promoting the idea of visiting local clinics instead of rushing to large hospitals. Unfortunately, I ended up taking antibiotics and painkillers for over a...
Dr. Ke Fangxu Reply:
There is a level between clinics and medical centers called regional hospitals, which I hope you can utilize more. Your situation likely involves an anal abscess surgery, allowing for discharge the day after the procedure. For preoperative preparation, a water-soluble povidone-io...[Read More] Should You Add Povidone-Iodine to Sitz Baths After Anal Fistula Surgery?
Post-Surgery Concerns: Understanding Wound Healing After Fistula Surgery
The wound from the anal fistula surgery has reopened? Hello Dr. Ke, I just had a fistula excision surgery last month. Yesterday (exactly four weeks post-op), I had a follow-up appointment with my doctor, and the wound looked good, healing well, with no signs of infection. The doc...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like a recurrence of a fistula. However, to determine the exact issue, you will need to have a physician examine you. Please consult with your surgeon for a detailed examination and to discuss the subsequent treatment plan.[Read More] Post-Surgery Concerns: Understanding Wound Healing After Fistula Surgery
Managing Exposed Sutures After Fistula Surgery: What to Do?
Exposed suture ends of a fistula wound? It has been about 23 days since my fistula surgery, and the wound is healing well without any pain. Today, while taking a sitz bath, I noticed that a suture end is protruding. The surgeon mentioned that the sutures used are absorbable. Shou...
Dr. Ke Fangxu Reply:
Based on the photo you provided, it does appear to be surgical sutures. If you are not experiencing any discomfort, I recommend leaving it alone; it should fall out on its own within one to two weeks. However, if you are experiencing any discomfort around the anus, you should con...[Read More] Managing Exposed Sutures After Fistula Surgery: What to Do?
Understanding Fistula Healing: Seeking Expert Advice on Surgical Recovery
I would like to consult Director Ke regarding the issue of fistulas? On October 6th of this year, I underwent surgery for a fistula, and it has now been seven weeks since the operation. I have been attending regular follow-up appointments every week after the surgery. My family h...
Dr. Ke Fangxu Reply:
The healing time for anal fistula surgery typically takes about one month. The recurrence rate after surgery also depends on the surgical method used. Since I am unaware of your specific surgical technique, I cannot speculate on the issues you may be experiencing. It is advisable...[Read More] Understanding Fistula Healing: Seeking Expert Advice on Surgical Recovery