Concerns About Fistula Surgery: Is There a Medical Oversight?
Questions about fistula treatment surgery? Hello Dr. Ke, two years ago I underwent a fistula treatment surgery at a hospital. Before the surgery, I was only informed that the treatment would focus on the fistula itself, but after the surgery, I learned that the doctor also remove...
Dr. Ke Fangxu Reply:
Surgery for anal fistulas will inevitably cause some degree of damage to the anal sphincter, as the fistula itself is a structure that passes through the sphincter. Therefore, whether it involves incision or excision, a portion of the sphincter will be disrupted. This is not done...[Read More] Concerns About Fistula Surgery: Is There a Medical Oversight?
Understanding Fistula Surgery: Is My Recovery Normal?
Fistula surgery Hello, doctor. I had anal fistula surgery over two months ago, and I can still feel a tubular structure at the surgical site. Could this indicate a recurrence?
Dr. Ke Fangxu Reply:
This situation is mostly due to scar tissue after surgery. Unless there is swelling, pain, or abnormal discharge, there is no need to worry. You can also ask your surgeon to check again to confirm whether there is a recurrence of a fistula.[Read More] Understanding Fistula Surgery: Is My Recovery Normal?
Post-Surgery Symptoms After Fistula Surgery: What to Expect and Manage
Postoperative symptoms after fistula surgery? Hello, I underwent a fistula repair surgery at a hospital near Madou on February 14th due to a fever. It has been over a month since the surgery. 1. Although the surgical wound has healed, I occasionally experience swelling and pain...
Dr. Xu Kaixi Reply:
Hello: It is normal to experience discomfort such as swelling, pain, or itching at the surgical site after fistula surgery, as well as some bleeding. These symptoms typically improve over time. The recovery process can be alleviated with the use of topical medications in conjunct...[Read More] Post-Surgery Symptoms After Fistula Surgery: What to Expect and Manage
Understanding Anal Pain After Prostate Massage: Risks and Recovery
Anal issues Hello Doctor: I visited the urology department yesterday morning and was diagnosed with prostatitis. The doctor performed a prostate massage. However, this morning during bowel movement, I noticed a slight stinging pain in the anal area. When I touched the anal openin...
Dr. Ke Fangxu Reply:
Answer: If the anal fistula surgery was performed completely, there should not be any bleeding in the short term. Any bleeding that occurs may be due to mild internal hemorrhoids. It is recommended to avoid constipation during this period and to shorten the time spent on bowel mo...[Read More] Understanding Anal Pain After Prostate Massage: Risks and Recovery
Understanding Post-Surgery Healing: Is Hardness Normal After Fistula Removal?
Anal fistula Hello doctor, I had a fistula excision surgery at the beginning of March. The original fistula was a blind type, and there was a hard, elongated area when pressed. During the surgery, a piece of tissue the size of a thumb was removed. Now, more than a month later, th...
Dr. Ke Fangxu Reply:
After anal fistula surgery, the formation of scar tissue at the wound site may lead to the sensation of a lump, which is a normal occurrence post-surgery. As long as there is no redness, swelling, heat, pain, or purulent discharge, there is no cause for concern. However, if this ...[Read More] Understanding Post-Surgery Healing: Is Hardness Normal After Fistula Removal?
Understanding Recurring Infections After Back Fistula Surgery in Children
Back fistula surgery Hello, my child underwent a back fistula surgery in January. Since he is a child, the doctor sutured the wound at that time. However, the surgical site has been repeatedly red and swollen, and eventually the wound has broken open and discharged pus. In Februa...
Dr. Ke Fangxu Reply:
The definition of a fistula refers to an abnormal connection between an internal organ and the skin or another organ that should not exist. Therefore, a fistula should not occur in the back unless it is a connection with the pleural cavity. If that is the case, it would be quite ...[Read More] Understanding Recurring Infections After Back Fistula Surgery in Children
Post-Anal Fistula Surgery: Is Swelling a Sign of Recurrence?
Post-anal fistula surgery Hello, I had anal fistula surgery in early January, and recently I noticed a slight swelling around the surgical area that is not uncomfortable. Could this possibly be a recurrence?
Dr. Ke Fangxu Reply:
Postoperative swelling of the wound can occasionally occur. As long as there is no redness, heat, pain, or abnormal discharge, it is not a cause for concern. To determine whether it is a recurrence, it is necessary to have the surgeon evaluate it.[Read More] Post-Anal Fistula Surgery: Is Swelling a Sign of Recurrence?
Post-Fistula Surgery Recovery Concerns: Understanding Complications
Postoperative recovery issues after fistula surgery? Hello, doctor. I underwent fistula surgery on February 10th of this year. Initially, my recovery was quite good; I experienced minimal pain and had little discharge. However, two days ago (on March 3rd), I decided to try moving...
Dr. Ke Fangxu Reply:
The wound from anal fistula surgery typically takes about a month to fully heal. During this time, general activities are usually fine, but running should be temporarily avoided to prevent frequent friction on the wound. While this does not necessarily lead to a recurrence of the...[Read More] Post-Fistula Surgery Recovery Concerns: Understanding Complications
Why Is My Fistula Surgery Wound Not Healing After Two Months?
Why is the wound not healing after fistula surgery? However, the problem is that the wound has not completely closed yet... I consulted the original doctor, but he couldn't provide a reason... May I ask: 1. The original doctor said it would take a month and a half to heal co...
Dr. Ke Fangxu Reply:
If it hasn't healed after such a long time, it is possible that the fistula was not completely excised. In such cases, oral antibiotics are typically administered first. If there is still no improvement, a repeat surgery is recommended. Rather than just opening the surface, ...[Read More] Why Is My Fistula Surgery Wound Not Healing After Two Months?
Managing Post-Surgical Drainage: Tips for Care After Fistula Surgery
Fistula surgery After the drainage tube surgery, the wound is oozing blood. Although the amount is not significant, I still need to place a gauze pad, and I have to change it every 2 to 3 hours; otherwise, it will stain my pants. Would applying medication help it heal faster? The...
Dr. Ke Fangxu Reply:
It is normal for there to be drainage from the wound after laparoscopic surgery. Keeping the area clean and taking sitz baths can be beneficial. Applying ointments may lead to bacterial accumulation and make it difficult to keep the wound dry, so it is not advisable at this time.[Read More] Managing Post-Surgical Drainage: Tips for Care After Fistula Surgery
Understanding Anal Itching After Fistula Surgery: Causes and Remedies
Anal itching Two weeks ago, I underwent an anal fistula incision procedure. About a week later, I started experiencing increasing itching around the anal area. During my follow-up appointment today, the doctor diagnosed it as eczema and prescribed a different ointment. I forgot t...
Dr. Ke Fangxu Reply:
1. Post-operative itching at the site of hemorrhoid surgery is often related to the use of povidone-iodine solution during sitz baths. It is recommended that you continue with sitz baths but stop adding povidone-iodine to the water. 2. These issues are likely unrelated to exces...[Read More] Understanding Anal Itching After Fistula Surgery: Causes and Remedies
Understanding Anal Itching and Irregular Bowel Habits After Surgery
Anal itching I apologize for the oversight in my previous question. (I mentioned that I had a fistula surgery two weeks ago, and postoperatively I experienced itching, which was diagnosed as eczema during my follow-up visit.) Additionally, I would like to ask about my bowel movem...
Dr. Ke Fangxu Reply:
Based on your description, it seems more like irritable bowel syndrome. It is recommended to start with a light diet and maintain a good daily routine. Spicy, irritating, and greasy foods should be avoided. For anal itching, please pay attention to three things: 1. Do not scratch...[Read More] Understanding Anal Itching and Irregular Bowel Habits After Surgery
Understanding Fistula Surgery: Patient Concerns and Expert Answers
Fistula surgery Hello Doctor, I am a patient from Hong Kong. There are very few relevant posts and answers on Hong Kong websites, so I hope to seek professional advice from you to alleviate my concerns. I have recently been diagnosed with an anal fistula. After a digital rectal e...
Dr. Ke Fangxu Reply:
1. An anal fistula is a chronic infectious disease, and if it experiences repeated infections over a long period, it may develop into a complex fistula; however, waiting for three months will not have a significant impact. 2. After anal fistula surgery, to prevent recurrence, th...[Read More] Understanding Fistula Surgery: Patient Concerns and Expert Answers
Understanding the Necessity of Fistula Surgery: A Patient's Perspective
Fistula surgery Previously, I experienced severe anal itching and visited a proctology clinic before the end of December. The doctor diagnosed me with a fistula but mentioned that my condition was relatively mild (seemingly very minor) and only prescribed anti-inflammatory medica...
Dr. Ke Fangxu Reply:
The anal fistula indeed requires surgical excision for a complete cure; however, this type of surgery cannot be performed in a clinic and must be done in a hospital by a specialist under anesthesia. Therefore, please first visit a colorectal surgery outpatient clinic for a physic...[Read More] Understanding the Necessity of Fistula Surgery: A Patient's Perspective
Understanding Post-Surgical Scar Pain and Digestive Changes After Fistula Surgery
Fistula scar Two years ago, I underwent a fistula surgery, and during my follow-up appointment, the doctor said I was recovering well. However, sometimes when I walk a lot or when the weather is hot, the scar experiences pain similar to skin breakdown. There is a black, hair-like...
Dr. Ke Fangxu Reply:
After fistula surgery, there may be occasional pain due to the formation of scar tissue, but it will gradually return to normal. As long as there is no redness, swelling, heat, pain, or purulent discharge, it is acceptable. Loose stools are often due to insufficient intake of die...[Read More] Understanding Post-Surgical Scar Pain and Digestive Changes After Fistula Surgery
Finding Affordable Fistula Surgery Options in Kaohsiung
Fistula surgery Hello, Dr. Ke. We would like to inquire if there are hospitals in the Sanmin District of Kaohsiung that accept National Health Insurance for the treatment of fistulas. We couldn't find any information on this. We only found a type of electrocautery treatment ...
Dr. Ke Fangxu Reply:
Answer: Fistula treatments are covered by health insurance. Please search online for "Kaohsiung Sanmin District Colorectal Surgery," where you can find many physicians to choose from. Electrocautery treatment is not currently a mainstream treatment method in the medical...[Read More] Finding Affordable Fistula Surgery Options in Kaohsiung
Post-Surgery Care for Fistula: Key Questions and Answers
Post-fistula surgery I have a few questions after my fistula surgery last week: 1. I notice that there is blood and tissue fluid on the gauze every time before I take a sitz bath, but the timing for changing it is quite irregular. How often do you recommend changing the gauze? ...
Dr. Ke Fangxu Reply:
1. It is normal to have slight bleeding and tissue fluid at the surgical site after fistula surgery. It is generally recommended to soak the wound at least three to four times a day, gently pat it dry afterward, and then cover it with gauze or a dry cotton ball. 2. When using a...[Read More] Post-Surgery Care for Fistula: Key Questions and Answers
Understanding Post-Surgery Pain and Recovery for Fistula Procedures
Fistula surgery Hello, I would like to ask if it is normal to experience pain one week after fistula surgery? How long can I expect the pain to last? The doctor mentioned that I should avoid sitz baths due to the stitches. Besides taking pain medication, what other methods do you...
Dr. Ke Fangxu Reply:
It is normal to experience pain at the surgical site for up to a month after fistula surgery; the pain should subside as the wound heals. It is generally recommended to take sitz baths to alleviate pain and maintain cleanliness. I am not sure why sitz baths are discouraged, so it...[Read More] Understanding Post-Surgery Pain and Recovery for Fistula Procedures
Is My Anal Fistula Recurring? Understanding Post-Surgery Symptoms
Does anal fistula recur? Hello Doctor: In August of this year, I underwent surgery for an anal fistula. Two days ago, when I examined my anus, I noticed a red blood clot at the surgical site (with some bleeding). Although there is no pain at all, I am still very concerned and wou...
Dr. Ke Fangxu Reply:
After the anal fistula surgery, it should have completely healed by now, but there is still a possibility of bleeding due to hemorrhoid issues. As long as there is no ongoing bleeding, it should not be a concern. If there is no pus discharge, it is likely not a recurrence. During...[Read More] Is My Anal Fistula Recurring? Understanding Post-Surgery Symptoms
Post-Surgery Concerns: Understanding Wound Healing After Fistula Surgery
Postoperative issues? Hello, Doctor: I had a perineal anal fistula surgery at the end of August, where the doctor excised the fistula at the perineum, leaving the area open without sutures. The wound near the anus has not completely healed yet, and the wound appears pink and fles...
Dr. Ke Fangxu Reply:
Answer: Without a personal examination, I cannot provide you with a definitive answer. However, it is correct that leaving the fistula wound unstitched is the appropriate approach to prevent recurrence of the fistula. The downside is that the healing time for the wound may be lon...[Read More] Post-Surgery Concerns: Understanding Wound Healing After Fistula Surgery