Traveling After Rubber Band Ligation Surgery: What You Need to Know
Inquiry about traveling abroad after rubber band ligation surgery? Hello, Dr. Ke. At the beginning of August this year, I experienced a dull pain in my anus, but there was no bleeding during bowel movements. I consulted the first doctor, who diagnosed me with swollen internal hem...
Dr. Ke Fangxu Reply:
First of all, if you have travel plans in the near future, I recommend that you postpone the surgery. After all, an anal fistula does not necessarily require immediate surgery. You wouldn't want the surgical wound to interfere with your travel plans or to face complications ...[Read More] Traveling After Rubber Band Ligation Surgery: What You Need to Know
Post-Surgery Concerns: Managing Discomfort After Hemorrhoid Surgery
Hemorrhoids remain the same after surgery? Hello Doctor, in early June, I felt a foreign body sensation while walking. I went to the hospital, and they said it was an anal fistula. However, after undergoing surgery under spinal anesthesia, they informed me it was a mixed hemorrho...
Dr. Xu Kaixi Reply:
Hello, it has been two months since your hemorrhoid and fistula surgery. Theoretically, the wound should have healed unless there is an infection or other issues. The sensation of a foreign body may stem from scar tissue at the healing site, and the discharge could be from the in...[Read More] Post-Surgery Concerns: Managing Discomfort After Hemorrhoid Surgery
Post-Surgery Concerns: Yellow Discharge and Discomfort After Anal Fistula Repair
After fistula surgery, there may be discharge from the anus? Hello Doctor, I underwent anal fistula surgery in mid-June, but two months later, I still have yellow discharge from the anus (not from the wound). I also experience discomfort in my buttocks and legs when sitting for l...
Dr. Yu Mingchang Reply:
Hello, please take some time to return for a follow-up appointment at Changhua Hospital, Ministry of Health and Welfare, as they are concerned about your well-being.[Read More] Post-Surgery Concerns: Yellow Discharge and Discomfort After Anal Fistula Repair
Urgency of Fistula Surgery: Should You Delay for Travel?
The urgency of fistula surgery? Hello, Doctor. Last week, I discovered a lump near my anus that is painful to touch, and there is slight bleeding when I wipe after a bowel movement. Yesterday, I visited the hospital, and the doctor diagnosed it as an anal fistula, which requires ...
Dr. Ke Fangxu Reply:
The presence of an anal fistula is not caused by a short-term issue and does not pose a life-threatening risk, so there is no urgent need for surgery. It is reasonable for the physician to recommend initially managing symptoms with oral medication. While anal fistulas can indeed ...[Read More] Urgency of Fistula Surgery: Should You Delay for Travel?
Is It Normal to Experience Leakage After Fistula Surgery?
Fistula surgery Hello doctor, I would like to ask if it is normal to have difficulty controlling bowel movements and to leak a little bit after the fistula surgery on August 23rd? Thank you.
Dr. Ke Fangxu Reply:
After anal surgery, the anus may become more sensitive due to wound irritation, which is common within the first week post-surgery. It is recommended to take warm sitz baths to alleviate discomfort at the surgical site. If this sensitivity persists after one week, it is advisable...[Read More] Is It Normal to Experience Leakage After Fistula Surgery?
Understanding Post-Surgery Bowel Movements After Fistula Surgery
Fistula surgery Hello Dr. Ke: I would like to ask, after a week post-fistula surgery, I have a bowel movement every day, but I still feel the urge to defecate, and when I go to the bathroom, I can't pass anything. Is this normal?
Dr. Ke Fangxu Reply:
After anal surgery, the anus may become more sensitive due to wound irritation, which is common within the first week post-surgery. It is recommended to take warm sitz baths to alleviate discomfort at the surgical site. If this sensitivity persists after one week, it is advisable...[Read More] Understanding Post-Surgery Bowel Movements After Fistula Surgery
Post-Surgery Discharge: Understanding Normal vs. Abnormal Signs
Postoperative discharge? Hello, doctor. The physician said that my abscess is quite superficial and that a fistula has formed during the examination. Therefore, at the beginning of the month, I underwent a procedure for anal fistula drainage and incision. The surrounding area has...
Dr. Ke Fangxu Reply:
After anal fistula surgery, the wound typically takes about a month to heal. It is normal to have some discharge from the wound during this time. If the wound becomes infected, you may experience redness, swelling, heat, and pain. If these symptoms are not present, there is no ne...[Read More] Post-Surgery Discharge: Understanding Normal vs. Abnormal Signs
Understanding Complications After Fistula Surgery: A Patient's Journey
Questions about anal fistula surgery? Hello, Dr. Hsu. I would like to ask you some questions. My family member underwent anal fistula excision surgery on July 19 under spinal anesthesia. The surgeon sutured the wound in three layers, both internally and externally. Before the sur...
Dr. Xu Kaixi Reply:
The surgical approach for anal fistulas is determined preoperatively based on various factors such as complexity, depth, and the presence of associated infections or abscesses. Most simple fistulas, like the one your family member has, are treated with fistulotomy, while those wi...[Read More] Understanding Complications After Fistula Surgery: A Patient's Journey
Post-Surgery Concerns: Managing Symptoms After Anal Fistula Surgery
Postoperative Issues Related to Anal Fistula Surgery Hello, Doctor. This issue has been bothering me for several days, and I must seek your advice. I hope you can clarify my concerns. I underwent anal fistula surgery in mid-April of this year and was discharged three days later. ...
Dr. Ke Fangxu Reply:
Based on your description, it seems like a recurrence of a fistula. I recommend that you go back to your surgeon for an examination. If you are not planning to undergo surgery again for the time being, you can start with warm water sitz baths for a while and observe if there are ...[Read More] Post-Surgery Concerns: Managing Symptoms After Anal Fistula Surgery
Understanding Post-Surgery Care for Anal Fistula: Recovery and Risks
Post-fistula surgery Hello, Dr. Ke. In February of this year, I underwent incision and drainage for an anal abscess. It recurred in June, and on July 18, I had a fistula surgery. The doctor informed me midway through the procedure that the fistula was very deep, extending to the ...
Dr. Ke Fangxu Reply:
1. Since I cannot see the wound, I cannot make a judgment. Based on your description, it seems that this is the case. The purpose of the suture technique is to minimize damage to the sphincter. I am not sure if it increases the likelihood of recurrence, but if there were a surgic...[Read More] Understanding Post-Surgery Care for Anal Fistula: Recovery and Risks
Understanding Anal Fistula Surgery: Questions and Concerns Addressed
Anal fistula drainage line Hello, Director Ke: Last August, I underwent surgery for an anal abscess, and the wound healed well. During my follow-up visit, the doctor said there was no fistula. In May of this year, the same area became swollen and painful again. The doctor perfo...
Dr. Ke Fangxu Reply:
1. Indeed, complex fistulas with deeper tracts can sometimes be difficult to diagnose, and there may be discrepancies in the diagnosis; fortunately, surgery can effectively address the underlying issue. 2. This may be due to the surrounding tissue being less abundant in the area ...[Read More] Understanding Anal Fistula Surgery: Questions and Concerns Addressed
Post-Surgery Questions on Anal Fistula Treatment: Pain and Recovery Insights
Post-operative inquiry regarding anal fistula surgery? Hello, Director Hsu. I underwent anal fistula surgery on June 23, and due to the depth of the fistula, the doctor used a seton technique, with a total of 8 threads. I returned for a follow-up appointment on July 11 (the secon...
Dr. Xu Kaixi Reply:
1.2. Pain at the surgical site in the early postoperative period is normal and will gradually alleviate over time. 3. The wound typically heals in about two weeks before pain subsides. 4. This is considered normal for early postoperative wounds. 5. Wound healing generally takes a...[Read More] Post-Surgery Questions on Anal Fistula Treatment: Pain and Recovery Insights
Post-Surgery Recovery: What to Expect After Anal Fistula Surgery
What is the postoperative condition after anal fistula surgery? Hello, doctor. I underwent anal fistula surgery on May 3rd of this year and have returned for follow-up appointments twice since then. The diagnosis indicates that my recovery is going well, but I started experiencin...
Dr. Ke Fangxu Reply:
Wound healing after anal fistula surgery may take several months, and experiencing some swelling and pain during this period is considered normal. As long as the symptoms do not progressively worsen or are accompanied by fever, there is typically no cause for concern. If there ar...[Read More] Post-Surgery Recovery: What to Expect After Anal Fistula Surgery
Understanding Occasional Anal Nerve Pain After Fistula Surgery
Anal nerve pain Hello Doctor: I had an anal fistula surgery at the beginning of January this year, and the wound has completely healed. However, I sometimes experience brief nerve pain around the anal area, occurring 1 to 2 times, but it only lasts for a moment and then goes away...
Dr. Li Qinglong Reply:
After surgery for an anal fistula, there may be spasms around the anus once the wound has healed. Sometimes, if the anal sphincter contracts too forcefully, it can pull on the scar and cause pain. For more detailed information, it is advisable to consult the original surgeon.[Read More] Understanding Occasional Anal Nerve Pain After Fistula Surgery
Understanding Suture Techniques: What to Expect After Fistula Surgery
Suture therapy Hello Dr. Ke, I underwent a fistula surgery on May 30 (Monday) and the string method was used. However, isn't it supposed to take at least four weeks for the tube to fall out? Today is June 4 (Saturday), and it has only been five days, and it has already falle...
Dr. Ke Fangxu Reply:
The meaning of thread therapy is to pass several threads through the fistula, and then tie them off one by one in the outpatient setting. There should not be any tubes present. Some people also pass a rubber tube underneath the threads to protect the underlying tissue. Since I di...[Read More] Understanding Suture Techniques: What to Expect After Fistula Surgery
Understanding Fistula Surgery: Managing Post-Operative Concerns
Fistula surgery Hello Doctor, I underwent a fistulotomy and hemorrhoidectomy (for mild internal hemorrhoids) in January this year. Recently, I noticed a small swollen lump about 1 cm from the anal opening, which seems to have a hole in the middle. When I wipe with tissue, there i...
Dr. Xu Kaixi Reply:
It is recommended that you visit the surgical outpatient clinic to check the healing status of the wound after the fistula surgery.[Read More] Understanding Fistula Surgery: Managing Post-Operative Concerns
Post-Surgery Concerns: Managing Pus After Anal Fistula Surgery
Postoperative suppuration after anal fistula surgery? Hello Dr. Hsu: About a week ago, I underwent a fistula surgery at Linkou Chang Gung Memorial Hospital (the external opening is located about 3 cm below the testicle). During the surgery, the doctor also removed hemorrhoids fro...
Dr. Xu Kaixi Reply:
Based on your description, this situation seems more like exudate from the wound healing process adhering to the wound. If you have concerns or notice any other changes, it is advisable to return to the surgical outpatient clinic for a follow-up examination of the wound healing s...[Read More] Post-Surgery Concerns: Managing Pus After Anal Fistula Surgery
Post-Surgery Recovery Issues: Anal Fistula and Hemorrhoid Surgery
Postoperative Recovery Issues for Anal Fistula and Hemorrhoid Surgery Hello Dr. Ke, I underwent surgery for anal fistula and hemorrhoid removal on April 27. Currently, the wound sometimes has discharge and bleeding; is this normal? (I still experience pain as well.) After bowel m...
Dr. Ke Fangxu Reply:
The situations you described are common after anal surgery. Please do not worry excessively. It is recommended that you take warm sitz baths. Generally, significant improvement can be observed within two weeks post-surgery; however, the wound from fistula surgery may take about a...[Read More] Post-Surgery Recovery Issues: Anal Fistula and Hemorrhoid Surgery
Post-Surgery Anal Fistula Pain: Is It Normal After 70 Days?
Pain 70 days after fistula surgery? Hello, doctor. It has been 70 days since my anal fistula surgery, and the external wound has healed. Two days ago, I ate a steamed bun, and my stool was too hard, making it difficult to pass, but there was no bleeding. After that, I started to ...
Dr. Ke Fangxu Reply:
As long as there is no recurrence of swelling or the presence of purulent discharge from an open skin lesion, it is not considered a recurrence or a new fistula. Mild pain caused by scar tissue after surgery is a normal occurrence; however, it is important to avoid constipation. ...[Read More] Post-Surgery Anal Fistula Pain: Is It Normal After 70 Days?
Understanding Fistula Treatment: Concerns About Threading and Healing Process
Regarding fistula ligation treatment? Dear Dr. Ke, I recently underwent a fistula surgery using the thread method (also known as the cutting seton technique), which requires tying the thread once a week. However, after the first tightening, during my second follow-up appointment...
Dr. Ke Fangxu Reply:
1. The standard drainage technique typically requires 3-4 follow-up visits. If the drainage line falls out after just one visit, it suggests that the original surgery might not have needed the drainage technique (the depth and length of the sinus tract can be addressed with tradi...[Read More] Understanding Fistula Treatment: Concerns About Threading and Healing Process