Persistent Urge to Defecate After Bowel Movement: Causes and Solutions
After having a bowel movement, there is a persistent urge to defecate but unable to do so? Hello Doctor, I am currently 29 years old. In January, I underwent a rectal examination and discovered I had an anal fistula and hemorrhoids. I later had surgery to remove them, and my woun...
Dr. Ke Fangxu Reply:
This situation is likely indicative of a higher possibility of hemorrhoidal bleeding. After anal fistula surgery, it is also possible to experience temporary sensory abnormalities. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid con...[Read More] Persistent Urge to Defecate After Bowel Movement: Causes and Solutions
Understanding Recovery Challenges After Anal Fistula Surgery
The wound healing status after anal fistula surgery is not complete? Hello, I underwent surgery for an anal fistula on February 17. The recovery process has not been easy or quick. During my follow-up appointment on March 23, the doctor assessed that the tissue at the wound site ...
Dr. Ke Fangxu Reply:
One month after anal fistula surgery, the wound should be completely healed. If there is still yellow-green discharge, it is likely not normal. In addition to delayed wound healing, the main concern is the recurrence of the fistula. It is recommended that you continue sitz baths ...[Read More] Understanding Recovery Challenges After Anal Fistula Surgery
Post-Operative Concerns After Anal Fistula Surgery: Bleeding and Recovery
Post-anal fistula surgery It has been two weeks since the anal fistula surgery (traditional excision) on April 5th, but I occasionally experience significant bleeding (the entire gauze is soaked) and sometimes very little or none (just a small area in the center of the gauze). Is...
Dr. Ke Fangxu Reply:
After a fistula surgery, there should not be significant bleeding two weeks post-operation. However, if there is a pre-existing hemorrhoid issue, combined with postoperative constipation, it can easily lead to rectal bleeding. Coughing and sneezing can also increase pressure in t...[Read More] Post-Operative Concerns After Anal Fistula Surgery: Bleeding and Recovery
Post-Surgery Concerns: Managing Complications After Anal Fistula Surgery
Postoperative issues following anal fistula surgery? Hello, doctor! I had anal fistula surgery two weeks ago. I have had two follow-up visits, and the doctor said my recovery is going well. However, yesterday I had dinner with friends and drank alcohol. When my wife changed my dr...
Dr. Ke Fangxu Reply:
If the wound is only slightly red and swollen without pain or discharge, there is no need for concern. You can enhance sitz baths for the next few days. However, if the redness, swelling, heat, and pain continue to worsen, it is important to seek medical attention promptly to che...[Read More] Post-Surgery Concerns: Managing Complications After Anal Fistula Surgery
Post-Surgery Concerns: Managing Discharge After Anal Fistula Surgery
Post-anal fistula surgery Hello Dr. Ke, I would like to ask you about my situation. It has been exactly two months since my anal fistula surgery, and the external wound has healed. However, I occasionally notice a small amount of pus at the anal opening, and I don't feel an...
Dr. Ke Fangxu Reply:
Based on your description, it seems that an anal fistula may have formed. However, if there is no pain or discomfort, trying antibiotic treatment is also an option. Although antibiotics can be easily obtained at pharmacies in Taiwan, from the perspective of infection control, I s...[Read More] Post-Surgery Concerns: Managing Discharge After Anal Fistula Surgery
Understanding Post-Surgery Symptoms After Anal Fistula Surgery
Fistula surgery Hello, doctor. I recently had surgery for an anal fistula, and today is the 27th day since the procedure. The external wound is almost healed. Occasionally, I experience itching inside the anus, and after sitting for a long time, I feel slight throbbing pain. When...
Dr. Ke Fangxu Reply:
Based on your description, the wound healing process appears to be progressing well. It is normal to experience mild itching and pain before complete healing occurs.[Read More] Understanding Post-Surgery Symptoms After Anal Fistula Surgery
Post-Surgery Concerns: Understanding Fistula Management and Recovery
Post-operative issues related to fistula surgery? Hello Dr. Ke, About a week ago, I underwent an anal fistula excision surgery. I discovered this condition because I felt a hard lump next to my anus. After the surgery, I applied medication myself and noticed that the hard lump ...
Dr. Ke Fangxu Reply:
After anal fistula surgery, you may feel a "lump" due to the wound not being fully healed. Whether this is consistent with what you felt before the surgery needs to be confirmed by your surgeon. Recurrence of anal fistulas is rare within such a short time post-surgery. ...[Read More] Post-Surgery Concerns: Understanding Fistula Management and Recovery
Understanding Anal Fistula Surgery: Healing Complications and Concerns
Anal fistula Hello doctor, I had a fistula surgery on January 11 due to an abscess that formed a fistula. It has been three weeks since the surgery, and I recently noticed that the skin around the surgical site is very thin and painful when pressed. I felt a hole in that area. Th...
Dr. Ke Fangxu Reply:
The wound from anal fistula surgery typically takes about a month to fully heal. The current situation likely indicates that the wound has not completely healed, resulting in slight bleeding. It is recommended to take warm sitz baths and monitor the situation. If this condition p...[Read More] Understanding Anal Fistula Surgery: Healing Complications and Concerns
Understanding Anal Fistula Surgery: Recovery, Healing, and Concerns
Hello doctor, I would like to ask about anal fistulas? Hello, doctor. I would like to ask about anal fistulas. I just had surgery, and the location is above the anal opening. Because the fistula is deeper, the wound is quite large. Every time I change the dressing, I have to open...
Dr. Yu Mingchang Reply:
Hello: Please be patient, it will take about a month and a half to recover. Changhua Hospital, Ministry of Health and Welfare, cares about you.[Read More] Understanding Anal Fistula Surgery: Recovery, Healing, and Concerns
Understanding Anal Fistula Probe Examination and Post-Surgery Concerns
Anal fistula probe examination Hello Dr. Ke: I had anal fistula surgery 18 days ago, and my recovery was going well. However, two days ago, I noticed some redness and swelling around the anal area. I went for a follow-up appointment, but the doctor seemed uncertain about the issu...
Dr. Ke Fangxu Reply:
1. The reason for electrocautery may be to remove granulation tissue from the wound, but the exact reason should be confirmed with the performing physician, as I can only speculate. 2. Generally, the surgical wound from an anal fistula procedure takes about a month to heal, and d...[Read More] Understanding Anal Fistula Probe Examination and Post-Surgery Concerns
Understanding Post-Surgery Care for Anal Fistula: What to Expect
Anal fistula Hello, doctor. I had a fistula surgery two weeks ago, and the wound is gradually healing. However, recently when I was cleaning it, I noticed a small amount of black material inside the wound. Some of it can be removed, while other parts cannot be cleaned out. The ma...
Dr. Ke Fangxu Reply:
Without a personal examination, it may not be possible to provide a definitive answer. It is likely that the carbon particles are a result of electrocautery used during surgery, or they could be food residues. Sometimes, the seeds from dragon fruit and sesame paste can leave simi...[Read More] Understanding Post-Surgery Care for Anal Fistula: What to Expect
Post-Anal Fistula Surgery: Understanding Discharge and Healing Time
Postoperative care after anal fistula surgery? Hello Dr. Ke, I had anal fistula surgery 37 days ago, and I still have yellow-green discharge with some slight bleeding. A few days ago, my stool was harder, and I was wondering if that could affect the wound? The wound hasn't c...
Dr. Ke Fangxu Reply:
It is common for deeper complex fistula surgeries to have a longer healing time. It is recommended to avoid constipation until the wound is completely healed. Taking warm sitz baths can also aid in wound recovery. If necessary, stool softeners can be taken to prevent hard stools ...[Read More] Post-Anal Fistula Surgery: Understanding Discharge and Healing Time
Do You Need Stitches Removed After Anal Fistula Surgery?
Is suturing required after anal fistula surgery? Hello, Dr. Hsu: I had anal fistula surgery about 10 days ago, and the bleeding has decreased significantly. Do I need to return for a follow-up appointment to have the stitches removed, or can I wait until the wound heals? Thank yo...
Dr. Xu Kaixi Reply:
The wound from anal fistula surgery typically involves absorbable sutures, which will normally dissolve on their own and do not require removal. However, if there is localized irritation caused by the sutures, a physician may evaluate the situation approximately two weeks later t...[Read More] Do You Need Stitches Removed After Anal Fistula Surgery?
Understanding Slow Healing After Anal Fistula Surgery: Insights and Tips
Anal fistula Hello Dr. Ke, I had anal fistula surgery on November 16, and now it's been 28 days. The wound is healing very slowly. My attending physician mentioned that the depth of my fistula may cause a slower healing process. Is that correct?
Dr. Ke Fangxu Reply:
Superficial anal fistulas typically heal within about two weeks, but some complex fistulas may take more than a month to heal. Since I cannot see your wound, I cannot determine if there is a problem. Please be patient and continue with warm sitz baths, and make sure to return for...[Read More] Understanding Slow Healing After Anal Fistula Surgery: Insights and Tips
Understanding 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 move...
Dr. Ke Fangxu Reply:
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...[Read More] Understanding Post-Surgery Symptoms of Anal Fistula: What to Expect
Post-Anal Fistula Surgery: Is Granulation Tissue Normal?
Postoperative care after anal fistula surgery? Dr. Ke, is it normal for small granulation tissue to develop around the wound after anal fistula surgery? My doctor has been helping me manage it each time.
Dr. Ke Fangxu Reply:
After anal fistula surgery, it is common to observe small granulation tissue growth around the wound, which is a normal phenomenon post-surgery. If there is no pain or discharge, it is not necessary to remove it.[Read More] Post-Anal Fistula Surgery: Is Granulation Tissue Normal?
Post-Anal Fistula Surgery: Common Concerns and Recovery Tips
Postoperative care for anal fistula surgery? 1. Doctor, I had surgery for an anal fistula and internal hemorrhoids on November 15, and now, 12 days later, I sometimes notice blood dripping during bowel movements and experience some stinging pain. There is also a bit of yellow dis...
Dr. Ke Fangxu Reply:
1. The wound after anal surgery typically takes about a month to fully heal. During this time, mild bleeding and discharge are normal occurrences. 2. As long as the wound has not completely healed, warm sitz baths can be beneficial. It is important to be cautious not to add too...[Read More] Post-Anal Fistula Surgery: Common Concerns and Recovery Tips
Understanding Post-Surgery Pain and Care for Anal Fistula Treatment
Anal fistula I had a fistula and partial internal and external hemorrhoid surgery on November 11, and it has been a week since the procedure. After the surgery, I don't experience much pain when having a bowel movement; I only feel swelling and numbness around the anal area....
Dr. Ke Fangxu Reply:
Anesthesia certainly cannot last for five days without wearing off; any abnormal sensations are likely due to damage to some of the superficial nerves during the surgery, especially in the case of fistula surgery, where such phenomena are more common. However, this is an unavoida...[Read More] Understanding Post-Surgery Pain and Care for Anal Fistula Treatment
Post-Anal Fistula Surgery Recovery: When Can You Resume Normal Activities?
Postoperative Care After Anal Fistula Surgery Hello Dr. Yu, I would like to inquire about post-operative recovery regarding anal fistula surgery. I originally scheduled the surgery for November 20, but a family elder recently passed away, and the funeral is on November 26. I wo...
Dr. Yu Mingchang Reply:
Hello: The anal fistula can be addressed after you finish your tasks. Please visit the Changhua Hospital of the Ministry of Health and Welfare for further assistance.[Read More] Post-Anal Fistula Surgery Recovery: When Can You Resume Normal Activities?
How to Properly Clean Your Anus After Bowel Movements
How to perform anal irrigation? Hello, Doctor… It has been 50 days since my fistula surgery, and I don't need to return for a follow-up or soak in a basin; I was only instructed to rinse the area well after a bowel movement. Now, every morning after I have a bowel movement, ...
Dr. Ke Fangxu Reply:
Anal fistulas are a complication caused by bacterial infection and are not related to personal hygiene. Rinsing the anal area can help maintain good local hygiene, but excessive washing can lead to skin damage around the anus, which can be counterproductive. It is recommended to ...[Read More] How to Properly Clean Your Anus After Bowel Movements