Post-Surgery Bleeding: Is It Normal After Anal Fistula Repair?
It has been about six months since the anal fistula surgery, and there is still bleeding? Hello, I underwent anal and fistula surgery around the end of October last year. I have been recovering since then, and most of the wounds have healed. However, I have a wound inside the anu...
Dr. Zhang Shuhao Reply:
Typically, the wound from a fistula surgery should have healed after six months. However, if the anal area is tight or if there is straining during bowel movements, the initially healed wound may easily reopen or become irritated, leading to symptoms similar to anal fissures. It ...[Read More] Post-Surgery Bleeding: Is It Normal After Anal Fistula Repair?
Post-Surgery Concerns: Green Discharge After Fistula Surgery
Postoperative care after fistula surgery? Hello Doctor: I underwent fistula surgery on April 14, and it has now been 10 days. Over the past couple of days, after each sitz bath, I have noticed that the drainage is a greenish pus-like substance. On regular days, the drainage on th...
Dr. Ke Fangxu Reply:
It is normal to have discharge from the wound after fistula surgery. However, green discharge is somewhat concerning. If there is no redness, swelling, heat, or pain, it can be monitored, as the anal area is not a sterile environment and mild bacterial growth is not unusual. If t...[Read More] Post-Surgery Concerns: Green Discharge After Fistula Surgery
Understanding Recurrence Risks After Anal Fistula Surgery
Postoperative care for anal fistula surgery? Hello, doctor. During my follow-up appointment, the doctor said to just wait for the tissue to heal. However, when I asked if there is a possibility of recurrence, the doctor mentioned that it could happen because the anal glands can r...
Dr. Zhang Shuhao Reply:
The same location typically does not regenerate, so if the fistula incision site is cleaned out properly, it will not recur at the same site. However, there are generally 6 to 8 glands around the anus, and inflammation of other glands may still lead to the formation of a fistula.[Read More] Understanding Recurrence Risks After Anal Fistula Surgery
Post-Anal Fistula Surgery: Understanding Gas and Discharge Issues
Post-anal fistula surgery Hello Dr. Chang, it has been 7 days since my anal fistula surgery, and I find myself unable to hold in gas, which is watery. When I pass this watery gas, there is also an involuntary discharge of a white (yellow) secretion that is sticky and somewhat res...
Dr. Zhang Shuhao Reply:
After anal fistula surgery, the wound may pass through the external anal sphincter, with part of it located on the inner side of the anus. The discharge consists of wound exudate and some intestinal fluid. You can continue to take sitz baths and change dressings to maintain clean...[Read More] Post-Anal Fistula Surgery: Understanding Gas and Discharge Issues
Understanding Fistula Surgery Recovery: Risks of Recurrence and Care Tips
Post-fistula surgery Hello doctor, today I noticed that the skin on my fistula has healed on the outside, but the inside has not. I was advised to open the wound and take sitz baths. I would like to know if this could lead to a recurrence of the fistula. Since I had a surgical ex...
Dr. Zhang Shuhao Reply:
The epithelial lining of the fistula heals first, leaving a cavity inside, which is usually due to a smaller incision. You can follow your doctor's instructions for sitz baths and dressing changes; if there is no swelling, pain, or purulent discharge, it should be fine. If t...[Read More] Understanding Fistula Surgery Recovery: Risks of Recurrence and Care Tips
Post-Surgery Concerns: Is Your Fistula Recurring After Two Months?
Post-fistula surgery Two months after surgery, the wound has opened up during bowel movements, bleeding, and there is a slight yellowish discharge. Could this be a recurrence of a fistula?
Dr. Zhang Shuhao Reply:
After the fistula surgery, if the wound has just healed, there is a possibility of bleeding due to friction or excessive pulling on the wound. However, it usually does not recur that quickly. It is recommended to take warm sitz baths and change the dressing with ointment. If ther...[Read More] Post-Surgery Concerns: Is Your Fistula Recurring After Two Months?
Understanding Anal Fistula Surgery: Anesthesia Options and Recovery Tips
Fistula surgery Hello Doctor, during a previous examination, a mass was found at the 12 o'clock position of the anus, which was diagnosed as an anal fistula. The surgeon initially planned to perform the procedure under spinal anesthesia, but after one day of hospitalization,...
Dr. Zhang Shuhao Reply:
Anal fistula surgery can be performed under general or regional anesthesia, and simpler fistulas may even be treated with local anesthesia. It is advisable to discuss the most suitable anesthesia method with the surgeon or anesthesiologist. Patients typically do not experience di...[Read More] Understanding Anal Fistula Surgery: Anesthesia Options and Recovery Tips
Understanding Anal Bleeding and Chronic Wound Healing After Fistula Surgery
Rectal bleeding and non-healing wounds after fistula surgery? Hello, Doctor. I would like to ask you a few questions. (1) On March 29, after wiping, I felt a swelling sensation in my buttocks. Although the swelling sensation disappeared the next day, as of today (March 31), I sti...
Dr. Zhang Shuhao Reply:
(1) You can apply hemorrhoid ointment and also take warm sitz baths to help reduce swelling; sitz baths will not affect wound healing. (2) If there is no swelling or pain, and no discharge that disrupts daily life, then it is not a concern. Hyperbaric oxygen therapy is more suita...[Read More] Understanding Anal Bleeding and Chronic Wound Healing After Fistula Surgery
Post-Surgery Care for Anal Fistula: Pain Management and Diet Tips
Post-fistula surgery Hello, doctor. I underwent drainage for an anal abscess in November 2022, where three drainage tubes were inserted. On March 24, 2023, I had two fistula tracts surgically removed. The physician mentioned that one of the tracts might be deeper. Currently, I am...
Dr. Zhang Shuhao Reply:
1. After a complex fistula surgery, there will be a larger open wound, which may cause pain due to friction at the wound site and contractions of the sphincter muscles. In addition to taking warm sitz baths, oral anti-inflammatory and analgesic medications can be used. It is impo...[Read More] Post-Surgery Care for Anal Fistula: Pain Management and Diet Tips
Post-Surgery Pain Management: Understanding Recovery After Fistula Surgery
Post-fistula surgery I would like to ask the doctor, I underwent a fistula incision surgery on February 7th, and as of today, March 25th, I am still experiencing significant pain in the anal area. The pain worsens after standing for a long time or after using the restroom. The ex...
Dr. Ke Fangxu Reply:
1. If both sides have undergone surgery, you may be classified as having a complex fistula, which could result in a longer healing time. 2. It is true that complex fistulas have a higher recurrence rate, but this is not inevitable. It is still too early to draw conclusions; we ...[Read More] Post-Surgery Pain Management: Understanding Recovery After Fistula Surgery
Post-Anal Abscess Surgery: Understanding Pain, Healing, and Fistula Risks
Post-anal abscess surgery, anal fistula? Hello Dr. Ke, I previously had an anal abscess incision and drainage performed by you, and I returned for a follow-up appointment where you mentioned that there was no swelling or pain, so I should continue with sitz baths and observation....
Dr. Ke Fangxu Reply:
If such a situation occurs, it may indicate the formation of an anal fistula. To completely cure an anal fistula, surgical treatment is required. Some hospitals perform fistula surgery using minimally invasive techniques. Personally, I do not have experience with this approach be...[Read More] Post-Anal Abscess Surgery: Understanding Pain, Healing, and Fistula Risks
Understanding Anal Fistula Surgery: Addressing Post-Operative Concerns
Anal fistula issues? Hello Dr. Ke, my father has developed something resembling acne near his anus, which has repeatedly become infected and ruptured. The doctor diagnosed it as a fistula and he underwent fistula surgery a week ago. However, during the follow-up appointment one w...
Dr. Ke Fangxu Reply:
The National Health Insurance does not stipulate that an anal fistula surgery can only remove one site at a time. It is likely that another site was not detected during the initial surgery and therefore was not removed. A second surgery may be unavoidable. However, it may be bett...[Read More] Understanding Anal Fistula Surgery: Addressing Post-Operative Concerns
Post-Surgery Concerns: Managing Granulation Tissue Inflammation After Fistula Surgery
Post-fistula surgery granulation tissue inflammation? Hello, doctor. It has been about a month since my fistula excision surgery (the doctor informed me that the wound healing requires at least 2 months). Recently, I noticed yellow spots that look like pus on the newly formed gra...
Dr. Ke Fangxu Reply:
If there is no redness, swelling, heat, or pain, you can continue to observe the healing process of the wound. The appearance of granulation tissue is a normal phenomenon. If there is not much discharge, it is not a concern. However, if there is brown or green purulent discharge,...[Read More] Post-Surgery Concerns: Managing Granulation Tissue Inflammation After Fistula Surgery
Post-Surgery Concerns: Managing Wound Healing After Fistula Surgery
Post-fistula surgery I underwent a fistula surgery in early December 2022. For the first 1-2 weeks, the wound had a lot of clear discharge, but a few days before my follow-up appointment, the discharge changed to thick yellow. During my follow-up, I mentioned this to the doctor, ...
Dr. Zhang Shuhao Reply:
It is recommended to continue warm sitz baths and apply ointment. If there is any discharge, you may gently express it to keep the area clean. If the swelling is gradually improving, there is no need to worry. Typically, there is no immediate recurrence after the procedure. Durin...[Read More] Post-Surgery Concerns: Managing Wound Healing After Fistula Surgery
Post-Surgery Care for Anal Fistula: What to Expect and When to Worry
Post-anal fistula surgery Hello, doctor. I underwent minimally invasive fistula surgery last week. After my follow-up appointment today, the doctor said that my wound is healing well and that I do not need to continue taking antibiotics or pain medication. However, I still notice...
Dr. Zhang Shuhao Reply:
When the wound has not yet healed, bowel movements may cause friction on the wound, resulting in slight bleeding. If there is no redness, swelling, heat, or pain, there is no need for additional medication, and this will not lead to infection. Post-surgery, pain at the wound site...[Read More] Post-Surgery Care for Anal Fistula: What to Expect and When to Worry
Post-Surgery Concerns: Managing Wound Healing After Fistula Surgery
Post-fistula surgery I underwent a fistula surgery in early December 2022. For the first 1-2 weeks, the wound had a lot of clear discharge, but a few days before my follow-up appointment, the discharge changed to thick yellow. During my follow-up, I mentioned this to the doctor, ...
Dr. Zhang Shuhao Reply:
It is recommended to continue warm sitz baths and apply ointment. If there is any discharge, you can gently express it to keep the area clean. If the swelling is gradually improving, there is no need to worry. Typically, there is no immediate recurrence after the procedure.[Read More] Post-Surgery Concerns: Managing Wound Healing After Fistula Surgery
Is Swelling After Fistula Surgery for Dialysis Normal?
After undergoing surgery for the creation of an arteriovenous fistula for hemodialysis, what should be considered regarding swelling? A family member underwent an arteriovenous fistula surgery on the left arm for hemodialysis. After the surgery, the doctor instructed to apply ice...
Dr. Li Zhonghuai Reply:
Hello! Is the swelling localized to the wound or is the entire hand swollen? Swelling at the wound site will gradually subside, but if the entire hand is swollen, you should return for a follow-up appointment as soon as possible. Take care! Changhua Hospital cares about you![Read More] Is Swelling After Fistula Surgery for Dialysis Normal?
Understanding Scar Tissue After Fistula Surgery: Concerns and Prevention
Fistula scar Dear Dr. Fangfang, It has been five months since my fistula excision surgery, and I have two questions to ask you. 1. Is it normal for the scar tissue after surgery to feel firm and for the portion of the fistula to protrude? I can still feel the presence of the c...
Dr. Ke Fangxu Reply:
1. Generally, surgical scars take about 1-2 years to soften, and as long as there is no swelling or pain, there is no cause for concern. 2. The recurrence of fistulas is an unavoidable aspect of this condition. Whether recurrence occurs requires long-term observation. If there ...[Read More] Understanding Scar Tissue After Fistula Surgery: Concerns and Prevention
Post-Operative Concerns After Anal Fistula Surgery: What to Expect
Post-anal fistula surgery Hello, doctor. I underwent anal fistula surgery on November 24, 2022, and since my discharge, I have noticed black specks of discharge at the surgical site. Could this be caused by the absorption of the sutures? I have been using hydrocolloid wound dress...
Dr. Zhang Shuhao Reply:
It is normal for wounds to have discharge; black discharge may be caused by the dressing. You can take warm water sitz baths to maintain cleanliness, and this should improve as the wound heals.[Read More] Post-Operative Concerns After Anal Fistula Surgery: What to Expect
Understanding Post-Operative Symptoms After Dural Arteriovenous Fistula Surgery
Dural arteriovenous fistula (DAVF) Hello Doctor: My mother underwent a transarterial embolization procedure for tinnitus at the end of August. The procedure was performed near the area below her ear, with access from the groin up to the neck. Immediately after waking up from the ...
Dr. Lai Zhaokang Reply:
Hello: It is recommended to consult a neurosurgeon to evaluate the spinal cord or sympathetic nerves in the head and neck region for any lesions. Best wishes, Dr. Lai Chao-Kang, Neurosurgery, Changhua Hospital.[Read More] Understanding Post-Operative Symptoms After Dural Arteriovenous Fistula Surgery