Understanding Post-Surgery Discharge After Anal Fistula Surgery
Regarding the discharge after anal fistula surgery? Hello Dr. Fang: I had anal fistula surgery over two months ago, but I am still experiencing green discharge that has a foul odor. Could this be a recurrence of the fistula?
Dr. Ke Fangxu Reply:
Two months after anal fistula surgery, the wound should be mostly healed. If there are still abnormal secretions, it is likely due to infection or poor healing. It is recommended that you consult your surgeon to determine if medication or a repeat surgery is necessary.[Read More] Understanding Post-Surgery Discharge After Anal Fistula Surgery
Understanding Fistula Surgery: Traditional vs. Minimally Invasive Options
Fistula surgery The patient has had a complex anal fistula for 2 to 3 years, with purulent blood discharge. Recently, he underwent an MRI, and the doctor recommended surgery. However, the doctor mentioned that there is a covered surgery under the national health insurance, while ...
Dr. Zhang Shuhao Reply:
1. The more complex the fistula, the more difficult it is to remove via minimally invasive surgery (typically referring to endoscopic fistula surgery). Therefore, traditional surgery is often recommended, which results in a larger incision and longer healing time, but has a lower...[Read More] Understanding Fistula Surgery: Traditional vs. Minimally Invasive Options
Post-Surgery Recovery Questions for Anal Fistula Treatment
Postoperative Recovery Questions Regarding Anal Fistula Surgery Hello Dr. Ke: I underwent anal fistula surgery on July 28th of this year. On August 21st, the doctor told me that I no longer needed to see him. Now, on September 20th, the external appearance of the wound seems fine...
Dr. Ke Fangxu Reply:
The wound from a typical fistula surgery usually takes about a month to fully heal, while larger wounds may require a longer time. If there is no redness, swelling, or pain, it should not be a concern; otherwise, it is advisable to consult the surgeon to check whether the wound i...[Read More] Post-Surgery Recovery Questions for Anal Fistula Treatment
Managing Suture Dehiscence After Fistula Excision Surgery
Dehiscence of the suture line after fistula excision surgery? Hello Dr. Chang, Today is the third day post-fistula excision surgery. While caring for the wound, I noticed that the original sutures have come undone. Should any action be taken? There is no significant bleeding fr...
Dr. Zhang Shuhao Reply:
The fistula surgery uses absorbable sutures, which will mostly start to fall out in about a week. However, if they fall out earlier, it is not a concern. As long as there is no bleeding, you can continue with the usual care, including taking warm sitz baths and changing the ointm...[Read More] Managing Suture Dehiscence After Fistula Excision Surgery
Post-Surgery Care Tips for Attending Classes After Fistula Surgery
Post-operative concerns regarding tube drainage surgery in class? Hello Doctor: I had anal fistula surgery on August 8th, and today is the sixth day post-operation. I still experience pain during bowel movements, but I don't feel much pain while walking. I would like to ask ...
Dr. Ke Fangxu Reply:
The healing of the anal fistula surgical wound may take about a month. Currently, if walking does not cause pain, that is already quite excellent. Attending classes will not affect the healing process; however, it is best to get up and walk around after class. If sitting baths ar...[Read More] Post-Surgery Care Tips for Attending Classes After Fistula Surgery
Post-Surgery Care: Managing Discomfort After Fistula and Hemorrhoid Surgery
Post-fistula surgery I'm sorry, doctor. I had a fistula surgery and hemorrhoid surgery on August 5th, and today, August 9th, I have an involuntary urge to push at my anus, feeling like I need to have a bowel movement, but I don't actually need to go. Even after having a...
Dr. Zhang Shuhao Reply:
1. Postoperatively, swelling around the wound may cause a persistent urge to defecate, but this does not necessarily indicate the presence of stool. If squatting yields no results, avoid straining and try again later. Taking warm sitz baths can help reduce swelling around the wou...[Read More] Post-Surgery Care: Managing Discomfort After Fistula and Hemorrhoid Surgery
Understanding Anal Fistula Surgery: Hospitalization and Post-Op Care Tips
Anal fistula A few days ago, I visited the hospital, and after an examination, the doctor diagnosed me with an anal fistula. They scheduled a surgery for me and mentioned that hospitalization was not necessary. However, after researching online, I found that most people with simi...
Dr. Ke Fangxu Reply:
Surgery for anal fistula is regulated by the National Health Insurance Administration, which stipulates that hospitalization is required. If hospitalization is not necessary, it may indicate that the fistula is very minor and can be performed under local anesthesia. However, if t...[Read More] Understanding Anal Fistula Surgery: Hospitalization and Post-Op Care Tips
Post-Surgery Concerns: Understanding Hard Lumps and Healing After Fistula Surgery
Post-fistula surgery Hello Doctor, I underwent surgery for an anal fistula on March 18 of this year. The wound extends approximately 8 centimeters from the anus to the perineum and is about one finger's depth. It healed around the end of May, but later, sitting for too long ...
Dr. Ke Fangxu Reply:
1. If it is not a recurrence of the fistula, then it is likely just scar tissue that will gradually soften after about six months post-healing. 2. Fever may be caused by irritation of the scar tissue due to friction; as long as there is no redness, swelling, or pus, it should n...[Read More] Post-Surgery Concerns: Understanding Hard Lumps and Healing After Fistula Surgery
Understanding Recurrence of Anal Abscess: Insights After Multiple Surgeries
Postoperative care for anal abscess? I underwent my third anal surgery yesterday, which was for an anal abscess. The first surgery for an anal abscess was in 2020, followed by a fistula surgery seven months later (likely due to the first surgery). I thought I was completely heale...
Dr. Ke Fangxu Reply:
1. If the condition occurs in the same location, it should be considered a recurrence. 2. Approximately half of the patients with anal abscesses will develop into fistulas after healing. There is also a certain probability of recurrence in the same location after fistula surgery,...[Read More] Understanding Recurrence of Anal Abscess: Insights After Multiple Surgeries
Post-Surgery Anal Sphincter Concerns After Fistula Surgery
Sphincter after fistula surgery Hello, doctor. I had a fistula surgery on July 22, and I have not experienced any pain during bowel movements post-surgery. However, when I feel the urge to go, I find it difficult to hold it in while walking from my room to the bathroom (about 5 m...
Dr. Zhang Shuhao Reply:
After undergoing a fistula surgery, due to the resection of a portion of the external anal sphincter, there may occasionally be a sensation of incontinence during episodes of bowel urgency, which is more pronounced when the wound has not yet healed. This will improve once the wou...[Read More] Post-Surgery Anal Sphincter Concerns After Fistula Surgery
Understanding Small Growths After Fistula Surgery: Causes and Care
Post-operative granulation tissue after fistula surgery? Hello doctor, it has been three weeks since the fistula surgery, and during the dressing change, I noticed a small flesh-colored bump about 3-4mm in diameter near the wound. It feels uncomfortable when touched and is close ...
Dr. Ke Fangxu Reply:
Without a personal examination, it is difficult to determine the condition; it could be granulation tissue from the wound healing process or it may indicate an infection. It is advisable to have the surgeon take a look for a better assessment.[Read More] Understanding Small Growths After Fistula Surgery: Causes and Care
Post-Surgery Concerns: Understanding Fistula Surgery Aftereffects
Post-operative issues following fistula surgery? Hello, I had a fistula surgery last September and have been living normally for a while. Recently, due to increased stress, I noticed that my stools have become thinner (I have been observing this for two days). I also feel a sense...
Dr. Ke Fangxu Reply:
It should not be the case, as it has been quite a while. The probability of developing colorectal cancer at the age of 25, while not zero, is generally very low. Based on your description, it seems more like hemorrhoidal swelling. I recommend starting with a light diet and mainta...[Read More] Post-Surgery Concerns: Understanding Fistula Surgery Aftereffects
Post-Fistula Surgery: Do You Need Assistance for Recovery?
Post-fistula surgery After the fistula surgery, will I need assistance, or can I manage all my daily activities independently until discharge? The surgery has already been scheduled, and the doctor mentioned that I can be discharged the day after the surgery. Also, will I be able...
Dr. Zhang Shuhao Reply:
Postoperative pain is the main concern after a simple fistula surgery. With appropriate analgesics, daily activities can be managed independently. Patients can resume normal bowel movements and bathing after the procedure. There may be a small amount of blood and discharge from t...[Read More] Post-Fistula Surgery: Do You Need Assistance for Recovery?
Post-Surgery Exercise Guidelines After Anal Fistula Surgery
After anal fistula surgery, resuming exercise habits? Hello Doctor, I underwent an anal fistula incision surgery on May 19th, and during my second follow-up appointment on June 2nd, the attending physician informed me that my recovery was progressing well and that I did not need...
Dr. Zhang Shuhao Reply:
1. Based on the wound, it appears that only a portion of the external anal sphincter has been cut, and the function of the internal anal sphincter is not significantly affected. After healing, the external sphincter will scar, losing some elasticity, but it generally does not imp...[Read More] Post-Surgery Exercise Guidelines After Anal Fistula Surgery
Understanding Anal Fistulas in Infants: Symptoms and Treatment Options
Anal fistula in infants Hello Doctor: I would like to ask about my child. When my child was a little over two months old, a small hole appeared between the perineum and the anus. Gas is expelled when passing gas, and there is a small amount of seepage of stool. In December of las...
Dr. Zhang Shuhao Reply:
First, observe for symptoms similar to previous fistula, such as discharge or signs of redness and swelling. It is recommended to consult a pediatric surgeon or a colorectal specialist for examination. If it is a simple inflammation, medication can be used for treatment; however,...[Read More] Understanding Anal Fistulas in Infants: Symptoms and Treatment Options
Post-Surgery Care for Anal Fistula: Managing Pain and Healing Concerns
Postoperative care for anal fistula surgery? Hello, doctor. I previously underwent anal fistula surgery on March 18, with the wound located in the perineal area, approximately 8 cm in length and about one finger's depth. After two months, the wound has healed, and I just sta...
Dr. Ke Fangxu Reply:
1. Larger wound management may result in a longer healing time, and mild pain caused by pressure or prolonged sitting is considered normal. 2. If the wound has completely healed, no special treatment is necessary, and applying ointment is not required. 3. If there is redness,...[Read More] Post-Surgery Care for Anal Fistula: Managing Pain and Healing Concerns
Post-Surgery Concerns: Managing Discomfort and Discharge After Anal Fistula Repair
Postoperative care for anal fistula surgery? Last July, I underwent anal fistula surgery, and the day after the procedure, the wound suddenly healed, prompting a second surgery. Until February of this year, I experienced minimal issues aside from some swelling after using the res...
Dr. Zhang Shuhao Reply:
If there is recurrent purulent discharge and swelling at the original surgical site, it may indicate a recurrence of the fistula or the formation of a new anal abscess. Chronic fistulas can have multiple branches, and the internal glands and epithelial tissue must be thoroughly e...[Read More] Post-Surgery Concerns: Managing Discomfort and Discharge After Anal Fistula Repair
Post-Anal Fistula Surgery: Common Concerns and Recovery Tips
Post-anal fistula surgery Hello, doctor. I recently underwent anal fistula surgery, and the wound measures 2x2 cm. The doctor did not prescribe any antibiotics; is this normal? I also noticed that my wound is connected to my anus; is this also normal? The doctor advised against s...
Dr. Xu Kaixi Reply:
1. Anal fistulas are primarily treated surgically, and antibiotics are not required. 2. A fistula is an abnormal channel; after the drainage of an anal abscess, more than half of the cases will leave behind an inflammatory tract connecting the anal glands to the anal opening. 3. ...[Read More] Post-Anal Fistula Surgery: Common Concerns and Recovery Tips
Understanding Recovery: Four Months Post-Surgery Insights
Postoperative recovery at four months? 1. Hello, doctor. I had a fistula surgery on December 28, and it has been almost four months now, but I still experience pain at times. When I press on the wound while showering, it also hurts. Although there is no bleeding, there is a yello...
Dr. Ke Fangxu Reply:
1. Generally, the wound from a fistula surgery takes about 1-2 months to heal. It is relatively uncommon to have discharge after more than four months, so it is advisable to consult your physician for an examination, as there may be a possibility of recurrence. 2. Oral medication...[Read More] Understanding Recovery: Four Months Post-Surgery Insights
Understanding Post-Surgery Care for Anal Fistula: Common Concerns and Solutions
Anal fistula Hello, Doctor. 1. I had anal fistula surgery on March 16, and the wound size is approximately 2x21 cm. It's been almost a week, but there is still fecal matter coming out of the wound. Is this normal? 2. The doctor prescribed a stool softener, but I have bee...
Dr. Ke Fangxu Reply:
1. If the wound is larger, it is indeed possible for this phenomenon to occur; if the amount is not significant, it is not a concern. 2. If the stool is too soft, the dosage should be reduced or the medication should be stopped, as this may also be a cause of issue one. 3. No...[Read More] Understanding Post-Surgery Care for Anal Fistula: Common Concerns and Solutions