Persistent Discharge and Blood Two Months After Fistula Surgery: What to Do?
Two months after the fistula surgery, there is still discharge and blood? It has been two months since the fistula surgery, and I have been taking sitz baths four times a day during this period. However, I still have discharge and some blood. It has been confirmed that the extern...
Dr. Zhang Shuhao Reply:
In general, fistula surgery creates an open wound both inside and outside the anus. In addition to completely excising the fistula tissue, the goal is for the wound to heal from the inside out, preventing the skin from healing over while leaving a cavity inside. Therefore, based ...[Read More] Persistent Discharge and Blood Two Months After Fistula Surgery: What to Do?
Post-Fistula Surgery: Persistent Discharge and Blood After Two Months
Two months after the fistula surgery, there is still discharge and blood? It has been two months since the fistula surgery, and I have been maintaining sitz baths four times a day. However, I still have discharge and some blood. It has been confirmed that the external wound has h...
Dr. Zhang Shuhao Reply:
In general, fistula surgery creates an open wound both inside and outside the anus. In addition to completely excising the fistulous tissue, the goal is for the wound to heal from the inside out, preventing the skin from closing over a cavity that remains internally. Therefore, b...[Read More] Post-Fistula Surgery: Persistent Discharge and Blood After Two Months
Challenges in Healing Anal Fistula Post-Surgery: A Patient's Journey
Postoperative non-healing of anal fistula? Hello, Doctor! Here is the background: My mother was diagnosed with rectal cancer around 2019 (very close to the anus). The first physician mentioned that the tumor was too close to the anal sphincter, which would necessitate a permanent...
Dr. Ke Fangxu Reply:
1. Low rectal cancer, after radiation therapy and surgery, has a high probability of developing a rectovaginal fistula. Once formed, it is difficult to heal because radiation therapy can affect local blood circulation, making the fistula less likely to close. 2. The discharge m...[Read More] Challenges in Healing Anal Fistula Post-Surgery: A Patient's Journey
Post-Surgery Care: Why Soaking is Allowed After Fistula Removal?
Postoperative sitz bath and irrigation issues? After general surgical procedures, doctors often advise patients to avoid getting the wound wet to prevent infection. However, after a fistula excision surgery, it is necessary to take sitz baths and rinse the wound. This is because ...
Dr. Zhang Shuhao Reply:
Wounds from anal surgeries, such as hemorrhoidectomy or fistula surgery, have different characteristics compared to wounds in other areas of the body. They are less prone to infection due to moisture or bacterial contamination (the exact reasons are not yet concluded, but it may ...[Read More] Post-Surgery Care: Why Soaking is Allowed After Fistula Removal?
Understanding Anal Fistula Surgery: Symptoms and Treatment Options
Fistula surgery, anal issues? Hello Dr. Chang: I started experiencing some pain during anal contractions from February 9th, which continued until February 12th and 13th when I began having severe pain during bowel movements. I also have a persistent sensation of wanting to have a...
Dr. Zhang Shuhao Reply:
The most common cause of severe pain during bowel movements is anal fissure, but lesions around the anus such as thrombosed hemorrhoids, perianal abscesses, and even anal fistulas can also cause varying degrees of pain when inflamed. When a doctor recommends surgery in an outpati...[Read More] Understanding Anal Fistula Surgery: Symptoms and Treatment Options
Understanding Anal Fistula Recurrence: Causes and Prevention Tips
Anal fistula Hello, Director Ke! I had a fistula excision surgery four years ago, and today I went for a consultation and confirmed that it has recurred, at the same exit point. Last time it was at the 7 o'clock position relative to the anus, and this time it is at the 5 o&#...
Dr. Ke Fangxu Reply:
Regarding recurrence, it is advisable to consult your attending physician. After anal fistula surgery, sitz baths are essential, and maintaining cleanliness is crucial.[Read More] Understanding Anal Fistula Recurrence: Causes and Prevention Tips
Post-Surgery Concerns: Managing Persistent Drainage Tube After Fistula Repair
Postoperative care after anal fistula surgery? Hello, doctor. I had an anal fistula surgery on November 8th last year, and there is still a white plastic tube protruding from the site that hasn't fallen out. Each time I return for a follow-up, the doctor pulls on it and ties...
Dr. Zhang Shuhao Reply:
This plastic tube is a special type of fistula treatment known as a "seton." It is used when the fistula passes through the high anal sphincter to avoid cutting too much sphincter muscle at once, which could lead to incontinence. As the plastic tube is gradually tighten...[Read More] Post-Surgery Concerns: Managing Persistent Drainage Tube After Fistula Repair
Why Is My Stool Flat After Anal Fistula Surgery?
Post-operative changes in bowel movements resulting in flattened stools after anal fistula surgery? Hello, doctor. I underwent anal fistula surgery in early December last year, during which the doctor completely excised the fistula. I have been recovering well for over two months...
Dr. Ke Fangxu Reply:
After anal fistula surgery, it is possible to experience changes in the shape of the anus. If there is no discomfort or difficulty with bowel movements, there is no need for concern.[Read More] Why Is My Stool Flat After Anal Fistula Surgery?
Post-Surgery Concerns: Managing Anal Fistula and Polyp in Infants
Postoperative care for anal fistula surgery? Doctor, I would like to ask a couple of questions: 1. My baby had an anal fistula surgery at 4 months old, and during the healing process, a large polyp developed. When we took him to the doctor, the doctor removed it with a cotton s...
Dr. Zhang Shuhao Reply:
The polyp described in the text may be granulation tissue that has formed at the site of a wound. If it grows excessively, it can lead to an uneven appearance, so it is fine to remove it in an outpatient setting. Newly healed wounds tend to be more fragile and can easily bleed fr...[Read More] Post-Surgery Concerns: Managing Anal Fistula and Polyp in Infants
Post-Surgery Granulation Tissue Issues After Anal Fistula Repair
Abnormal granulation tissue formation after anal fistula surgery? Hello Dr. Chang, I apologize for bothering you again. Last week on January 16, I inquired about the healing time after anal fistula surgery (https://adoctor.tw/article/177648). In your response, you mentioned that ...
Dr. Zhang Shuhao Reply:
The formation of granulation tissue is a normal step in the wound healing process, so its growth is a sign of healing. It only needs to be trimmed if it grows excessively; otherwise, it will remodel on its own. Based on the photo, your wound is actually getting smaller and healin...[Read More] Post-Surgery Granulation Tissue Issues After Anal Fistula Repair
Can the External Anal Sphincter Be Reconstructed After Fistula Surgery?
Sphincterotomy Doctor, after undergoing fistula excision surgery, if the external anal sphincter has been severed, can the sphincter be reconstructed?
Dr. Zhou Hongzhang Reply:
Is it an anal fistula excision? You should consult a colorectal surgeon.[Read More] Can the External Anal Sphincter Be Reconstructed After Fistula Surgery?
Will My Sphincter Muscle Heal After Fistula Surgery?
Fistula surgery with sphincterotomy? I had a fistula surgery last week, and the fistula is less than one centimeter from the anal opening. After the surgery, I realized that the sphincter muscle was cut at the anal opening, and now it feels like a broken rubber band. Will the sph...
Dr. Zhang Shuhao Reply:
The anal sphincter is divided into the internal and external sphincters. In fistula surgery, to achieve a clean excision, a portion of the external sphincter is typically incised, but it is not completely severed, so bowel function should not be affected. However, due to changes ...[Read More] Will My Sphincter Muscle Heal After Fistula Surgery?
Understanding Healing Time After Anal Fistula Surgery: Key Insights
Healing time after anal fistula surgery? Last year, I posted twice inquiring about issues after anal fistula surgery. On 11/23, I asked about the recovery status after anal fistula surgery (https://adoctor.tw/article/176000) and on 11/27, I inquired about wound care after the fis...
Dr. Zhang Shuhao Reply:
The wound is much smaller than before and appears to be healthy. Sometimes, when the granulation tissue grows excessively and covers the surrounding skin, it may need to be slightly trimmed (usually done in the outpatient clinic using silver nitrate sticks or cryotherapy with liq...[Read More] Understanding Healing Time After Anal Fistula Surgery: Key Insights
Post-Surgery Care: Managing Discharge and Recovery After Fistula and Hemorrhoid Surgery
Post-fistula surgery I had a fistula surgery and hemorrhoidectomy 19 days ago. I have a few questions: 1. Is it normal to still have yellow-green discharge at this stage, and how long is it expected to last before it disappears? 2. I take warm sitz baths 3-4 times a day and ap...
Dr. Ke Fangxu Reply:
1. It typically takes about a month for complete healing. 2. Yes. 3. Yes. 4. No, it will not.[Read More] Post-Surgery Care: Managing Discharge and Recovery After Fistula and Hemorrhoid Surgery
Post-Surgery Concerns: Understanding Discharge After Fistula Surgery
Post-fistula surgery Hello Doctor, I had anal fistula surgery on November 19th and my last follow-up appointment was on December 13th. The doctor said that the wound has healed about 90% and that I do not need to return for further visits. However, as of today, December 27th, I a...
Dr. Ke Fangxu Reply:
Typically, one must wait until the wound is completely healed to avoid any discharge. The time required for complete healing varies depending on the size of the surgical wound; larger wounds may take up to two months to heal. If there is still discharge after three months, it is ...[Read More] Post-Surgery Concerns: Understanding Discharge After Fistula Surgery
Understanding Post-Surgery Concerns for Anal Fistula Treatment
Post-anal fistula surgery Dr. Ke: Six months ago, I felt two fistulas, with only one internal opening and no external opening. There was a bulge, and when I touched it, I could feel pus, but it never ruptured. I could feel the internal opening with my finger when I inserted it in...
Dr. Ke Fangxu Reply:
1. You need to ask your attending physician for this information, as they cannot provide an answer without a personal examination. There is always a possibility of recurrence with an unexcised fistula. 2. Yes, it is possible. 3. High anal fistulas can be treated with endoscop...[Read More] Understanding Post-Surgery Concerns for Anal Fistula Treatment
Can Fistula Tracts Self-Heal or Be Absorbed by the Body?
Post-fistula surgery Is it possible for a fistula tract to harden on its own, or for it to be absorbed by the body? I only have one internal opening and no external opening. The fistula surgery only removed the main tract and addressed the internal opening; the doctor may have ha...
Dr. Ke Fangxu Reply:
If an anal fistula does not become inflamed for an extended period, it may undergo fibrosis and no longer become inflamed. It is advisable to observe it for a while.[Read More] Can Fistula Tracts Self-Heal or Be Absorbed by the Body?
Understanding Fistula Surgery: Managing Concerns and Recovery Tips
Anal fistula, post-fistulotomy? Hello Dr. Chang, Last week, I underwent an anal fistula surgery in the hospital. I was aware before the surgery that I had two fistulas, but after the operation, when I touched the skin around my anus, I found that there was still a small portion ...
Dr. Zhang Shuhao Reply:
Complex or higher-level fistula surgeries are challenging and can easily damage the external anal sphincter. Therefore, some physicians may take a more conservative approach, focusing on alleviating symptoms and preventing recurrence. Typically, a thorough excision of the interna...[Read More] Understanding Fistula Surgery: Managing Concerns and Recovery Tips
Post-Surgery Recovery Tips for Fistula Surgery: Healing Insights and Advice
Post-fistula surgery Hello Doctor, I had a fistula excision surgery on November 15th. The surgical site is located just above the anal opening, around the 11 o'clock position. I took three weeks off and mostly rested at home, lying down except for meals and sitz baths. Durin...
Dr. Ke Fangxu Reply:
1. After returning to work, it's common to experience some pain from prolonged sitting; as long as there is no severe pain, it should not be a concern. 2. No. 3. Wound healing typically takes about one month; if there is no discharge and no pain, it indicates that healin...[Read More] Post-Surgery Recovery Tips for Fistula Surgery: Healing Insights and Advice
Post-Surgery Care for Anal Fistula: Managing Pain and Bowel Movements
Post-anal fistula surgery 1. Is it normal to have three bowel movements a day after two days post-hemorrhoid surgery while taking a stool softener? I noticed there was blood in the stool (a small amount). 2. I'm concerned that taking the stool softener might cause diarrhea...
Dr. Ke Fangxu Reply:
1. If taking stool softeners results in excessively soft stools, it is recommended to either discontinue or reduce the dosage of the stool softeners. 2. Fistula surgery generally does not require oral antibiotics; topical ointments can be purchased at the pharmacy. 3. Persona...[Read More] Post-Surgery Care for Anal Fistula: Managing Pain and Bowel Movements