Post-Surgery Concerns: Is My Fistula Recurring?
Questions after fistula surgery? Hello Doctor: The link above shows the condition of my wound from two days ago. The area circled seems to have a small broken skin hole that is oozing a little bit of fluid. Is this a recurrence of the fistula? Today, the surgeon told me it is not...
Dr. Ke Fangxu Reply:
If it is a wound after fistula surgery, it indeed appears to be a recurrence since it has been three months post-surgery, and the wound should have completely healed by now. Your wound shows not only incomplete healing on the inner side of the anus but also signs of rupture on th...[Read More] Post-Surgery Concerns: Is My Fistula Recurring?
Understanding Anal Fistula Surgery: When to Operate and What to Expect
Surgery for anal fistula? Hello Doctor, I was scheduled for surgery to address my anal fistula in May, but it was postponed the day before the surgery due to the pandemic. Now that it is the end of June, I can proceed with the surgery. However, the external wound of my anal fistu...
Dr. Ke Fangxu Reply:
1. If there is no redness, swelling, or pain, it is fine to continue monitoring. 2. If a complete cure is desired, surgical treatment is still necessary. 3. If there are no recurring symptoms, it is important to maintain cleanliness and good bowel habits.[Read More] Understanding Anal Fistula Surgery: When to Operate and What to Expect
Post-Surgery Concerns After Fistula Procedure: What to Expect
Postoperative issues following fistula surgery? Hello doctor, I had a fistula surgery on June 15th. Is it normal for it to keep draining fluid? The doctor said I could just wipe it with a wet tissue; is that okay? Does the wound need to be treated with ointment? The doctor told m...
Dr. Ke Fangxu Reply:
It is normal to have discharge after fistula surgery, which may sometimes last for up to a month. Using feminine pads can be more convenient during this time. Once the surgical wound heals, the discharge will subside. Generally, it is not recommended to apply ointments to the wou...[Read More] Post-Surgery Concerns After Fistula Procedure: What to Expect
Post-Surgery Care for Anal Fistula: Medication Application Tips
Post-operative care for fistula includes applying medication? Hello, doctor. I had an anal fistula surgery at the clinic a week ago. During my follow-up visit today, the surgeon demonstrated how to apply the ointment evenly with my fingertip, inserting it about two fingers deep, ...
Dr. Ke Fangxu Reply:
Indeed, after fistula surgery, if the wound heals too quickly, there is a higher risk of recurrence. However, I personally did not apply pressure to the wound because it was too painful. Additionally, a wound that does not heal properly is also a concern. I recommend taking warm ...[Read More] Post-Surgery Care for Anal Fistula: Medication Application Tips
Understanding Fistula Recurrence: Symptoms, Treatment, and When to Seek Surgery
Recurrence of anal fistula? Hello doctor, I had anal fistula surgery in October 2016. After healing for a year, I started to feel a hard lump during my menstrual periods. When I returned to the doctor, he said to just take antibiotics. Then, last year, I felt a hard lump again al...
Dr. Ke Fangxu Reply:
If the symptoms have persisted for such a long time without improvement, then antibiotic treatment may only address the symptoms rather than the underlying issue. If the symptoms are not severe, it may be advisable to wait until the pandemic subsides before seeking medical attent...[Read More] Understanding Fistula Recurrence: Symptoms, Treatment, and When to Seek Surgery
Understanding Post-Surgery Complications: Pus Formation Near the Anus
Using a cotton swab to squeeze pus from the area around the anus? Hello Doctor, I underwent fistula surgery at the end of last month. On the 17th, I noticed a small white bump resembling an abscess at the original anal wound site, which later ruptured on its own. I consulted the ...
Dr. Ke Fangxu Reply:
1. If the location of the pus is at the original surgical site, it is more likely to be a reinfection of the surgical wound, and antibiotic treatment is recommended. 2. If oral antibiotic treatment is ineffective, a repeat surgical intervention may indeed be necessary. 3. Gen...[Read More] Understanding Post-Surgery Complications: Pus Formation Near the Anus
Managing Persistent Bleeding After Fistula Surgery: Expert Insights
Persistent bleeding after fistula surgery? Hello Doctor, I underwent a fistula incision surgery three months ago, but I am still experiencing oozing blood. I have also noticed a red and swollen area at the anal opening (as shown in the linked photo) https://img.onl/YnRMTb. After ...
Dr. Ke Fangxu Reply:
If the surgery was performed three months ago, it is possible that there is a recurrence of the fistula. If there is a history of diabetes, this could indeed lead to delayed wound healing. It is recommended to observe for another six months; if the wound has not healed by then, a...[Read More] Managing Persistent Bleeding After Fistula Surgery: Expert Insights
Post-Surgery Concerns: Managing Pain and Healing After Anal Fistula Surgery
Postoperative care after anal fistula surgery? Hello Doctor, I had a fistula surgery on April 24th of this year, and I would like to ask the following questions: 1. The wound from the anal fistula has been painful and I have been experiencing significant itching in the anal are...
Dr. Ke Fangxu Reply:
1. The poor wound healing may be due to diarrhea; at this time, constipation or diarrhea should be avoided. If the physician has prescribed laxatives, they should be discontinued. 2. It is possible that at this age, it is primarily caused by irritable bowel syndrome; you can co...[Read More] Post-Surgery Concerns: Managing Pain and Healing After Anal Fistula Surgery
Possible Recurrence of Anal Fistula After Surgery: What to Watch For
Suspected recurrence after anal fistula surgery? Hello Doctor, I underwent anal fistula surgery on April 24th last month. I returned to the hospital for a follow-up appointment on the morning of the 17th, and the doctor said the wound looked normal. However, after returning home ...
Dr. Ke Fangxu Reply:
Generally, a recurrence would not happen so quickly; it is more likely due to poor wound healing. It is recommended to take warm sitz baths and observe for a while to determine if medication is needed. Please consult a physician for evaluation. If the wound is healing gradually, ...[Read More] Possible Recurrence of Anal Fistula After Surgery: What to Watch For
Understanding Wound Healing: When to Seek a Second Opinion
Wound healing issues? I underwent fistula surgery on April 14th. Initially, the doctor told me it would take three weeks to heal, but now it has been a month. During my recent follow-up appointment, he mentioned that a granulation tissue has formed and said it would take another ...
Dr. Xu Kaixi Reply:
Based on the image you provided, there are no significant signs of infection or inflammation in this granulation tissue. If it does not continue to enlarge, theoretically, ongoing medication and care will lead to improvement over time. If there is no improvement after a prolonged...[Read More] Understanding Wound Healing: When to Seek a Second Opinion
Understanding Post-Surgical Abscesses: Is It Normal or a Recurrence?
Fistula with abscess Hello Doctor, I had a fistula surgery in March. During my follow-up appointment, the doctor mentioned that my wound care was going well. However, recently I developed a painful abscess on the wound, which eventually burst and leaked some pus and blood. Since ...
Dr. Xu Kaixi Reply:
After fistula surgery, the wound healing process may sometimes involve the formation of granulation tissue. Since the anal area is a region where feces pass through, granulation tissue may recur. As long as there is no infection, it should theoretically improve and heal over time...[Read More] Understanding Post-Surgical Abscesses: Is It Normal or a Recurrence?
Understanding Post-Surgery Abscesses: Is It Normal or a Recurrence?
Fistula with abscess Hello Doctor, I had a fistula surgery in March, and during my follow-up visit, the doctor mentioned that my wound care was progressing well. However, recently I developed a painful abscess on the wound, which eventually burst and leaked some pus and blood. Co...
Dr. Xu Kaixi Reply:
After fistula surgery, the wound healing process may sometimes involve the formation of granulation tissue. Since the anal area is where feces pass through, granulation tissue may recur. As long as there is no infection, it is theoretically expected to improve and heal over time.[Read More] Understanding Post-Surgery Abscesses: Is It Normal or a Recurrence?
Understanding Scar Tissue: Painful Bumps After Fistula Surgery
The scar from a fistula may appear as a bump similar to an acne lesion? Hello Doctor, I have undergone three fistula surgeries in total. The first was for abscess drainage, the second developed into a fistula, and after debridement, I needed to have multiple surgeries, so I had t...
Dr. Ke Fangxu Reply:
Scar hardening after multiple fistula surgeries is normal; typically, the scar tissue will soften within six months post-surgery.[Read More] Understanding Scar Tissue: Painful Bumps After Fistula Surgery
Challenges in Healing After Anal Fistula Surgery: Common Concerns and Solutions
Incomplete healing after anal fistula surgery? Hello Dr. Ke: I underwent anal fistula surgery at the end of January this year. After the surgery, I returned for follow-up appointments to check the wound, and my attending physician confirmed that the healing process was progressi...
Dr. Ke Fangxu Reply:
1. If the wound continues to reopen after such a long time post-surgery, it is advisable to have the surgeon check for the possibility of a fistula recurrence. 2. External hemorrhoids can indeed affect cleanliness; however, it is not possible to determine whether the issue is due...[Read More] Challenges in Healing After Anal Fistula Surgery: Common Concerns and Solutions
Post-Surgery Swelling Near Wound: Is It a Sign of Complications?
There is a swelling near the surgical wound? Hello Doctor, on February 18, 2021, I underwent fistula surgery at a medical center affiliated with a medical university in Vietnam. A total of three fistulas were treated. Due to the pandemic, I was unable to return to Taiwan for foll...
Dr. Yu Mingchang Reply:
Yes, it can recur. Please return to Taiwan for a follow-up appointment when you have the chance.[Read More] Post-Surgery Swelling Near Wound: Is It a Sign of Complications?
Understanding Anal Fistulas: Causes, Recovery, and Prevention Tips
Fistula issues Hello, doctor! I underwent fistula surgery on February 27, and I have been recovering well since then. However, I am puzzled as to why I developed an anal fistula when my daily routine and bowel movements were normal before. Could it be due to "excessive use o...
Dr. Ke Fangxu Reply:
Anal fistulas are generally a consequence of bacterial infections and are not related to excessive soap use for cleaning the anus or to exercise. If there is anal swelling or pain, it is important to seek medical attention immediately to prevent the condition from worsening and l...[Read More] Understanding Anal Fistulas: Causes, Recovery, and Prevention Tips
Understanding Persistent Bleeding After Surgery: What You Need to Know
Persistent bleeding issues? Hello, Doctor. I am a patient with rheumatoid arthritis. I underwent a simple fistula incision surgery a month ago, but I am currently experiencing bleeding during bowel movements, even having blood in my stool. Is this normal? I had a ligation procedu...
Dr. Ke Fangxu Reply:
It is normal to experience slight bleeding and discharge within a month after fistula surgery. If you are concerned, you can ask the surgeon for a follow-up examination. Hemorrhoid ligation is not a curative procedure, and recurrence of symptoms is a common occurrence. If you had...[Read More] Understanding Persistent Bleeding After Surgery: What You Need to Know
Post-Surgery Complications: Managing Persistent Symptoms After Anal Fistula Surgery
Postoperative care for anal fistula surgery #165766 Hello doctor, I have undergone three surgeries for anal fistula, and it has been 80 days post-operation, but the wound has not healed yet. There is still yellow exudate. Every time I wipe after a bowel movement, there is bright ...
Dr. Ke Fangxu Reply:
If you have already consulted with many specialists from major hospitals and they all believe that the fistula has healed, then I don't know how to reassure you. Moreover, I have not conducted any examinations, and online consultations have their limitations. It would be bes...[Read More] Post-Surgery Complications: Managing Persistent Symptoms After Anal Fistula Surgery
Recovery After Anal Fistula Surgery: What to Expect and Care Tips
Recovery period after anal fistula surgery? Hello, Doctor. I had a fistula surgery about a month and a half ago. The wound appears to be filled from the outside. During my follow-up appointment one month post-surgery, the surgeon performed a digital examination and said everythin...
Dr. Ke Fangxu Reply:
1. The clear mucus may be rectal secretions or it could indicate that an internal wound has not fully healed; it is recommended to wait another month to observe. 2. Once there is no discharge from the wound, sitz baths will no longer be necessary. After the sitz bath, gently pa...[Read More] Recovery After Anal Fistula Surgery: What to Expect and Care Tips
Post-Surgery Concerns: Anal Fistula Wound Discharge After Two Months
Two months after anal fistula surgery, there is still discharge from the wound? Hello Doctor, it has been 2 months since my last anal fistula surgery, but my wound has not fully healed yet. Although there is no longer any discharge during normal activities, I notice a significant...
Dr. Ke Fangxu Reply:
The wound appears to be not fully healed and does not seem to indicate a recurrence. Larger surgical wounds indeed take longer to heal. If the wound continues to shrink, there is no need for concern; otherwise, it is advisable to consult a physician for further evaluation.[Read More] Post-Surgery Concerns: Anal Fistula Wound Discharge After Two Months