Post-Anal Fistula Surgery: Managing Pain and Recovery Tips
Postoperative care for anal fistula surgery? Dr. Hsu, I would like to ask about my condition after undergoing anal fistula surgery and hemorrhoid surgery on October 6, 2020. I currently have some concerns: 1. I experience a slight stinging sensation in the anal area after the ana...
Dr. Xu Kaixi Reply:
It is normal to experience abnormal sensations or mild pain at the surgical site after surgery for anal fistula and hemorrhoids once the wound has healed, and this should improve over time. A cotton swab can be used to apply ointment.[Read More] Post-Anal Fistula Surgery: Managing Pain and Recovery Tips
Post-Surgery Concerns: Managing Anal Fistula Recovery and Symptoms
Postoperative care for anal fistula surgery [Continuation 159006, 159626] Hello, doctor. Since I underwent my third anal fistula surgery (I have a simple low anal fistula) at the beginning of August, it has been almost two and a half months. During my follow-up appointment in Sep...
Dr. Ke Fangxu Reply:
Because online consultations cannot provide a thorough examination, it is not possible to determine the issue or confirm if there is inflammation; this requires an in-person evaluation by a physician. I have previously addressed your concerns multiple times. If you are still expe...[Read More] Post-Surgery Concerns: Managing Anal Fistula Recovery and Symptoms
Understanding Post-Fistula Surgery: Healing Signs and Concerns
Post-fistula surgery It has been about a month since the drainage tube surgery (September 19). I had a follow-up appointment last week (October 17), and the doctor checked the wound and found no major issues. I was prescribed antibiotics and ointment to continue using. Today, whi...
Dr. Ke Fangxu Reply:
Without a personal examination, it is impossible to determine whether it is a recurrence or a scar. If there is no redness, swelling, or pain, it is advisable to observe the situation first; otherwise, a follow-up examination and treatment by a physician are necessary.[Read More] Understanding Post-Fistula Surgery: Healing Signs and Concerns
Post-Surgery Care: Managing Bathroom Needs After Fistula Surgery
The first night after fistula surgery? Hello, I am scheduled for a fistula surgery, and the doctor advised me to avoid having a bowel movement on the first night after the procedure (I did not have a bowel prep the night before at the clinic). However, I tend to have a sensitive ...
Dr. Ke Fangxu Reply:
I don't understand the reason for not having a bowel movement the day before. Generally, bowel cleansing is required before undergoing anal surgery to reduce the risk of wound infection and to help clarify the surgical field. After the surgery, you will definitely need to us...[Read More] Post-Surgery Care: Managing Bathroom Needs After Fistula Surgery
Post-Surgery Care: Can I Continue Sitz Baths After Pain and Bleeding?
Post-fistula surgery Dr. Ke, it has been five days since my surgery. During my first follow-up appointment, the doctor informed me that I no longer needed to take warm sitz baths. However, I have recently been experiencing pain when using the restroom, along with some slight blee...
Dr. Ke Fangxu Reply:
Generally, it is recommended to take sitz baths for at least two weeks after fistula surgery, or until the wound is completely healed, meaning there is no longer any discharge. If it is only the fifth day post-surgery and you wish to continue taking sitz baths, that is certainly ...[Read More] Post-Surgery Care: Can I Continue Sitz Baths After Pain and Bleeding?
Post-Surgery Concerns: Understanding Discharge and Infection Risks After Anal Fistula Surgery
Postoperative care for anal fistula surgery [Continuation 159006] Hello, Doctor. I recently underwent my third excision surgery on August 6, with the surgical site located at the 12 o'clock position above the anus and near the perineum. The wound measures approximately 2cm x...
Dr. Ke Fangxu Reply:
1. It is normal to have a small amount of discharge after fistula surgery before the wound has completely healed. 2. No. 3. No, different bacterial infections can produce different odors; any description of this is subjective. If there is no redness, swelling, heat, or pain, ...[Read More] Post-Surgery Concerns: Understanding Discharge and Infection Risks After Anal Fistula Surgery
Post-Surgery Concerns: What to Do If Your Fistula Wound Opens?
Post-anal fistula surgery Dear Doctor, I had a fistula surgery last week, and on the seventh day post-operation, the suture at the wound site came undone and is now hanging beside the wound. My father mentioned that the wound is wide open, creating a hole. Is this a concern? I ...
Dr. Ke Fangxu Reply:
It is normal for the sutures to hang and for the wound to open slightly one week post-operation, as this method is designed to stop bleeding without the need for suture removal. Based on your description, the wound appears to be normal, and you can return for your follow-up appoi...[Read More] Post-Surgery Concerns: What to Do If Your Fistula Wound Opens?
Assessing the Likelihood of Fistula After Abscess Rupture: Key Insights
Fistula assessment Hello, after taking antibiotics for a week, I experienced a rupture of a perianal abscess, which then stopped. There is a hard ring around the affected area, and after another week, it ruptured again, releasing a clear fluid with a slight pinkish blood that the...
Dr. Ke Fangxu Reply:
1. High. 2. Generally, observation is conducted for one month before reassessment. 3. Fistula surgery is typically not urgent; however, if there are long-term recurrent infections, it may evolve into a complex fistula, which would increase the difficulty and pain associated with ...[Read More] Assessing the Likelihood of Fistula After Abscess Rupture: Key Insights
Post-Surgery Care for Anal Fistula: Do's and Don'ts
Postoperative care for anal fistula surgery? Hello, doctor. Generally speaking, after surgery, is it sufficient to soak the wound in warm water and saline while taking antibiotics? Or is it necessary to return to the hospital or clinic daily for wound cleaning? Thank you.
Dr. Ke Fangxu Reply:
After anal fistula surgery, warm water sitz baths are recommended. I am not familiar with the term "gray manganese water." Generally, we advise using diluted Betadine for sitz baths, and there is no need to return to the clinic for daily dressing changes.[Read More] Post-Surgery Care for Anal Fistula: Do's and Don'ts
Post-Surgery Care for Fistula: Managing Wound Healing and Discomfort
Post-fistula surgery 1. After my fistula surgery, since the incision was not sutured, I notice some stool comes out from the wound when I have a bowel movement. After cleaning the wound with rinsing and sitz baths, should I pack gauze into the wound to absorb secretions and a sma...
Dr. Ke Fangxu Reply:
1. There's no need to insert it; just leave it outside. 2. It can indeed have an impact, so do not insert it. 3. It's normal; external hemorrhoids can often be managed easily. 4. Antibiotics are not necessary unless there is an infection.[Read More] Post-Surgery Care for Fistula: Managing Wound Healing and Discomfort
Post-Surgery Concerns: Is It Normal to See Stool After Anal Fistula Surgery?
Postoperative Issues After Anal Fistula Surgery Hello Dr. Ke, I recently had anal fistula surgery, and three days post-operation, I noticed some fecal matter appearing from the surgical opening while having a bowel movement. Is this a normal situation or an abnormal one? Should...
Dr. Ke Fangxu Reply:
The incision from the anal fistula surgery is left open and not sutured, so it is normal for a small amount of feces to be present in the wound. This is why warm sitz baths are recommended after the surgery. As long as there is no incontinence or significant bleeding, there is no...[Read More] Post-Surgery Concerns: Is It Normal to See Stool After Anal Fistula Surgery?
Post-Surgery Concerns: Is Pain and Wound Opening Normal After Fistula Surgery?
Post-fistula surgery After undergoing anal fistula surgery on July 7, I returned home to rest. Yesterday, after riding a motorcycle, I experienced anal pain, and today I noticed that the surgical stitches (which are black and non-absorbable) are intact, but the tissue has split o...
Dr. Ke Fangxu Reply:
Anal fistula surgery typically uses absorbable sutures for wound closure. It is normal to experience pain for 1-2 weeks post-surgery. Without visual access to the wound, it is difficult to determine if there is a true opening. However, if there are any concerns, it is best to hav...[Read More] Post-Surgery Concerns: Is Pain and Wound Opening Normal After Fistula Surgery?
Post-Surgery Pain and Discharge: When to Consult Your Doctor?
Sitz baths after fistula surgery may cause stinging pain? Hello Dr. Ke, I underwent fistula surgery on June 22, and it has been almost a week since then. A few days ago, I didn't experience much pain during sitz baths, but for the past two days, I've started to feel sha...
Dr. Ke Fangxu Reply:
Mild bleeding and discharge after fistula surgery are normal occurrences; however, if there is significant bleeding or purulent discharge, it may indicate a problem with the wound. It is advisable to consult the surgeon for an evaluation.[Read More] Post-Surgery Pain and Discharge: When to Consult Your Doctor?
Post-Surgery Concerns: Managing Fistula Discharge and Healing
Postoperative discharge, fistula? Hello, Doctor. I underwent anal fistula surgery on May 7, with the external opening located in the groin area. The doctor indicated that the fistula was somewhat longer than usual. Since the surgery, the discharge from the groin wound has signifi...
Dr. Ke Fangxu Reply:
The previous text mentioned that the external opening is located in the groin area, but later it changed to the lower left side of the scrotum. So where exactly is it? Regardless, it is a rather long and complex fistula. 1. It is not uncommon to experience pain upon pressure if...[Read More] Post-Surgery Concerns: Managing Fistula Discharge and Healing
Post-Bowel Movement Discomfort: Understanding Leakage After Surgery
One hour after defecation, there is a noticeable leakage of stool from the anal area? Hello Dr. Ke: I had a fistula and hemorrhoid surgery at the end of last year, and so far the wound healing has been quite good (the fistula wound has formed a fibrous scar). However, after using...
Dr. Ke Fangxu Reply:
In patients who have undergone fistula surgery, a small number may experience anal deformity due to sphincterotomy, and some may have decreased anal sphincter tone. However, your symptoms may not necessarily be caused by the surgery, as individuals without prior surgery can also ...[Read More] Post-Bowel Movement Discomfort: Understanding Leakage After Surgery
Understanding Post-Surgery Care for Anal Fistula: Healing Insights and Tips
Postoperative care related to anal fistula surgery? Hello, Doctor. I had surgery on May 26, and it has been three weeks since my anal fistula surgery. Today, June 17, marks the 22nd day post-operation. After the wound healed, I noticed a small granulation tissue, which causes sli...
Dr. Ke Fangxu Reply:
1. I believe the wound healing process is too rapid, so the outer layer is incised to prevent the recurrence of a fistula. 2. This is also to prevent the epidermal wound from healing too quickly, hoping to allow the underlying wound to granulate before the epidermal wound heals...[Read More] Understanding Post-Surgery Care for Anal Fistula: Healing Insights and Tips
Post-Surgery Concerns After Fistula Procedure: Pain, Discharge, and Recovery
Postoperative issues following fistula tract surgery (157393) Hello, Doctor. I apologize for the inconvenience, but I have some questions regarding my condition (157393). I underwent fistula surgery on May 7, and I mistakenly referred to the body part incorrectly, which may have ...
Dr. Ke Fangxu Reply:
1. If the wound has not fully healed, mild tenderness should be considered normal as long as there is no redness, swelling, heat, or pain. 2. Mild bleeding before the wound has completely healed is also normal. 3. I cannot provide a definitive answer on this matter; it is better ...[Read More] Post-Surgery Concerns After Fistula Procedure: Pain, Discharge, and Recovery
Understanding Anal Fistulas: Recovery Time and Surgical Considerations
Anal fistula Hello Dr. Ke, I am not sure if I have just developed a fistula, but I would like to ask a few questions. 1. As I am a nursing student, I cannot take too many days off (a maximum of 5 days). If I do have a fistula and wish to undergo surgery, how many days of recovery...
Dr. Ke Fangxu Reply:
1. Generally, hospitalization for fistula surgery requires three days, and it is recommended to rest for one week postoperatively because the wound tends to be more painful during the first week after surgery. Complete healing of the wound typically takes about one month; however...[Read More] Understanding Anal Fistulas: Recovery Time and Surgical Considerations
Understanding Delayed Healing After Anal Fistula Surgery: Insights and Tips
Healing of anal fistula wounds? Hello Doctor: I underwent my first anal fistula surgery at the end of December last year, but the wound did not heal well, leading to a second fistula surgery. As of now, the wound still hasn't healed. During my follow-up visit, the surgeon di...
Dr. Ke Fangxu Reply:
1. The healing time for anal fistula surgery is approximately 1 to 2 months, depending on the size of the wound. However, if the wound has not healed after six months post-surgery, there may be an issue, most likely due to a recurrence of the fistula. It is advisable to consult y...[Read More] Understanding Delayed Healing After Anal Fistula Surgery: Insights and Tips
Post-Surgery Pain: Managing Discomfort After Fistula and Hemorrhoid Surgery
After surgery for a fistula and hemorrhoids, it feels like hemorrhoids are protruding from the anus, and it is very painful! Hello, Dr. Ke. I had surgery for a fistula and also had an external hemorrhoid removed. It is now the fourth day post-surgery, and I was discharged the day...
Dr. Ke Fangxu Reply:
After fistula surgery, if diarrhea occurs, it may lead to wound pain and bleeding. It is recommended to increase the frequency of sitz baths. If the pain does not improve, you should consult your physician for an examination and medication.[Read More] Post-Surgery Pain: Managing Discomfort After Fistula and Hemorrhoid Surgery