Post-Surgery Complications After Anal Fistula Treatment: Understanding Symptoms
Postoperative issues following anal fistula surgery? Hello Dr. Ke, In July 2021, I underwent surgery to drain an anal abscess, which left a significant wound (approximately 3-4 cm long) that was almost deep enough to reach the pelvis, located in the lower left area of the anus. ...
Dr. Ke Fangxu Reply:
Anal abscesses typically require a longer recovery time, as the space created by the internal abscess needs time for the tissue to gradually regenerate and fill in. As long as there is no pain or accumulation of pus, there is no need for further incision. Based on your descriptio...[Read More] Post-Surgery Complications After Anal Fistula Treatment: Understanding Symptoms
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 Anal Fistulas: Symptoms, Treatment, and Healing Process
Anal fistula Hello Doctor: Last Sunday, I noticed a swollen and slightly painful area on the right side of my anus while using the restroom. At the time, I didn't think much of it. However, when I checked again on Tuesday morning, I saw some thin pus draining from it, but th...
Dr. Yu Mingchang Reply:
Hello: Please return for a follow-up appointment when you have time. If it is a fistula, there may be a recurrence. The Ministry of Health and Welfare Changhua Hospital is concerned about you.[Read More] Understanding Anal Fistulas: Symptoms, Treatment, and Healing Process
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 Abscess: What You Need to Know
Anal abscess Hello doctor, two days ago I underwent surgery for an anal abscess, with a wound measuring 3x7 cm and a depth of 2 cm. Yesterday, I returned to the clinic for wound debridement, where the doctor used a cotton swab to scrape inside the wound. The physician said it is ...
Dr. Zhang Shuhao Reply:
After incision and drainage of an abscess, it is necessary to ensure that the internal pus and inflamed tissue are adequately drained. If the drainage is insufficient, the wound may need to be packed with gauze or cleaned through debridement. Healing of the abscess does not neces...[Read More] Understanding Post-Surgery Care for Anal Abscess: What You Need to Know
Understanding Anal Fistulas: Symptoms and Post-Surgery Concerns
Anal fistula Hello Doctor, I have a few questions to ask you: 1. I had an abscess drainage procedure last Wednesday, and the wound is about 2 cm in size, located approximately 2 cm behind the anus. However, during my last two bowel movements, even though I made sure the area was ...
Dr. Zhang Shuhao Reply:
During the formation of an abscess, there is often already an internal opening (an opening leading to the rectum), but at this stage, inflammation and infection are still present. During the healing process, there is an opportunity for reshaping, and it may not necessarily remain...[Read More] Understanding Anal Fistulas: Symptoms and Post-Surgery Concerns
Understanding Anal Fistulas and Abscesses: Symptoms and Treatment Options
Anal fistula? Anal abscess? The polyp is still present? Hello Doctor, regarding the consultation case you submitted <a href="https://adoctor.tw/article/180079">#180079</a>, there are two symptoms. I apologize for the lengthy description (I have already sough...
Dr. Chen Ronghong Reply:
The most likely diagnosis for this lesion is an anal fistula. If it is only incised and drained without excising the fistula, it is likely to recur easily. Whether a complete surgical excision is necessary depends on the frequency and severity of the symptoms. It is recommended t...[Read More] Understanding Anal Fistulas and Abscesses: Symptoms and Treatment Options
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
Post-Surgery Care for Anal Abscess: Key Questions Answered
Anal abscess Hello Doctor, I have a few questions for you: (1) After an abscess drainage surgery, should I take warm sitz baths more frequently? Does increasing the frequency improve the healing of the wound? (2) The doctor prescribed antibiotics for only three days and did not g...
Dr. Zhang Shuhao Reply:
1. Warm sitz baths can promote blood circulation around the wound, keep the wound clean, and accelerate healing. The position during the sitz bath can also help any accumulated fluid within the wound to drain naturally. About three to five times a day is sufficient. 2. If there...[Read More] Post-Surgery Care for Anal Abscess: Key Questions Answered
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
Preventing Fistula Formation After Abscess Drainage Surgery
Anal abscess Hello Doctor, I just had an abscess drainage surgery. What efforts or adjustments can I make to prevent the abscess from turning into a fistula? I found online that there is a 50% chance of an abscess developing into a fistula, so I am quite worried. I would apprecia...
Dr. Zhang Shuhao Reply:
An anal abscess originates from inflammation of the anal glands. The abscess creates a space that can extend anteriorly and posteriorly, forming a fistula. The likelihood of fistula formation is related to the severity and extent of the initial inflammation, as well as the distan...[Read More] Preventing Fistula Formation After Abscess Drainage Surgery
Post-Surgery Recovery of Anal Abscess: What to Expect
Postoperative condition after anal abscess surgery? Hello Dr. Ke: I apologize for bothering you again. I had an anal abscess surgery 15 days ago (on March 2), and now on March 17, the wound is quite small, about 1.5 cm in length. The internal wound is approximately the size of a ...
Dr. Ke Fangxu Reply:
It is normal for there to be some discharge from the wound after an incision and drainage of an anal abscess, as long as the discharge is clear and minimal. However, if this discharge persists after one month, there is a higher likelihood that a fistula may have formed. At that p...[Read More] Post-Surgery Recovery of Anal Abscess: What to Expect
Post-Surgery Concerns: Yellow Discharge and Blood After Anal Fistula Repair
Post-anal fistula surgery Hello Doctor, I have undergone four fistula surgeries, and the fourth one was finally successful. Now, nine months post-operation, the wound has healed, but I still occasionally notice a small amount of yellow discharge from my anus daily, which resemble...
Dr. Ke Fangxu Reply:
If an anal fistula has undergone four surgeries, some degree of sphincter damage is inevitable. Mild bleeding is not a concern and may be caused by internal hemorrhoids. If there is yellow discharge, it could possibly be rectal mucus or fecal matter. If the amount is small, it ca...[Read More] Post-Surgery Concerns: Yellow Discharge and Blood After Anal Fistula Repair
Understanding Recovery Time After Lateral Internal Sphincterotomy Surgery
Recovery time after anal fissure surgery? Hello, Doctor. In mid-February of this year, I underwent a lateral internal sphincterotomy (LIS) and had an internal hemorrhoid treated using Hemorrhoid Energy Therapy (HET). I have the following questions: 1. It has been one month post...
Dr. Ke Fangxu Reply:
1. Mild bleeding after surgery is not a concern; if possible, it is best to avoid applying medication inside the anus to prevent further injury to the wound. 2. This is normal. 3. Mild pain after surgery is inevitable; the internal anal sphincter does not have surface nerve inn...[Read More] Understanding Recovery Time After Lateral Internal Sphincterotomy Surgery
Is This a Rectal Abscess? Understanding Your Symptoms and Diagnosis
Is this an anal fistula? Hello doctor, recently I have developed a round lump located about 6-7 centimeters from the anal opening, within the subcutaneous tissue. It is not visible externally. After about two months, I noticed that the lump seems to have increased in size and is ...
Dr. Zhang Shuhao Reply:
The diagnosis and treatment of anal fistulas require a certain level of clinical experience, and it can be challenging to determine the course of the fistula and the locations of the internal and external openings during acute inflammation. If a mass is palpated, anti-inflammator...[Read More] Is This a Rectal Abscess? Understanding Your Symptoms and Diagnosis
Is This Lump Near My Anus Caused by an Anal Fistula?
Is this an external lump caused by an anal fistula? Hello doctor, recently I have developed a lump in the upper right area of the anal cleft. Initially, the lump felt like a small ball and was not visible on the surface. After two months, it suddenly grew larger and is painful wh...
Dr. Chen Bingze Reply:
Hello, it would be better to visit a nearby surgical clinic or hospital outpatient department for a more accurate assessment.[Read More] Is This Lump Near My Anus Caused by an Anal Fistula?
Understanding Anal Issues: Could It Be an Anal Cyst?
Anal issues I have experienced slight constipation for the past two to three days, and I have felt a hard lump located slightly posterior to the right side of the anus. It is a bit painful when pressed. There is also slight pain during bowel movements and when the anal sphincter ...
Dr. Chen Ronghong Reply:
Hello, pain and lumps around the anus are most commonly caused by inflammation of the anal glands leading to the formation of an abscess. It is recommended to seek medical attention and take antibiotics. A doctor should also check for any connection to the rectum that may form a ...[Read More] Understanding Anal Issues: Could It Be an Anal Cyst?
Understanding Moisture Sensation Around the Anus: Causes and Concerns
Questions about anal moisture sensation? Hello Doctor, I have been feeling a moist and slippery sensation around my anal area for the past few days. It is not painful or itchy, but it feels strange when I walk. A few times when I wiped with toilet paper, it was sometimes colorles...
Dr. Ke Fangxu Reply:
1. Increased rectal secretions may indicate this phenomenon, and internal hemorrhoids are also a possibility. 2. If you want to be certain, you should consult a doctor for an examination. 3. For now, it may not be necessary to seek medical attention, as this phenomenon can al...[Read More] Understanding Moisture Sensation Around the Anus: Causes and Concerns