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 Pain and Healing After Fistula Removal
Post-fistula surgery Hello doctor, I had a fistula excision surgery in mid-November, located from the anal opening up to the perineum. The physician mentioned it was a superficial fistula. It has been over five weeks since the surgery, and there has been no discharge, but I occas...
Dr. Ke Fangxu Reply:
1. A slight tingling sensation is normal. 2. It should be scar tissue formed after the wound has healed. 3. Whether it develops into a high anal fistula is related to the position of the internal opening of the fistula and the pathway it follows; it does not necessarily evolv...[Read More] Post-Surgery Concerns: Understanding Pain and Healing After Fistula Removal
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?
Post-Surgery Complications of Anal Abscess in Adolescents: What to Expect
Postoperative Issues Following Anal Abscess Surgery A 15-year-old boy has been experiencing diarrhea for the past six months. Two months ago, he underwent an endoscopy that revealed inflammation in the small intestine, suspected to be Crohn's disease. He was then referred to...
Dr. Zhang Shuhao Reply:
After incision and drainage of an anal abscess, some cases may still develop into an anal fistula. Diarrhea can also exacerbate the symptoms of the fistula. Additionally, Crohn's disease is more likely to lead to fistula formation, and this condition requires long-term medic...[Read More] Post-Surgery Complications of Anal Abscess in Adolescents: What to Expect
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
Understanding Anal Abscess: Treatment Options and Risks
Anal abscess Recently, I have been experiencing recurrent fevers. I later visited a colorectal surgeon who diagnosed me with an abscess in the anal area. However, the doctor did not address it immediately and only prescribed antibiotics. I was initially going to ask the doctor if...
Dr. Zhang Shuhao Reply:
An anal abscess causing fever usually requires incision and drainage, as oral antibiotics are often ineffective at this stage. If the abscess cannot be controlled, it may lead to more complicated fistulas later on. However, the severity of the condition can vary among individuals...[Read More] Understanding Anal Abscess: Treatment Options and Risks
Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
About anal fissures? Hello Doctor, since I had hemorrhoid surgery at the end of February, I have been experiencing rectal bleeding during bowel movements starting a month later. The doctors I consulted said it was just skin tears and fissures. I inquired about the possibility of ...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The common causes are often constipation or diarrhea. If there is no pain, it is likely not an anal fissure and is unrelated to a fistula; it may be due to residual hemorrh...[Read More] Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
About anal fissures? Hello, doctor. Since I had hemorrhoid surgery at the end of February, I have been experiencing rectal bleeding during bowel movements starting a month after the surgery. The doctors I consulted said it was just skin tears and fissures. I inquired about the po...
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The common causes are constipation or diarrhea. If there is no pain, it is likely not an anal fissure and is unrelated to a fistula; it may be due to residual hemorrhoidal ...[Read More] Understanding Chronic Anal Fissures: Symptoms, Causes, and Complications
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
Post-Surgery Wound Issues: Understanding Fistula and Complications
Post-operative wound issues after fistula surgery? Hello doctor, could you please tell me what the line above the swollen wound in the photo is? Is it a fistula?
Dr. Ke Fangxu Reply:
Due to the unclear photo and the lack of the correct age provided, it is not possible to determine whether the issue is a fistula, abscess, or tumor. Please seek medical attention as soon as possible to avoid any delay in treatment.[Read More] Post-Surgery Wound Issues: Understanding Fistula and Complications
Post-Surgery Recovery: Signs of Fistula Recurrence or Infection?
Recovery status after anal fistula surgery? It has been 10 days since the surgery, and the wound feels like it is not healing well. Based on the image, does it indicate a recurrence of a fistula or an infection of the wound?
Dr. Zhang Shuhao Reply:
The wound in the image appears to be normal, with granulation tissue already forming at the base. When changing the dressing, you can use a cotton swab dipped in saline to clean off the old ointment. If there are no other symptoms (such as fever, redness, swelling, or purulent di...[Read More] Post-Surgery Recovery: Signs of Fistula Recurrence or Infection?
Understanding Post-Surgery Concerns: What Does That White Line Mean?
Post-fistula surgery Hello Doctor, I had an imaging done of my fistula before the surgery (https://imgur.com/a/cZpEq9t) and it seems that my fistula extends all the way to the scrotum. I completed the fistula surgery this Monday, November 15. After taking a sitz bath today, I too...
Dr. Ke Fangxu Reply:
Due to the low resolution of the second photo, it is difficult to accurately determine whether the white line is a result of suture decomposition or if it is the wound tissue becoming macerated after soaking. It is recommended that you consult with the surgeon for an examination ...[Read More] Understanding Post-Surgery Concerns: What Does That White Line Mean?
Understanding Small Perineal Wounds: Causes and When to Seek Help
There is a small wound in the male perineal area? About two weeks ago, I noticed a stinging sensation when water hit my perineum while showering. There appears to be a small pink wound located about 1 to 2 centimeters from the anus, between the scrotum and the anus, measuring app...
Dr. Zhang Shuhao Reply:
This symptom is usually due to inflammation of the sebaceous glands. Proper cleaning or the application of ointments may allow for natural healing. If there are recurrent inflammations or purulent blood-like discharge, it indicates the formation of a subcutaneous fistula, and sur...[Read More] Understanding Small Perineal Wounds: Causes and When to Seek Help
Post-Surgery Complications: Understanding Changes in Fistula Wound Healing
Abnormalities in the wound after fistula surgery? In August, I underwent a LIFT surgery for anal fistula, and on November 1, it recurred (pus formed at the previously healed wound site), requiring another surgery. Currently, it has been 11 days since the operation. I've noti...
Dr. Zhang Shuhao Reply:
The image shows an open wound following a repeat fistula surgery, with granulation tissue beginning to form at the base of the wound, which is a normal postoperative condition. The hole beneath the wound is a cavity formed by the original fistula extending subcutaneously (conside...[Read More] Post-Surgery Complications: Understanding Changes in Fistula Wound Healing
Understanding Buttock Lumps: Causes, Concerns, and Treatment Options
Buttock mass Hello doctor, about 14 years ago I underwent surgery for a fistula, and after the procedure, the nurse administered a painkiller that I believe was called Palonosetron. Since then, I have had a lump (a hard mass) in my buttocks about the size of a five-dollar coin. R...
Dr. Yu Mingchang Reply:
Hello: Please take some time to visit the surgical outpatient clinic. The Changhua Hospital of the Ministry of Health and Welfare is concerned about you.[Read More] Understanding Buttock Lumps: Causes, Concerns, and Treatment Options
Delayed Healing After Anal Fistula Surgery: What to Do Next?
The anal fistula surgery was performed nearly two months ago, and the wound has still not healed? Hello Doctor, I underwent an anal fistula excision surgery at a large hospital on September 6th of this year. During my follow-up appointment, the doctor indicated that the wound was...
Dr. Ke Fangxu Reply:
The wound appears to show no signs of infection; however, it is indeed unusual that it has not healed after such a long time post-surgery. Soft stools can potentially delay wound healing. Nevertheless, I recommend that you consult your surgeon for a follow-up examination. If nece...[Read More] Delayed Healing After Anal Fistula Surgery: What to Do Next?
Post-Anal Fistula Surgery: Recovery Time and Work Considerations
Post-anal fistula surgery Hello Doctor, I took a three-week leave from work due to surgery for an anal fistula, but I'm unsure how long it will take for the wound to heal. My job is an aluminum door and window technician, which involves lifting heavy objects and sweating a l...
Dr. Ke Fangxu Reply:
Postoperative pain after anal fistula surgery typically lasts about 1-2 weeks, while complete wound healing may take 1-2 months. If the pain decreases and the discharge reduces, you can begin working. Just be sure to maintain local cleanliness.[Read More] Post-Anal Fistula Surgery: Recovery Time and Work Considerations