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?
Understanding Anal Pain and Hard Lumps After Fissure Surgery
Anal pain without bleeding and a small hard lump at the anal opening? Hello, Doctor: I had an anal fissure surgery 10 years ago. Recently, due to constipation and diarrhea, the area where I had the surgery has started to hurt. There is no bleeding, but it is painful when I have a...
Dr. Yu Mingchang Reply:
Hello: If you have a higher likelihood of hemorrhoids, please take some time to consult the Department of Colorectal Surgery at Changhua Hospital, Ministry of Health and Welfare. We care about your health.[Read More] Understanding Anal Pain and Hard Lumps After Fissure Surgery
Managing Painful Bowel Movements Without Bleeding: A Guide
Experiencing frequent pain during bowel movements without any bleeding? I previously had issues with anal abscesses and fistulas. The doctor always advised me to not clean too thoroughly and to allow some dirtiness. After making significant efforts to improve, I haven't expe...
Dr. Xu Kaixi Reply:
If there is pain, it may indicate inflammation of the anal mucosa. If there is also bleeding, it could suggest a concurrent mucosal abrasion or tear. It is recommended to consider the use of topical ointments or to combine them with anti-inflammatory and analgesic oral medication...[Read More] Managing Painful Bowel Movements Without Bleeding: A Guide
Understanding Perianal Skin Irritation and Burning After Bowel Movements
Perianal skin irritation and burning sensation? Dear Dr. Ke, Thank you for your previous response. Regarding case #157413, initially after the fistulotomy, the recovery was not very good, and there was excessive granulation tissue growth. I underwent cryotherapy and applied a st...
Dr. Ke Fangxu Reply:
The use of steroid ointments is not recommended for long-term application around the anal area due to the thinner skin in that region, which may lead to potential side effects with prolonged use. It is advisable to stop using the steroid ointment. Warm sitz baths can continue, bu...[Read More] Understanding Perianal Skin Irritation and Burning After Bowel Movements
Understanding Rectal Discomfort: Causes of Incomplete Cleaning After Bowel Movements
Discharge and difficulty cleaning after bowel movements? Hello Dr. Ke, I would like to ask about a situation I have been experiencing. Approximately nine months ago, I visited the colorectal surgery department at Tainan Hsin-Lou Hospital. At that time, I did not mention that I ha...
Dr. Ke Fangxu Reply:
The anal area is not a sterile environment, and excessive cleaning can lead to certain skin complications. Common issues include skin inflammation or itching. Some individuals even wash inside the anus, which can result in rectal inflammation and increased secretions. It is recom...[Read More] Understanding Rectal Discomfort: Causes of Incomplete Cleaning After Bowel Movements
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?
Understanding Chronic Anal Fissures: Pain Management and Treatment Options
Anal fissure pain, chronic anal fissure? Hello Doctor: I have a problem with chronic anal fissures. After seeing a doctor and adjusting my diet on December 25th last year, I have not experienced any bleeding. However, sometimes when my stools are too hard, the wound still causes ...
Dr. Ke Fangxu Reply:
1. Anal fissures and fistulas are two different conditions; however, a small number of chronic anal fissures can lead to the formation of a subcutaneous fistula, which is different from a typical fistula. 2. Anal fissures usually occur symmetrically, so it is possible for them ...[Read More] Understanding Chronic Anal Fissures: Pain Management and Treatment Options
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
Understanding Painful Anal Masses: Causes and When to Seek Help
External anal mass Hello Doctor, recently I have noticed a swollen hard lump on the left posterior side of my anus. I can clearly feel it when I press on the inner layer of the skin, and it is painful to touch. I also feel pain while sitting, and there is an itching sensation aro...
Dr. Ke Fangxu Reply:
It is difficult to make an accurate diagnosis of conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts without a personal examination by a physician. It is advisable to consult a doctor to avoid delaying treatment, which could lead to worsening of...[Read More] Understanding Painful Anal Masses: Causes and When to Seek Help
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 Persistent Abscesses and Muscle Pain in the Buttocks
Please provide the content you would like me to translate? There is a small abscess located about 1 cm above the anus on the right buttock. After drainage, there remains a small, somewhat indistinct lesion resembling a small pimple, approximately 5 mm in diameter, which is not pa...
Dr. Ke Fangxu Reply:
It is difficult to make an accurate diagnosis of conditions such as anal fissures, hemorrhoids, fistulas, abscesses, or pilonidal cysts without a personal examination by a physician. It is advisable to consult a doctor to avoid delays in treatment that could lead to worsening of ...[Read More] Understanding Persistent Abscesses and Muscle Pain in the Buttocks
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
Managing Recurrence After Minimally Invasive Anal Fistula Surgery
Six months ago, an anal fistula was surgically treated? Hello Doctor: I would like to inquire about a fistula surgery I had performed six months ago using a minimally invasive technique. Now, nearly half a year later, it has suddenly recurred. I would like to know if a second sur...
Dr. Ke Fangxu Reply:
Many hospitals now promote minimally invasive surgery, but it is essential to consider whether it is truly minimally invasive and whether the patient is suitable for such procedures. Fistula surgery is inherently a destructive procedure. If a minimally invasive approach has been ...[Read More] Managing Recurrence After Minimally Invasive Anal Fistula Surgery
Post-Surgery Care and Concerns for Anal Fistula Repair: What to Expect
Post-anal fistula surgery Hello, doctor. I underwent anal fistula surgery on May 7, and during my follow-up appointment one week later, the doctor indicated that I had a typical fistula. After examining the wound, there were no signs of abnormality. The fistula extended from the ...
Dr. Ke Fangxu Reply:
Green discharge is often a sign of infection, so it is best to consult a physician for an examination. There is no need to apply ointment inside the anus, as it will not adhere effectively. Inserting a cotton swab into the anus increases the risk of accidental injury, so it is no...[Read More] Post-Surgery Care and Concerns for Anal Fistula Repair: What to Expect
Post-Surgery Concerns: Understanding Discharge and Healing After Fistula Removal
Postoperative care for anal fistula surgery? Hello, Doctor. It has been 4 weeks since my fistula excision surgery. During my follow-up appointment 2 weeks ago, the doctor said my recovery was good and that I didn't need to return for further visits. Currently, the external w...
Dr. Ke Fangxu Reply:
1. The healing period after fistula surgery varies depending on the length of the fistula. Generally, complete healing takes at least one month; however, more complex fistulas may take up to two months to heal. During the healing process, there may be secretions, and it may take ...[Read More] Post-Surgery Concerns: Understanding Discharge and Healing After Fistula Removal
Post-Surgery Concerns After Fistula Procedure: What to Expect
Post-operative issues related to fistula surgery? Hello Doctor, thank you for taking the time to respond to my questions! I underwent a fistula surgery on April 28 (the doctor indicated that the wound is inside the anus, not outside). After more than a week, I no longer experienc...
Dr. Li Zhonghuai Reply:
Hello! Fistula wounds are generally not very visible from the outside. Please return for a follow-up appointment so the doctor can assess the healing progress of the wound and determine whether you need to continue sitz baths. Also, please have the doctor evaluate the three raise...[Read More] Post-Surgery Concerns After Fistula Procedure: What to Expect