Post-Surgery Pain Management After Anal Fistula Surgery: What to Expect
Pain after anal fistula surgery? Hello! I underwent an anal fistula surgery under spinal anesthesia on October 30th at Chang Gung Memorial Hospital, which lasted about ten minutes. Upon discharge on October 31st, my surgeon informed me that there were no issues with bacterial inf...
Dr. Ke Fangxu Reply:
Anal fistula surgery typically results in a larger wound, which can lead to more postoperative pain; however, bacterial infections are relatively uncommon. Some patients may experience increased pain about a week after the surgery. If there is no fever or signs of redness, swelli...[Read More] Post-Surgery Pain Management After Anal Fistula Surgery: What to Expect
Understanding Fistula Surgery: Risks, Delays, and Management Options
Fistula surgery issues Hello Doctor: About a week ago, I discovered a lump near my anus, which causes pain when walking, sitting, or riding a bike. The next day, it burst and drained pus, which alleviated the pain somewhat. I later visited a clinic, and the doctor diagnosed it as...
Dr. Ke Fangxu Reply:
1. I have not heard of anal fistulas turning into malignant tumors, but delaying surgery for a few months should not pose a significant risk. 2. Generally, an external opening that is farther from the anal opening is more likely to result in incontinence because more of the sphi...[Read More] Understanding Fistula Surgery: Risks, Delays, and Management Options
Understanding Perianal Lumps: Hemorrhoids, Pimples, or Abscess?
A perianal lump can be a hemorrhoid, a pimple, or an anal fistula? Hello, Doctor Yu. Occasionally, I notice blood on the toilet paper after wiping, but there is no pain. Recently, I developed a lump about the size of half a coin next to my anus, which is painful. I experience dis...
Dr. Yu Mingchang Reply:
Hello: Please take some time to consult with a colorectal specialist to check for any polyps. It is recommended to eat more fruits and vegetables and drink warm water. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Understanding Perianal Lumps: Hemorrhoids, Pimples, or Abscess?
Managing Painful Skin Changes After Anal Abscess Surgery
Anal issues Hello doctor, I had an anal abscess drainage surgery six months ago. Due to my body constitution, a keloid formed after the wound healed. Recently, the keloid area, which had been asymptomatic, suddenly protruded and is painful to the touch, although it feels soft and...
Dr. Ke Fangxu Reply:
Your condition may be an anal fistula complicated by a bacterial infection. If immediate surgical treatment is not possible, you should start oral antibiotics. If you are unable to obtain antibiotics from a pharmacy, you should seek medical attention immediately to prevent the in...[Read More] Managing Painful Skin Changes After Anal Abscess Surgery
Understanding Causes of Heavy Bleeding from Anal Fistula
Massive bleeding from anal fistula? I have been diagnosed with a fistula for nearly a month, and due to work commitments, I am unable to schedule surgery at this time. Currently, the fistula has developed an opening, and I am using antibiotic ointment and maintaining cleanliness....
Dr. Ke Fangxu Reply:
If an anal fistula is not surgically treated, it can lead to recurrent inflammation, resulting in the accumulation of pus and blood within the fistula. Therefore, squeezing it may cause bleeding. Since the fistula is very close to the hemorrhoidal tissue and may even pass through...[Read More] Understanding Causes of Heavy Bleeding from Anal Fistula
Post-Fistula Surgery: When to Seek Medical Attention?
Questions after fistula surgery two months later? I had a fistula surgery in mid-August, and after a month of warm water therapy, the external wound has healed, leaving a wound the size of a mung bean on the inside. The doctor said I didn't need to return for a follow-up, ju...
Dr. Ke Fangxu Reply:
If there is still bleeding after such a long time post-surgery, it is best to return to the doctor for a check-up. It could be a sign of wound infection or symptom recurrence. If it is just slow wound healing, it is generally not a concern. However, if it is the former, it could ...[Read More] Post-Fistula Surgery: When to Seek Medical Attention?
Postpartum Fecal Incontinence: Understanding Causes and Treatment Options
Postpartum anal incontinence? Hello, doctor! After giving birth in August, I noticed a week later that I had some fecal leakage, and the doctor who assisted with the delivery promptly performed an episiotomy repair. It has now been a month and a half. The leakage improved a few d...
Dr. Ke Fangxu Reply:
Severe obstetric injuries can lead to rectovaginal fistulas. If there is still fecal incontinence after repair, a contrast agent can be administered rectally for imaging. If the contrast agent enters the vagina, it indicates the presence of a rectovaginal fistula. If healing is p...[Read More] Postpartum Fecal Incontinence: Understanding Causes and Treatment Options
Understanding Vaginal Fistula Surgery: What to Expect After Biodesign Plug
Vaginal Fistula Surgery Hello, doctor. I had a vaginal fistula plug surgery (Biodesign Surgisis Anal Fistula Plug) 10 days ago. Will the fistula plug come out with bowel movements? I've been feeling some air coming from the vagina these past two days. I'm not sure if it...
Dr. Ke Fangxu Reply:
This type of embolization is generally used for anal fistulas and rectovaginal fistulas. Personally, I do not have experience with this, as rectovaginal fistulas are relatively short and superficial, which increases the possibility of dislodgment. If you are experiencing vaginal ...[Read More] Understanding Vaginal Fistula Surgery: What to Expect After Biodesign Plug
Post-Surgery Care for Fistula Surgery: What to Expect and When to Worry
Postoperative care for fistula surgery? Hello, doctor... I underwent a fistula excision on September 4th. It has been 12 days, and there hasn't been much bleeding from the wound. I had a follow-up appointment, and the doctor advised me to keep the wound dry and apply the oin...
Dr. Ke Fangxu Reply:
The wound from anal fistula surgery typically takes about a month to heal. It is normal to have slight discharge from the wound during this time. Regular warm sitz baths are recommended. As long as there is no redness, swelling, heat, pain, or significant bleeding, there is no ca...[Read More] Post-Surgery Care for Fistula Surgery: What to Expect and When to Worry
Post-Surgery Concerns After Perianal Abscess Treatment: What to Expect
Postoperative issues following perianal abscess surgery? I underwent surgery for a perianal abscess on the 12th of last month, and the wound is still about 5 cm from healing. I am currently experiencing yellow fluid draining from the anus. Based on your experience, Dr. Ke, could ...
Dr. Ke Fangxu Reply:
The healing of an anal abscess surgical wound is generally slower, but it should be mostly healed within a month post-surgery. If it has not healed by now, there are two possibilities: one is that the surgical wound is large, leading to slower healing; the other is that it has de...[Read More] Post-Surgery Concerns After Perianal Abscess Treatment: What to Expect
Post-Surgery Concerns: Understanding Anal Abscess Recovery Issues
Postoperative Issues Following Perianal Abscess Surgery Hello! On August 10, I underwent surgery due to an abscess located in the rectal area. The physician performed an incision and drainage procedure and indicated that the suspected internal opening was also excised. Currently,...
Dr. Ke Fangxu Reply:
After an anal abscess surgery, the wound typically takes about a month to heal. Of course, if the wound is larger, the healing period will be longer. I don't understand why it's necessary to keep the wound open after surgery, but there is a possibility of developing an ...[Read More] Post-Surgery Concerns: Understanding Anal Abscess Recovery Issues
Is Blood in Stool Normal After Fistula Surgery?
Hemorrhoid surgery with rectal bleeding? Hello, doctor. I had a fistula surgery on September 5th. I noticed blood in my stool for the first time, and the second time there was a lot of blood, which was bright red. Is this normal?
Dr. Ke Fangxu Reply:
Mild bleeding after fistula surgery is a normal occurrence; however, if there is significant bleeding, it is considered abnormal. It is recommended that you consult the surgeon for an evaluation, and if necessary, medication may be administered for hemostatic treatment.[Read More] Is Blood in Stool Normal After Fistula Surgery?
Managing Unpleasant Odors After Surgical Drain Placement: What to Do?
Odor after fistula surgery? Hello Dr. Ke: I had surgery on July 20th of this year, and it has been over a month since my recovery period began. During this time, my wound has been healing well, but in the past few days, I have noticed a sour odor coming from the wound, along with...
Dr. Ke Fangxu Reply:
The doctor's response is as follows: It is normal to have a small amount of discharge before the wound is completely healed. However, if this occurs one month post-surgery, it is advisable to have the doctor examine it. If it is not a complex fistula surgery, there is a poss...[Read More] Managing Unpleasant Odors After Surgical Drain Placement: What to Do?
Can Anal Fistulas Affect Your Chances of Conception?
Will an anal fistula affect fertility? Hello doctor, six months ago I had an anal abscess that was drained by a physician. The wound has now reduced to a small point that looks like an opening, but there is no discharge, and visually there is no redness, swelling, or heat. Genera...
Dr. Ke Fangxu Reply:
It is not just during pregnancy that the affected blood circulation may increase the risk of infection; it is personally recommended to undergo surgical treatment before becoming pregnant.[Read More] Can Anal Fistulas Affect Your Chances of Conception?
Understanding Post-Surgery Symptoms of Anal Fistula: What to Expect
Anal fistula surgery Hello, Dr. Ko. This year, after an anal abscess in June, I underwent an anal fistula incision surgery on July 19 (there was no pus discharge normally). At that time, the doctor mentioned that it was considered a superficial fistula. Both the hospital informat...
Dr. Ke Fangxu Reply:
Answer: It has been exactly one month since your surgery. I recommend that you increase the frequency of sitz baths and observe for a few more weeks. Based on your description, it is indeed possible that there is a recurrence, but it could also be due to slower wound healing. Fac...[Read More] Understanding Post-Surgery Symptoms of Anal Fistula: What to Expect
Post-Fistula Surgery Care: Can I Use Sitz Baths for Cleaning?
Fistula surgery I just had a fistula surgery and I would like to ask if it's okay to use a sitz bath to clean my buttocks after bowel movements, since I'm hesitant to wipe too hard.
Dr. Ke Fangxu Reply:
After anal surgery, it is essential to perform warm water sitz baths, especially after bowel movements.[Read More] Post-Fistula Surgery Care: Can I Use Sitz Baths for Cleaning?
Post-Surgery Concerns: Bright Red Blood on Gauze After Fistula Surgery
Post-operative gauze from anal fistula surgery is blood-red in color? Hello, Director Ke. It has been 4 days since the fistula excision surgery on August 7. While in the hospital, the nurse informed me that if the blood on the dressing is bright red, and if the wound appears swol...
Dr. Ke Fangxu Reply:
1. The wound is indeed bleeding, but the bleeding is not severe enough to require immediate medical attention. If the bleeding becomes severe enough to stain the toilet red, then a doctor should be consulted. 2. Generally, this is not the case; as long as you don't go up an...[Read More] Post-Surgery Concerns: Bright Red Blood on Gauze After Fistula Surgery
Understanding Anal Abscess: Healing Challenges and Surgical Insights
Anal abscess Hello Doctor, I previously underwent two surgeries for an anal abscess at the hospital. One was in the operating room, and during a follow-up visit, it was discovered that there was another abscess nearby, which was drained in an outpatient procedure. It has been two...
Dr. Ke Fangxu Reply:
1. No. 2. Yes. 3. Of course not. 4. Based on your description, it seems to be a fistula following the drainage of an abscess. 5. If antibiotic treatment is ineffective, surgical intervention may be necessary for a complete cure.[Read More] Understanding Anal Abscess: Healing Challenges and Surgical Insights
Post-Surgery Concerns After Anal Fistula Removal: What to Expect
Postoperative Issues Following Anal Fistula Surgery Hello, Dr. Ke. I would like to ask you a few questions. In May, I underwent anal fistula excision at the hospital (it seems there was also some treatment for a mole, according to the discharge summary). During my last follow-up ...
Dr. Ke Fangxu Reply:
1. Based on your description, it seems more like dermatitis caused by excessive wiping. I recommend washing the area with clean water and applying topical ointment for a while. If the symptoms do not improve, please consult a physician. 2. Yes, this is a normal phenomenon durin...[Read More] Post-Surgery Concerns After Anal Fistula Removal: What to Expect
Understanding Fistula Surgery: Key Questions Answered for Patients
Fistula surgery I am considering undergoing anal fistula surgery and would like to ask the doctor: 1. Which specialty should I consult for anal fistulas? 2. Will the surgery require general anesthesia? 3. How long does the surgery typically take? 4. How long after the surgery can...
Dr. Ke Fangxu Reply:
1. Colorectal Surgery 2. Most often performed under general anesthesia, although some physicians may use regional anesthesia. 3. Approximately 30-60 minutes. 4. If you work in a kitchen, you may need about 3-5 days of rest; however, professional drivers or sales representat...[Read More] Understanding Fistula Surgery: Key Questions Answered for Patients