Post-Surgery Care for Hemorrhoid and Anal Fissure Issues
Post-operative nursing issues for a patient after surgery? Hello doctor, I underwent surgery for a hemorrhoidectomy and polypectomy on April 10. After a month of recovery, I have noticed symptoms of anal fissure. Currently, I experience bleeding after walking for a while, and whe...
Dr. Xu Kaixi Reply:
It has been about a month since the fistula and polyp surgery on April 10th. Theoretically, the wound should have healed by now. If there are still secretions and symptoms, it indicates that the wound has not yet healed or there may be an infection. It is recommended to return to...[Read More] Post-Surgery Care for Hemorrhoid and Anal Fissure Issues
Post-Surgery Concerns After Anal Fistula Procedure: Your Questions Answered
Post-anal fistula surgery Hello Doctor, I apologize for bothering you multiple times. I underwent a fistula micro-surgery in January, and it has been about four months since then. I would like to ask the following questions: 1. I still experience some pain at the surgical site ...
Dr. Zhang Shuhao Reply:
1. The size of the surgical wound for a fistula may take several months to heal completely. A qualified colorectal surgeon's assessment of the fistula's condition is generally reliable. If a more skilled surgeon believes the surgery has failed, it is advisable to consul...[Read More] Post-Surgery Concerns After Anal Fistula Procedure: Your Questions Answered
Understanding Anal Fissures: Symptoms, Treatments, and Surgical Options
Anal fissure issues (continued) Hello Dr. Ke: Thank you for taking the time to respond on May 1st. After visiting another clinic, I realized that the wound on the right posterior side is about one centimeter inside the anal area, which is not a large wound. Therefore, after using...
Dr. Ke Fangxu Reply:
1. Symptoms that persist for more than one month are considered chronic. 2. Sitz baths are recommended 3-4 times a day for 15 minutes each time, with water temperature not exceeding 36-38 degrees Celsius. If discomfort occurs after the bath, a topical ointment can be applied. ...[Read More] Understanding Anal Fissures: Symptoms, Treatments, and Surgical Options
Post-Surgery Bleeding: Is It Normal After Anal Fistula Repair?
It has been about six months since the anal fistula surgery, and there is still bleeding? Hello, I underwent anal and fistula surgery around the end of October last year. I have been recovering since then, and most of the wounds have healed. However, I have a wound inside the anu...
Dr. Zhang Shuhao Reply:
Typically, the wound from a fistula surgery should have healed after six months. However, if the anal area is tight or if there is straining during bowel movements, the initially healed wound may easily reopen or become irritated, leading to symptoms similar to anal fissures. It ...[Read More] Post-Surgery Bleeding: Is It Normal After Anal Fistula Repair?
Post-Surgery Concerns: Green Discharge After Fistula Surgery
Postoperative care after fistula surgery? Hello Doctor: I underwent fistula surgery on April 14, and it has now been 10 days. Over the past couple of days, after each sitz bath, I have noticed that the drainage is a greenish pus-like substance. On regular days, the drainage on th...
Dr. Ke Fangxu Reply:
It is normal to have discharge from the wound after fistula surgery. However, green discharge is somewhat concerning. If there is no redness, swelling, heat, or pain, it can be monitored, as the anal area is not a sterile environment and mild bacterial growth is not unusual. If t...[Read More] Post-Surgery Concerns: Green Discharge After Fistula Surgery
Understanding Anal Abscesses and Fistulas: A Patient's Journey
Anal abscess? Anal fistula? Hello, Doctor! I apologize for the lengthy message. After using the restroom, I rinsed my buttocks and felt a soft lump near the anal area. I later researched online and it seemed like it could be an anal abscess or an anal fistula. I noticed something...
Dr. Ke Fangxu Reply:
If the infection symptoms are not severe, it can sometimes be difficult to diagnose anal fistulas or abscesses. An anal fistula must meet two essential criteria: the presence of a skin opening and a tubular structure. An abscess, on the other hand, requires the accumulation of pu...[Read More] Understanding Anal Abscesses and Fistulas: A Patient's Journey
Understanding Recurrence Risks After Anal Fistula Surgery
Postoperative care for anal fistula surgery? Hello, doctor. During my follow-up appointment, the doctor said to just wait for the tissue to heal. However, when I asked if there is a possibility of recurrence, the doctor mentioned that it could happen because the anal glands can r...
Dr. Zhang Shuhao Reply:
The same location typically does not regenerate, so if the fistula incision site is cleaned out properly, it will not recur at the same site. However, there are generally 6 to 8 glands around the anus, and inflammation of other glands may still lead to the formation of a fistula.[Read More] Understanding Recurrence Risks After Anal Fistula Surgery
Understanding Post-Surgical Care for Fistula: Healing Concerns and Signs
Post-fistula surgery Hello, doctor. I observe the healing status of my wound every day. Previously, the doctor had to break the epidermis because it was healing too quickly, exposing the tissue underneath. Is this normal? I noticed a small white spot at the healing site of the fi...
Dr. Zhang Shuhao Reply:
Due to the epidermis healing too quickly, it may occasionally tear and expose the underlying tissue, especially when the wound is small. This can be managed according to the surgeon's instructions. The small white spots at the site of the fistula wound are difficult to asses...[Read More] Understanding Post-Surgical Care for Fistula: Healing Concerns and Signs
Understanding Anal Hygiene: Is It Possible to Over-Clean?
Some issues related to the anus? I previously read some articles shared by netizens about treating anal fistulas, where doctors mentioned that overly clean anal hygiene could lead to fistulas. I would like to ask what constitutes "overly clean" anal hygiene. For instanc...
Dr. Ke Fangxu Reply:
The cause of anal fistulas is often a complication following an infection. However, why can excessive cleaning be a contributing factor? The anal area is not a sterile environment, so there is no need to be overly concerned about cleanliness; general hygiene is sufficient. If the...[Read More] Understanding Anal Hygiene: Is It Possible to Over-Clean?
Post-Anal Fistula Surgery: Understanding Gas and Discharge Issues
Post-anal fistula surgery Hello Dr. Chang, it has been 7 days since my anal fistula surgery, and I find myself unable to hold in gas, which is watery. When I pass this watery gas, there is also an involuntary discharge of a white (yellow) secretion that is sticky and somewhat res...
Dr. Zhang Shuhao Reply:
After anal fistula surgery, the wound may pass through the external anal sphincter, with part of it located on the inner side of the anus. The discharge consists of wound exudate and some intestinal fluid. You can continue to take sitz baths and change dressings to maintain clean...[Read More] Post-Anal Fistula Surgery: Understanding Gas and Discharge Issues
Post-Surgery Care for Anal Fistula: Key Questions Answered
Post-anal fistula surgery Hello, Dr. Chang. I had an anal fistula excision surgery, and I currently have a fairly large open wound. It is now the sixth day post-surgery, and I have a few questions for you: 1. After a warm water sitz bath, should I just dry the surface of the wo...
Dr. Zhang Shuhao Reply:
1. For larger wounds, after a warm water sitz bath, you can gently pat dry with gauze or tissue by pressing. It's fine if the inner side of the wound comes into contact, but if it causes irritation or discomfort, there's no need to specifically wipe it. 2. The ointmen...[Read More] Post-Surgery Care for Anal Fistula: Key Questions Answered
Antibiotic Use for Anal Abscess and Fistula Before Surgery: Key Considerations
Issues Regarding Antibiotic Use During the Waiting Period for Surgery for Anal Abscess and Fistula Hello, doctor. Since January, I have been experiencing inflammation and swelling around the anal area. In late March, I was diagnosed with a fistula (although the external opening h...
Dr. Ke Fangxu Reply:
If an anal fistula has an acute bacterial infection, it may present with symptoms such as redness, swelling, heat, pain, or purulent discharge. If immediate surgical intervention is not planned, it is acceptable to start oral antibiotics to control the infection, typically for a ...[Read More] Antibiotic Use for Anal Abscess and Fistula Before Surgery: Key Considerations
Understanding Fistula Surgery Recovery: Risks of Recurrence and Care Tips
Post-fistula surgery Hello doctor, today I noticed that the skin on my fistula has healed on the outside, but the inside has not. I was advised to open the wound and take sitz baths. I would like to know if this could lead to a recurrence of the fistula. Since I had a surgical ex...
Dr. Zhang Shuhao Reply:
The epithelial lining of the fistula heals first, leaving a cavity inside, which is usually due to a smaller incision. You can follow your doctor's instructions for sitz baths and dressing changes; if there is no swelling, pain, or purulent discharge, it should be fine. If t...[Read More] Understanding Fistula Surgery Recovery: Risks of Recurrence and Care Tips
Post-Surgery Concerns: Is Your Fistula Recurring After Two Months?
Post-fistula surgery Two months after surgery, the wound has opened up during bowel movements, bleeding, and there is a slight yellowish discharge. Could this be a recurrence of a fistula?
Dr. Zhang Shuhao Reply:
After the fistula surgery, if the wound has just healed, there is a possibility of bleeding due to friction or excessive pulling on the wound. However, it usually does not recur that quickly. It is recommended to take warm sitz baths and change the dressing with ointment. If ther...[Read More] Post-Surgery Concerns: Is Your Fistula Recurring After Two Months?
Understanding Anal Fistula Surgery: Anesthesia Options and Recovery Tips
Fistula surgery Hello Doctor, during a previous examination, a mass was found at the 12 o'clock position of the anus, which was diagnosed as an anal fistula. The surgeon initially planned to perform the procedure under spinal anesthesia, but after one day of hospitalization,...
Dr. Zhang Shuhao Reply:
Anal fistula surgery can be performed under general or regional anesthesia, and simpler fistulas may even be treated with local anesthesia. It is advisable to discuss the most suitable anesthesia method with the surgeon or anesthesiologist. Patients typically do not experience di...[Read More] Understanding Anal Fistula Surgery: Anesthesia Options and Recovery Tips
Understanding Anal Bleeding and Chronic Wound Healing After Fistula Surgery
Rectal bleeding and non-healing wounds after fistula surgery? Hello, Doctor. I would like to ask you a few questions. (1) On March 29, after wiping, I felt a swelling sensation in my buttocks. Although the swelling sensation disappeared the next day, as of today (March 31), I sti...
Dr. Zhang Shuhao Reply:
(1) You can apply hemorrhoid ointment and also take warm sitz baths to help reduce swelling; sitz baths will not affect wound healing. (2) If there is no swelling or pain, and no discharge that disrupts daily life, then it is not a concern. Hyperbaric oxygen therapy is more suita...[Read More] Understanding Anal Bleeding and Chronic Wound Healing After Fistula Surgery
Post-Surgery Care for Anal Fistula: Pain Management and Diet Tips
Post-fistula surgery Hello, doctor. I underwent drainage for an anal abscess in November 2022, where three drainage tubes were inserted. On March 24, 2023, I had two fistula tracts surgically removed. The physician mentioned that one of the tracts might be deeper. Currently, I am...
Dr. Zhang Shuhao Reply:
1. After a complex fistula surgery, there will be a larger open wound, which may cause pain due to friction at the wound site and contractions of the sphincter muscles. In addition to taking warm sitz baths, oral anti-inflammatory and analgesic medications can be used. It is impo...[Read More] Post-Surgery Care for Anal Fistula: Pain Management and Diet Tips
Post-Surgery Pain Management: Understanding Recovery After Fistula Surgery
Post-fistula surgery I would like to ask the doctor, I underwent a fistula incision surgery on February 7th, and as of today, March 25th, I am still experiencing significant pain in the anal area. The pain worsens after standing for a long time or after using the restroom. The ex...
Dr. Ke Fangxu Reply:
1. If both sides have undergone surgery, you may be classified as having a complex fistula, which could result in a longer healing time. 2. It is true that complex fistulas have a higher recurrence rate, but this is not inevitable. It is still too early to draw conclusions; we ...[Read More] Post-Surgery Pain Management: Understanding Recovery After Fistula Surgery
Do All Anal Abscesses Lead to Fistulas? Understanding the Risks
Not everyone who develops an anal abscess will necessarily develop a fistula? According to medical literature, approximately half of patients with anal abscesses may develop anal fistulas within a few weeks after the abscess. If a patient had an anal abscess that resolved after i...
Dr. Ke Fangxu Reply:
If the anal abscess is relatively superficial, it may heal with incision and drainage along with antibiotic treatment, and it does not necessarily lead to the formation of a fistula. Further observation is required to determine whether a fistula develops. During the infection pha...[Read More] Do All Anal Abscesses Lead to Fistulas? Understanding the Risks
Understanding Bleeding from Hemorrhoids: Infection Risks and Concerns
Rectal bleeding Thank you, doctor, for taking the time to respond. I am the person who asked question 194156. Regarding my third question, I meant to ask: when an internal hemorrhoid ruptures and bleeds, isn't there a wound? When feces pass through or in the case of bacteria...
Dr. Ke Fangxu Reply:
The anal area is not a sterile environment, and the presence of bacteria is normal. However, because healthy individuals have an immune system, bleeding from hemorrhoids typically does not lead to infection. Anal abscesses are mostly caused by deeper infections, and patients with...[Read More] Understanding Bleeding from Hemorrhoids: Infection Risks and Concerns