Is it normal to have rectal bleeding after surgery for anal fistula?

Dec 02, 2024 Source: Cainiu Health

Dr. Li Jingxiang

Introduction

In general, whether bowel bleeding after anal fistula surgery is normal mainly depends on the postoperative symptoms. If bowel bleeding occurs after anal fistula surgery but is not accompanied by discomfort, it may be considered normal. However, if bowel bleeding is accompanied by discomfort, it may not be normal. If you experience any discomfort, please seek medical attention promptly and undergo symptomatic treatment under the guidance of a qualified physician.

Generally, whether bowel bleeding after anal fistula surgery is normal mainly depends on the postoperative symptoms. If there is bowel bleeding after anal fistula surgery without accompanying discomfort, it may be normal. If bowel bleeding occurs after anal fistula surgery along with discomfort, it may not be normal. Should any discomfort arise, prompt medical attention is necessary, and symptomatic treatment should be administered under the guidance of a professional physician. Detailed analysis is as follows:

In the first few days after anal fistula surgery, patients may experience slight bleeding with bowel movements, characterized by bright red blood, without severe pain or other discomfort. In such cases, the bleeding is considered normal. The surgical wound requires time to heal, and during this process, minor fresh blood stains may appear on the surface of the stool or toilet paper due to friction during defecation.

If bowel bleeding after anal fistula surgery is accompanied by obvious redness and swelling, fever, or even pus discharge, or if there is significant bleeding or prolonged bleeding duration, it may be related to wound infection, wound dehiscence, or other factors. In such cases, the attending physician should be promptly informed, and anti-infective treatment should be administered according to medical advice, including drainage or resuturing when necessary.

During the recovery period, patients should follow medical instructions, maintain wound cleanliness, avoid excessive straining during bowel movements, and pay attention to diet, avoiding hard or irritating foods to promote wound healing.

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