Is it normal for the wound to itch after surgery for anal fistula?

Dec 27, 2024 Source: Cainiu Health

Dr. Li Jingxiang

Introduction

In general, it is normal for the wound to itch after surgery for anal fistula. After the surgery, as the wound gradually heals, a series of normal physiological changes occur, including itching at the wound site. This is primarily due to the continuous growth of new granulation tissue and the gradual repair and development of nerve endings, which may cause a sensation of itching.

Generally speaking, it is normal for the wound to itch after anal fistula surgery. The detailed explanation is as follows:

After anal fistula surgery, as the wound gradually heals, a series of normal physiological changes may occur, including wound itching. This is mainly due to the continuous growth of new granulation tissue and the gradual repair and formation of nerve endings, which may cause a sensation of itching. Additionally, the accelerated blood circulation around the wound might also lead to mild itching. This sensation is usually mild and not accompanied by other significant discomforts. It will gradually subside and eventually disappear as the wound continues to heal.

It is important to maintain wound cleanliness. Patients should follow the doctor's instructions for proper wound care and dressing changes to avoid infection. Additionally, attention should be paid to dietary adjustments, avoiding spicy and irritating foods that may irritate the wound and impair healing. It is recommended to choose bland, easily digestible foods that promote smooth wound healing.

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How to clean the wound after anal fistula surgery

Under normal circumstances, methods for cleaning wounds after anal fistula surgery include warm water sitz baths, disinfection with iodophor, potassium permanganate solution cleansing, sulfur soap cleansing, and using sterile normal saline. Patients who have undergone anal fistula surgery should also check the wound daily for signs of infection such as redness, swelling, discharge, or unusual odor. If any abnormalities occur, immediate medical attention is required.

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Is it necessary to change the gauze in the wound every day after surgery for an anal fistula?

The gauze packed in the wound after fistula surgery needs to be changed daily. The primary purposes of packing the wound with gauze after fistula surgery are to apply pressure to stop bleeding, drain secretions, and prevent false healing. There will be exudate from the wound after surgery, including blood and tissue fluid. If the gauze is not changed in a timely manner, accumulation of exudate may lead to local infection, impair wound healing, and even potentially cause the formation of a new anal fistula.

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Can I eat perilla after surgery for anal fistula?

The postoperative recovery from anal fistula is proceeding well, with normal gastrointestinal function and no discomfort such as abdominal pain or diarrhea. The patient has transitioned to a normal diet and may consume perilla in moderation. Perilla has a warm nature and pungent taste, and functions to regulate qi and harmonize the stomach. It can promote gastrointestinal motility and alleviate possible postoperative digestive disorders, such as indigestion and poor appetite. Adding a small amount of perilla leaves or stems during cooking can also enhance flavor.

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

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.