Can I eat perilla after surgery for anal fistula?

Jun 20, 2025 Source: Cainiu Health
Dr. Li Jingxiang
Introduction
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.

After anal fistula surgery, perilla can be consumed in moderation when there are no specific physical discomforts and normal diet has resumed. However, it should not be consumed if there is gastrointestinal sensitivity, the patient is in the early postoperative fasting stage, or allergic to perilla. Detailed explanations are as follows:

For patients recovering well after anal fistula surgery, with normal gastrointestinal function and no discomfort such as abdominal pain or diarrhea, and who have transitioned to a normal diet, moderate consumption of perilla is acceptable. Perilla has a warm nature and pungent taste, and functions to regulate qi and harmonize the stomach. It can promote gastrointestinal motility and help alleviate possible postoperative digestive problems such as indigestion and poor appetite. Adding a small amount of perilla leaves or stems during cooking can also enhance flavor and aid recovery to some extent. However, excessive consumption should be avoided to prevent additional burden on the gastrointestinal tract.

Perilla should not be consumed if the patient is in the early postoperative fasting or liquid diet stage, has weak gastrointestinal function, is prone to diarrhea, or is clearly allergic to perilla. During the early postoperative period, gastrointestinal function has not yet recovered, and consuming perilla may cause discomfort such as nausea and abdominal distension. For those with sensitive stomachs, the warm and dry nature of perilla may irritate the intestines, leading to diarrhea and affecting wound healing. Those allergic to perilla may experience allergic reactions such as rashes, itching, or even life-threatening symptoms like laryngeal edema after consumption.

Before consuming perilla, ensure your physical condition allows it and there are no contraindications. A small amount may be tried cautiously. If any abnormal symptoms such as abdominal pain, diarrhea, or rashes occur after consumption, stop immediately and inform your doctor promptly.

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