What should I do if my surgical wound for anal fistula itches?
Disease description:
I've had anal fistula surgery for half a month, and recently I've noticed itching around the surgical wound. I'd like to ask, what should I do about itching after anal fistula surgery?
Doctor's answer (1)
Dr. Li Jingxiang
Management of Itching After Anal Fistula Surgery:
1. Monitor the wound condition: Itching may be a normal part of the healing process, but it could also be related to infection, scar hypertrophy, or skin nerve damage. Closely observe for any abnormal symptoms such as redness, swelling, or pain.
2. Maintain wound cleanliness: Regularly change dressings and avoid scratching the wound with hands to prevent worsening infection or impaired healing.
3. Use anti-itch medications: Sitz baths with topical washes such as Compound Sophora Flavescens Lotion or Compound Phellodendron Chinense Wash can help clear heat, dry dampness, and relieve itching. If eczema develops, apply topical agents like mometasone furoate cream locally.
4. Adjust diet: Avoid spicy, stimulating, greasy, fishy, seafood, and other irritating foods. Opt for light, bland meals to minimize irritation to the wound.
5. Seek medical attention promptly: If itching persists or worsens, or if signs such as redness, swelling, or pain appear, seek timely medical evaluation and treatment.
