What should be noted regarding external medications after surgery for anal fistula?

Jul 15, 2024 Source: Cainiu Health
Disease description:

Due to health reasons, I underwent surgery for an anal fistula. May I ask, what should I pay attention to regarding topical medications after anal fistula surgery?

Doctor's answer (1)
Dr. Li Jingxiang
The following are the precautions for topical medications after anal fistula surgery: 1. Cleanliness and Sitz Bath: Before applying topical medication, perform a warm water sitz bath around the anus to clean the anal area and surgical site, ensuring local hygiene and preventing bacterial growth. Each sitz bath should last about 10 minutes, performed 1-2 times daily, especially cleaning promptly after bowel movements. 2. Application of Medication: Apply the medication evenly on the affected area to ensure full contact between the medication and wound surface. After applying the medication, try to avoid sitting down; lying prone is recommended to facilitate medication absorption. 3. Diet and Exercise: Choose easily digestible foods to maintain soft stools and smooth bowel movements. Avoid strenuous activities such as deep squats and running to prevent interference with wound healing. Additionally, avoid prolonged sitting and consumption of spicy foods. 4. Medication Selection: Select appropriate medications under a physician's guidance, such as Kangfuxin Solution (recombinant human epidermal growth factor), hemorrhoid ointment, etc., and follow medical instructions for proper use. 5. Regular Follow-up: Regular follow-up visits are required after surgery to monitor wound healing progress and adjust treatment plans timely.