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What Causes Stabbing Pain At The Scar Site Post Fistulectomy?

Posted on Tue, 27 Dec 2016

Question: I underwent fistulectomy in May this year. Although wound has healed but the scar tissue still hurts. Scar is still a little tender and i can feel little hardness also. Sometimes after passing motion there is a stabbing pain in the scar which remains for 2-3 days.
Is it normal scar healing process and how much time will it take for complete healing

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
As discussed in details below.

Detailed Answer:
Hi.
Thanks for your review query, we had interaction in August 2016.
Noted your history and understood the concerns.
The scar tissue goes through maturity gradually and takes about 9 months for maturation in normal circumstances.
Since the response of the body for the scar tissue at different areas is different, the one at the peri-anal area is typical - it has depth as it is out of a fistulous tract and goes through more wear and tear phenomenon.
Hence it may still be painful a bit on and off.
Hardness is a stage through which the every scar tissue has to go.
The stabbing pain after passing stool remaining for 2-3 days is usually due to local nerve entrapment in the scar tissue.
Hence this looks to be a stage of normal healing and it may take about 9 months since surgery.

I hope this answers your query. Please feel free to ask for further relevant queries if you feel that there is a gap of communications.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (21 hours later)

Thanks for the reply.
Any other instructions/precautions/medication which you will suggest to help the scar healing process.
I am taking Neurobion forte & neurogaba in morning and night respectively

Answered by Dr. T Chandrakant (4 hours later)

Brief Answer:
As detailed below.

Detailed Answer:
I think your are taking the proper medications and should help you.
Wherever possible you can sit on doughnut pillow so that the pressure on the scar bearing area is reduced.
Identify all the foods and beverages that cause constipation and stop them altogether.
Take mild laxatives changing from one to another to avid constipation and hard stools.
I hope this helps you.
Lycopene works well as antioxidant.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (26 hours later)

Thanks

Answered by Dr. T Chandrakant (34 minutes later)

Brief Answer:
Most welcome.

Detailed Answer:
Thanks for your appreciation.
You may please rate this answer before closure of the discussion and can certainly contact me on the bellow link in future, whenever you may need me.
http://bit.ly/askdrtchandrakant

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar