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Recurrence of Fistulas after surgery - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I have yellow mucus leaking from my anus several times a day, it smells bad.I had a fistula removed, I thought that was the cause of the yellowniss, it would seem like I had 2 things
Doctor :   Hi
User :   Hello
Doctor :   May I know your age?
User :   35
Doctor :   Since how many days are the yellow mucus noticed?
User :   1 year
Doctor :   Have you seen a doctor for this symptom?
User :   This symptom no, I thought for a long time it was the fistula leeking, they removed the fistula and still leeking
Doctor :   Did you have similar symptoms before the treatment of fistula?
User :   I think so, the fistula would leek puss everyday for 3 years so its had to say
User :   long waiting lists in canada for operations
Doctor :   When was the fistulectomy(fistula removal done)?
Doctor :   Do you have diabetes?
User :   1 month ago
User :   not that i know of
User :   my dad does
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   Fistula is a chronic condition and occasionally there are chances of recurrence inspite of surgical treatment.
User :   Say surgeon this week said healing very good
User :   saw
Doctor :   Presence of secretions is not a good sign of healing.
Doctor :   Hence I suggest you to recheck with your surgeon,
User :   but they were already present before the operation
Doctor :   Yellow coloured secretions with foul smell are secondary to bacterial infection, which needs antibiotics
User :   I told him i thought the fistula was leeking again , he said no.
Doctor :   Since this is been happening since a long time, its hard to guess what the cause might be.
Doctor :   A per rectal examination, swab and microscopic examination of the secretions
User :   i passed a breath test and results were borderline could their be a connection?
Doctor :   will provide details of the cause.
Doctor :   A good antibiotic course may be necessary following these tests.
Doctor :   Do you mean breadth test for H.pylori?
User :   yes
Doctor :   No, H.pylori infections are not the cause for these secretions.
Doctor :   Have you followed what I have suggested?
User :   yes, ask my doctor to preform a rectal exam and swab for tests the swab
Doctor :   I think that is necessary now.
User :   bacterial infection of what?
Doctor :   Infection in the lower gut/secondary to the surgery/recurrence fistula are all the possibilities.
User :   would the infection lower gut cause gas and discomfort?
Doctor :   Infections can cause discomfort and production of flatus too.
User :   thank you.
Doctor :   Do you have any other query?
User :   not tonight....
User :   Have a good day? or good night?
Doctor :   Thanks for consulting me. Bye for now.
User :   bye
Doctor :   Merry Christmas and Happy New Year in advance..
User :   Merry christmas and happy new year also...
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