question-icon

Suggest remedies for irritation in the anus post fistulomy

default
Posted on Mon, 11 Jul 2016
Question: Hello Doctor,
I had fistulomy for a ano fistula at 3 o clock position 4 months back. The wound is completely healed by a month after surgery. I was comfortable after the surgery. I dint constipate after that, except for once or twice a mild constipation.Now abt a week. I have discomfort in the area where i had the wound opening earlier. Sometimes a picking sensation or dull ache.im worried if its the sign of reoccurance.Hello doctor,
I dont have any visible boil in the surface. I dont have any pain when i touch in tht spot
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
Local Exam and MRI to confirm the diagnosis.

Detailed Answer:
Hi.
Thanks for your query.
I have read your past and present history and understood your concerns.

My thoughts:
Since the would is healed 3 months ago, recurrence is rare.
The causes of the discomfort are:
- The scar is on the pressure point hence there can be tenderness that can develop in the scar.
- The can be a fissure in ano due to hard stools you had.
- Recurrence is a possibility.

The ways to make sure what the diagnosis are:
- Per-rectal digital examination and proctoscopy by a General Surgeon.
- High resolution ultrasound or still better MRI study of the area gives definite diagnosis.

I hope this answers your query.
Getting the correct diagnosis is most important.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.

Till then take laxatives, have Sitz bath and care about diet and take any medicines as advised by your Surgeon.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 18365 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest remedies for irritation in the anus post fistulomy

Brief Answer: Local Exam and MRI to confirm the diagnosis. Detailed Answer: Hi. Thanks for your query. I have read your past and present history and understood your concerns. My thoughts: Since the would is healed 3 months ago, recurrence is rare. The causes of the discomfort are: - The scar is on the pressure point hence there can be tenderness that can develop in the scar. - The can be a fissure in ano due to hard stools you had. - Recurrence is a possibility. The ways to make sure what the diagnosis are: - Per-rectal digital examination and proctoscopy by a General Surgeon. - High resolution ultrasound or still better MRI study of the area gives definite diagnosis. I hope this answers your query. Getting the correct diagnosis is most important. Please feel free to ask for further relevant queries if you feel that there is a gap of communication. Till then take laxatives, have Sitz bath and care about diet and take any medicines as advised by your Surgeon.