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After surgery for anal fistula, pus is coming out of the wound. What to do?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have done kshala sutra treatment for fistula. But I am getting pus from the wound continuously for the past ten days. This surgery was done 15 days back. I got this issue six months back. At that time, it was cured temporarily. But for the last two months, I am having pus from the wound. I consulted a doctor. He told me it as a fistula. I have done surgery for it. But I have pus coming from my wound continuously. Is there anything wrong?

Answered by Dr. Ajeet Kumar

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

You have pus. But your large part of the wound is healthy and pink (attachment removed to protect patient identity). It is common to have pus for few days after undergoing surgery. You are taking the right treatment. You can take Amoxicillin tablet twice a day after food. It is an antibiotic. You can use a gauze piece for wiping down the pus coming out. Pus can become dry after few days. You can take Metronidazole 400 mg (anit-anerobic) thrice daily for seven days to fasten the healing. Please mention whether you have any other abdominal symptoms such as abdominal pain, diarrhea, vomiting, or unusual weight loss. It is important to know whether you have any other problems in the bowel along with it.

The Probable causes

You have an operated anal fistula.

Investigations to be done

Do stool test for fecal calprotectin and stool detail report. A thorough pertinent history is necessary before giving more targeted investigations.

Treatment plan

Follow as mentioned above.

Regarding follow up

Follow the treatment as mentioned above. Have a follow-up at any time.
Medically reviewed by Dr. Sneha Kannan
Published At June 17, 2020
Reviewed At August 13, 2023

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Ajeet Kumar is a dedicated Physician specializing in gastrointestinal and liver disorders. He focuses on diagnosing and managing a wide range of digestive conditions with a patient-centered and evidence-based approach. His clinical interest includes promoting long-term digestive wellness through accurate evaluation, timely intervention, and personalized care, ensuring patients receive comprehensive support for their overall health and well-being.

This doctor is not available for online consultations on the platform anymore.

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