Q. Why am I having water like discharge after anal fistula surgery?

Answered by Dr. Dhaval Thakkar and medically reviewed by iCliniq medical review team.


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Hello doctor,

I was operated for anal fistula four months back. I was made to take sitz bath and antibiotics. The wound is all right and there was no problem till 15 days back when I started feeling waterlike discharge from anus especially when I walk for a distance. There is no foul smell. Sometimes I also feel a slight pain in the anus in the area of operation. Please suggest if it is fine or some problem is there.

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Dr. Dhaval Thakkar
General Surgery


Welcome to icliniq.com.

You must know and remember that anal fistula is a condition which has got fairly high recurrence rate, meaning it has a tendency to occur again after the operation. Complete cure is very difficult. I strongly suspect that you have got fistula-in-ano again. Please consult your treating surgeon for the same. There can also be some conditions in which there is a high rate of recurrence of fistula if not treated primarily such as tuberculosis, Crohn's disease, malignancy, etc. You can ask your doctor regarding the same.

The Probable causes:

1.Failure of operative treatment.
2.Underlying secondary causes.

Investigations to be done:

1.MRI fistulogram.
2.Investigations for suspected secondary causes.

Differential diagnosis:

1.Recurrent fistula-in-ano.
2.Perianal abscess.

Treatment plan:

1.Investigate the fistula.
2.Rule out secondary causes.
3.Treat the underlying secondary cause if any.
4.Operate if fistula persists.

Preventive measures:

1.Maintain anal hygiene.
2.Regular sitz bath.

Regarding follow up:

For more information consult a general surgeon online.--->https://www.icliniq.com/ask-a-doctor-online/general-surgeon

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