HomeAnswersGeneral Surgeryanal fistulaWhy am I having water like discharge after anal fistula surgery?

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

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Dhaval

Medically reviewed by

iCliniq medical review team

Published At June 26, 2018
Reviewed AtMay 25, 2023

Patient's Query

Hello doctor,

I was operated on for an anal fistula four months back. I was made to take a Sitz bath and antibiotics. The wound is all right and there was no problem till 15 days back when I started feeling water-like discharge from the 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 if some problem is there.

Answered by Dr. Dhaval

Hello,

Welcome to icliniq.com.

You must know and remember that anal fistula is a condition that has got fairly high recurrence rate, meaning it has a tendency to occur again after the operation. A 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 about 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.

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

Dr. Dhaval

Dr. Dhaval

General Surgery

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