Flatulence and stool leakage after perianal abscess surgery

Flatulence and fecal leakage after perianal abscess surgery may be related to poor wound healing, impaired anal sphincter function, or infection. Treatment options include enhanced local care, drug therapy, and secondary surgery when necessary.

1. Poor healing of surgical wounds

After perianal abscess surgery, it takes a certain amount of time for the wound to heal. If infection or poor tissue repair occurs during the healing process, it may cause flatulence and stool leakage. After surgery, the area needs to be kept clean to avoid infection. You can use normal saline or iodine solution to clean the wound to promote healing. At the same time, pay attention to diet conditioning and eat more foods rich in protein and vitamins, such as eggs, milk, and fresh vegetables, to help tissue repair.

2. Impaired anal sphincter function

The surgery may cause some damage to the anal sphincter, resulting in a decrease in its ability to control defecation. This can be improved through anal function exercises, such as levator ani exercises, 2-3 times a day, 10-15 minutes each time. If the symptoms are severe, physical therapy or surgical repair may be required. Physical therapy includes electrical stimulation therapy to help restore muscle function.

3. Postoperative infection

Postoperative infection is one of the common causes of flatulence and fecal leakage. Infection may delay wound healing or form fistulas. See a doctor promptly, and the doctor will prescribe antibiotics, such as cephalosporins or penicillins, according to the situation. At the same time, antibacterial ointments, such as erythromycin ointment, can be used locally to prevent the spread of infection. Regular follow-up after surgery to ensure that the wound is recovering well.

4. Adjustment of diet and lifestyle habits

The postoperative diet should be light and easy to digest. Avoid spicy and greasy food to reduce intestinal irritation. Eat more fiber-rich foods, such as oats, sweet potatoes, and celery, to help soften stools and reduce pressure during defecation. Maintain a regular work and rest schedule, avoid sitting for long periods of time, and do appropriate activities to promote blood circulation and help wound recovery.

5. Psychological adjustment and rehabilitation

Postoperative flatulence and fecal leakage may cause psychological stress to the patient and affect recovery. Maintain a positive attitude, communicate with the doctor, and understand the normal phenomena during the recovery process. If necessary, seek psychological counseling to relieve anxiety. Family members should also provide support to help patients recover smoothly.

Although it is common to have flatulence and fecal leakage after perianal abscess surgery, most patients can gradually recover through scientific care and treatment. If the symptoms persist or worsen, you should seek medical attention in time to avoid delaying treatment. During the postoperative recovery period, paying attention to diet, living habits and psychological adjustment will help speed up the recovery process.