A little stool leakage after perianal abscess surgery

Fecal leakage after perianal abscess surgery may be related to poor wound healing or impaired anal sphincter function. Treatment methods include keeping the area clean, using drugs to promote healing, and performing secondary surgery when necessary.

1. Poor healing of surgical wounds is a common cause of fecal leakage. Postoperative wound infection, tissue necrosis or delayed healing may affect anal function. It is recommended to take a warm bath every day to promote blood circulation and accelerate wound healing. Apply antibiotic ointments such as erythromycin ointment and mupirocin ointment locally to prevent infection. If necessary, take oral antibiotics such as cephalosporins and amoxicillin to control inflammation.

2. Impaired anal sphincter function is another important reason. The sphincter may be damaged during surgery, resulting in decreased control of bowel movements. Anal sphincter function exercises can be performed, such as levator anus exercises, 3 times a day, 15 minutes each time. Use biofeedback therapy to help restore sphincter function. Severe cases require sphincter repair surgery, such as sphincteroplasty and sphincter repair.

3. Postoperative diet is crucial for recovery. High-fiber diets such as oats and whole wheat bread promote intestinal peristalsis and prevent constipation. Drink plenty of water, at least 2000 ml per day, to keep bowel movements smooth. Avoid spicy foods such as peppers and alcohol to reduce irritation to the anus.

4. Psychological counseling helps improve symptoms. Postoperative fecal incontinence may affect the patient's quality of life and cause anxiety and depression. Psychological counseling and relaxation training can be used to relieve psychological pressure. Family support and communication with fellow patients can enhance confidence in recovery.

Postoperative fecal leakage after perianal abscess surgery needs to be treated promptly, and local care, functional exercise, diet adjustment, psychological counseling and other multi-faceted interventions can be used to promote recovery and improve the quality of life. If symptoms persist or worsen, seek medical attention in a timely manner to assess whether further treatment is needed.