Perianal abscess surgery, farting, leaking stool from wound

Flatulence and fecal leakage after surgery for perianal abscess may be related to poor wound healing, infection, or impaired anal sphincter function. Treatment methods include keeping the wound clean, using antibiotics, adjusting the diet, and performing a second surgery if necessary.

1. Poor wound healing after surgery

Poor wound healing after perianal abscess surgery is one of the common causes of fecal leakage. Large surgical wounds or improper postoperative care may lead to delayed wound healing, which in turn leads to fecal leakage. It is recommended to change the dressing regularly after surgery to keep the wound dry and clean to avoid infection. At the same time, follow the doctor's advice to use drugs that promote wound healing, such as topical growth factor gel or antibacterial ointment.

2. Infection

Postoperative infection is another possible cause. Infection can lead to increased inflammation of the wound, affect healing, and even form fistulas, further aggravating the symptoms of incontinence. If signs of infection such as redness, swelling, pain, or fever occur, you should seek medical attention immediately. The doctor may prescribe antibiotics such as cephalosporins or metronidazole, and perform wound debridement if necessary.

3. Impaired anal sphincter function

The surgery may cause some damage to the anal sphincter, resulting in a decrease in its ability to control defecation. In this case, anal function exercises can be performed to improve the condition, such as levator ani exercises, 3-5 times a day, 10-15 minutes each time. If the sphincter is severely damaged, it may require surgical repair, such as sphincteroplasty or artificial sphincter implantation.

4. Diet adjustment

Postoperative diet is crucial for wound healing and bowel control. It is recommended to increase fiber-rich foods, such as oats, sweet potatoes, and green leafy vegetables, to help soften stools and reduce irritation to the wound. At the same time, avoid spicy and greasy foods to avoid increasing the burden on the intestines. Drink water in moderation to keep bowel movements smooth.

5. Second surgery

If the above methods are not effective and the symptoms of fecal leakage continue to worsen, a second surgery may be necessary. Surgical methods include fistula resection, sphincter repair or anal plasty, and the specific plan needs to be evaluated and decided by the doctor based on the patient's condition.

Farting and leaking stool after perianal abscess surgery should be taken seriously and targeted measures should be taken in a timely manner. Through scientific wound care, infection control, dietary adjustment and necessary functional exercises, most patients can gradually recover. If the symptoms persist or worsen, seek medical attention in time to avoid delaying treatment.