Twenty days after anal fistula surgery, a pulling sensation or pain may be related to wound healing, postoperative tissue traction, infection, or other factors. However, it is usually a normal postoperative reaction and should be evaluated in conjunction with other symptoms. Most patients experience pain due to contraction and tightness during the repair of fibrous tissue around the wound, which is a normal physiological process. If the pain persists or is accompanied by bleeding, local redness, or other abnormal symptoms, it may indicate infection or poor wound healing.
Common causes of postoperative pulling pain include: 1) The surgical wound has not fully healed, causing pain when stretched or stressed; 2) Scar tissue formed after surgery may irritate surrounding nerves during daily activities; 3) Local inflammation or mild infection increases tissue sensitivity. Poor sitting posture or excessive force during bowel movements may also induce pain.
If the pulling sensation or pain is mild and not accompanied by other symptoms, it can be relieved through hot compresses or adjusting sitting posture. Maintaining smooth bowel movements and avoiding prolonged standing or sitting are also crucial to prevent excessive local load. Common causes of postoperative pulling pain also include: 1) The surgical wound has not fully healed, causing pain when stretched or stressed; 2) Scar tissue formed after surgery may irritate surrounding nerves during daily activities; 3) Local inflammation or mild infection increases tissue sensitivity. Poor sitting posture or excessive force during bowel movements may also induce pain.
If the pulling sensation or pain is mild and not accompanied by other symptoms, relief can be achieved through hot compresses or adjusting sitting posture. Maintaining smooth bowel movements and avoiding prolonged standing or sitting are also key to preventing excessive local load. It is recommended to continue observing changes in pain while paying attention to postoperative care: Keep the anal area clean by taking a 10-minute sitz bath with potassium permanganate solution daily; Optimize diet structure by consuming more fiber-rich foods such as oats and green vegetables to aid bowel movements; Avoid spicy and stimulating foods to reduce local irritation.
If pain intensifies or is accompanied by abnormal secretions, fever, or other symptoms, seek medical attention promptly. Ultrasound or imaging methods may be used to assess postoperative recovery and determine the need for further intervention if necessary.
