What Do Red And Tender Scars Post Fistulectomy Indicate?

Posted on Mon, 26 Dec 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 26 Dec 2016 Answered on

Sat, 14 Jan 2017 Last reviewed on

Question : Hello Dr. Chandrakant,

I had fistulectomy in may 2016.
My scar is red , tender , hard and pains. Sometimes pain is less and sometimes it is
very much.
I am concerned about it . I want to send a picture of the scar. Please let me know your opinion.

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Please attach with this query. Give details..

Detailed Answer:
Hi.
Thanks for your review query.
Please attach the clear and focused pictures of the scar.
You can attach with this query.
Noted that the scar is red, tender, hard and pains less sometimes or very much at other times. Fistulectomy was done in May of 2016.
Please also give a few more details:
Is the stool normal or you have to strain for passing/ any hard stools?
When is the pain and tenderness more? During/after passing BM? While sitting in a chair?
Are you taking any medication/supplement?
Sitz bath?
Using Doughnut pillow?
Any other information you would like to share.
Awaiting.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. T Chandrakant (6 hours later)

In the morning when i get up i dont have any pain.
Stools are normal as i am taking 10ml lactihep in the morning and evening. After passing stool i take sitz bath everytime. I start feeling soreness/ hardness / pain as the day progresses . Sometimes the scar becomes very hard and i have a feeling as if scar has swollen. This is when it hurts the most.But when i take rest it becomes normal. Pain / soreness is everytime.
I am not using donought pillow. Earlier also i had contacted u and u told that it will take around 9 months for a scar to fully mature. But i am a little concerned so wanted to share picture of the scar.

Answered by Dr. T Chandrakant (4 hours later)

Brief Answer:
as explained in details.

Detailed Answer:
Good morning fr here.
Read the feedback and seen the picture.
The history is promising in one sense - you do not have any pain on getting up.
This means the wear and tear phenomenon at this area throughout the day makes the scar to go through the changes that you have noticed.
I can understand that every one has to work throughout day and can not really take long resting-vacation, this progress will be part of the healing journey.
This can be assisted in the following ways:
Use the doughnut pillows whenever you are sitting - everywhere - I mean it - car, sofa, chair, at home, at office. Avoid all laces if you can when you can not have such facility.
Curtail/reduce the activities wherein there is more movement at buttock near anal area like running, walking up and down the stairs till the scar matures.
Imagine any activity that increases the shearing movement of buttocks over each other will be transmitted to the scar to instigate the re-structuring and thus getting the symptoms that you have.
Continue Lactihep, sitz bath.
Continue or start taking Multivitamins with Lycopene and/or Ginseng as these act as very good anti-oxidants and helps healing well.
Stop worrying- anxiety and/or stress increase such problems directly or indirectly.

I hope, this answer helps you, please feel free to ask for further relevant queries if you feel a gap of communication or if you want to ask anything anew.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. T Chandrakant (1 hour later)

Thank for the answer.
I am also doing intensive workout 5 days a week . I dont feel any extra pain / swelling in scar after the workout. Should i continue with the workout?
I am taking neurobion forte and neurogaba daily.
Please suggest any other medication with lycopene and gensing which i can start apart from my currebt medication.
Regards

Answered by Dr. T Chandrakant (8 hours later)

Brief Answer:
What exercises do you do?

Detailed Answer:
Thanks for your feedback.
If the intensive workout does not cause any shearing or pressure on anus phenomenon, you may please continue.
Continue with Neurobion forte and Neurogaba.
Please inquire with the Pharmacy to know which brands and its contents are available and take accordingly or let me know.
Start using doughnut pillow.
Take care.
Please ask for an further queries.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (41 hours later)

Hello Doctor,
I have told my trainer about your exercise advice.
For Lycopene my pharmacist has suggested Lycored/Lycostar and for Ginseng he is suggesting Revital. He doesn't has a combination for both.
Request you to please suggest .
Regards

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
As explained.

Detailed Answer:
Great, please follow the exercises that do not cause shearing as we discussed.
Please take Lycored in the morning and Revital in the evening.
Let it be separate and at different times.

Take care

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar