Fistula
October 28, 2009 | 20,00 EUR | answered by Dr. med. Christoph Schmülling
A short question,
In March 2008, a fistula was removed from next to my anus in the hospital. It was a pretty large wound. Two days after being discharged and back at home, I had a severe postoperative bleeding (almost 2 liters of blood) and had to go back to the hospital. Fortunately, I haven't had any problems since then until yesterday. Since yesterday, I have been feeling a small bulge next to the large scar. It doesn't hurt, isn't red, etc. but I'm in total panic that it might be another fistula.
Thank you for your response.
Dear counseling seeker,
I am sure that my medical colleagues from frag-einen.com in Cologne, Hamburg, and elsewhere are also thinking long and hard about an adequate response to your short question - possibly at the same time - and we all know that there can only be one meaningful answer to your question, but that this answer will not take away your fear because it cannot provide you with the desired reassurance. We know, you know, it is inherent in the nature of things that no one can rule out the development of a new fistula without examining you personally. And it is precisely this answer that one does not really want to give you, because one would like to take away your worries... but unfortunately, that is not possible in this way. I am writing this to you late in the evening in the hope that you will receive the "echo" today, even though we wished for a more reassuring answer.
Despite the uncertainty, try to go into the night with positive thoughts. I can think of at least 10 other (and harmless) reasons for a bulge in the described area - so it absolutely does not have to be a new fistula forming, but you can only gain certainty through a medical examination - preferably tomorrow morning! In the event of a developing fistula, a medicinal therapy attempt may be possible before considering a new operation! So - be optimistic, sleep well, and "take the bull by the horns": go to your doctor tomorrow morning and get examined!
With the very best wishes and kind regards,
Dr. med. Christoph Schmülling
