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Wednesday, May 7, 2025

Is the surgery for a baby’s anal fistula painful?

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When a baby encounters an anal fistula problem, surgery is a common solution. Modern anesthesia techniques are quite mature, whether it’s local anesthesia, epidural, or saddle block anesthesia, all can ensure that the baby completes the surgery painlessly, although a small number of children may feel discomfort or have abnormal reactions after the procedure. An anal fistula, as a granulation tube around the anus, is usually caused by the rupture of a perianal abscess from the rectum. It has various types, from a simple anal fistula with only one external opening to complex fistulas with multiple openings requiring thread treatment, with different treatment methods.

For simple cases of anal fistulas, such as low or high simple fistulas, treatment may include using potassium permanganate sitz baths as recommended by a doctor to accelerate wound healing, combined with oral antibiotics such as amoxicillin or cefuroxime to prevent infection. In addition, maintaining a light diet and avoiding spicy foods are crucial for recovery.

Complex anal fistulas, such as horseshoe-shaped fistulas or fistulas with multiple internal and external openings, may require surgical removal of the fistula tract, drainage of necrotic tissue, and regular disinfection and dressing changes. Topical medications such as erythromycin ointment or mupirocin ointment are also effective in promoting wound healing and preventing infections.

When parents face their child’s anal fistula condition, the primary task is to seek medical attention promptly, undergo professional examinations to determine the condition and receive appropriate treatment. At the same time, cultivating good habits in children, ensuring an adequate rest, avoiding staying up late, encouraging appropriate exercise to boost the body’s immunity, can greatly benefit disease recovery.

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