Thanks so much for watching! Anal fistulas can be complicated so I recommend you see a proctologist to have the best chance of treatment. Let me know your thoughts!

@khanumdamani2447

2 жыл бұрын

I have anal fistula about 1.5 year .how many years people live with fistula and how many chances of reoccurring after fistula treatment........

@LOVELYEBONIA

2 жыл бұрын

what if there is no proctologist here in our place in Philippines? To what kind of doctor should I go to instead?

@jaypuropuro1941

2 жыл бұрын

@@LOVELYEBONIA hi ma'am did u already seen by a colorectal surgeon in your place

Thank you for the information. That really answers my question.

Dr Chang deserves an Oscar in Medicine. ❤❤❤❤❤Respect Love Forewer

May the good Lord Heal us.Amen

@rawlcampbell6451

11 ай бұрын

Hallelujah. Amen.

@giovanniejones4907

3 ай бұрын

Amen

Thank you😊

I appreciate the way you explain and break down the condition. I am going on my 6th surgery in the last 2 years. Unfortunately my case ended up being very complex. I hope I can have it resolved without going this many surgeries again. It's been more than difficult

@Blessed_22

7 ай бұрын

So sorry to hear this.. my heart goes out to you

@Cute__Marshall-l3q

7 ай бұрын

Please how is the recovery process after anesthesia have wear off

@ahes007

7 ай бұрын

@@Cute__Marshall-l3q It all depends on the severity of your condition. There are several types of fistulas that can range in complexity/recovery. Generally speaking, if your case isn't complex, fistulotomy's should resolve the condition in a surgery or two with pain depending on how much tissue and muscle is affected. The only way you'll get as close to an answer as possible before your surgery is to get an MRI and have your surgeon look over it to determine the location and severity. I can't emphasize it enough though, get a specialist. Find a Colorectal surgeon because general surgeons typically don't deal with complex cases and I found that out the hard way. All of my surgeries had varying levels of pain, with the first 2 weeks being the most difficult.

@Cute__Marshall-l3q

7 ай бұрын

@@ahes007 okay thanks so much mine is fistulotomy I guess it is a simple fistula not that complex

@Cute__Marshall-l3q

7 ай бұрын

@@ahes007 I have hemorrhoid too I don’t know if I should remove the pile too at once with the fistula but the pile is not disturbing me or bothering me

You seem so sweet Dr🥰

Hi - Thoughts on jpouch with complex fistula? Jpouch was done because of UC and couple years later fistula happen. They believe now it's crohns sadly. Just wanted to know if you come across someone like this and was able to see positive results on patient? thank you!

Hey dr which state you’re thanks for the information

Thank you Doc for this vedio, I have a question it is true that fistula become cancer if it is not healed i have this for almost 20yrs and I undergo first surgery for fistula in ano but sad to say it was failed because I feel the same again with this kind of pain..

I have Kaiserr and need this surgery. The surgeon would be a colo-rectal surgeon. Does this sound like the right surgeon ? Tnx

How much would cost if I need surgery or which insurance I should get

Hi doctor ,Thank you for video. Hope you kindly reply,I had surgery 6 months ago perianal abscess and today i experience rectal bleeding because of hard stool . What is the possibility it would likely come back ,Im anxious because of this. Thank you!

I'm so discouraged 😞 My fistula came back a mere 3 months after my operation. My surgeon let me know there was always a chance but i didn't think it would be so soon. After such a painful recovery period with expenses and downtime from my job, I atleast could enjoy a month and a half of not having to worry about it.

I had the surgery 13 yrs ago. It is just now having some issues. May have to have surgery again

I think I have one I got a cyst 5 months ago Took three months before I got another one and I keep getting an abscess every 10 days now happen 4 time

Thanks for the information. I have Crohn’s disease and just had a fistulotomy yesterday. I have had several internal fistulas within my bowels, but this is my first one that came to the outside. It is a very painful surgery and I pray this is my only one with no reoccurrence, but I do have Crohn’s so……

@deepanshu1456

Жыл бұрын

How are u now ?

To anyone struggling with this condition please don't read the comments. I feel like my research and the comments don't match up. I hope that the people in the comments are extreme rare cases. I had a double fistula which the doctor called 'complicated fistula' and I just had surgery to drain abscess and place a seton for the first fistula and the doctor told me I will have the seton for 6 weeks after which we will begin treating the second fistula. I am totally scared and terrified and the comments I read here made it worse because they said they have been having 5+ surgeries to no avail. I really hope that's not the case from me. Doctor, I am not looking for medical advice, just reassurance and hope that I could be healed fully, preferably within a few months.

@andreslara9522

10 ай бұрын

im confused. you read the comments but are in distress due to contradicting info? Everyones surgery process will be different.

@xyz000-km2nv

7 ай бұрын

How you feeling now

@sagartripti

4 ай бұрын

How are you feeling now?

@Stonbreas

4 ай бұрын

@@sagartriptii am doing just great. My second surgery was successful and my fistula has completely healed and no sign of recurrence for 3 months now! I am really happy with the way things turned out!

@sagartripti

4 ай бұрын

@@Stonbreas good to hear that, I have an appointment scheduled next week with the surgeon to see if I suffer from fistula or not. I have small bumps in the bottom which bursts puss/ blood 😞 suffering from fissure since last November so I think it's caused that. Wondering how I can develop these so early 😭😭😭 quite scared of the surgery TBH 😭

I just got a Fistular reoccurrence I had to go to the emergency room and they had a lancet open, I have never felt so much pain in my life ever I don’t wish it on my worst enemy and she had a packet. Also, I can’t believe the screams I was letting out, my surgeons on vacation so Friday the day after Thanksgiving I’m gonna go see the doctor see where we’re going to take this, pain like you’ve never felt before

@ahes007

8 ай бұрын

I hope your recovery starts to get better and you can start to feel better/manage your pain. If you have reoccurring fistula and it comes back again, you should request a referral to a Colorectal surgeon if you don't already have one. General Surgeons do not typically have much experience in complex cases, at least in my own personal experience. I have had MANY surgeries for the same condition and have learned different ways to manage it. Warm baths with Epsons multiple times a day really helps with the flare ups

@sagartripti

4 ай бұрын

​@@ahes007how are you now??

thank you doctor, fistula is so painful unbelievable

@charitysalud4314

2 жыл бұрын

What is the secret to complete heal ? I'm done minor surgery last 2 months

@rockandblues3635

2 жыл бұрын

@@charitysalud4314 @ I have high complex fistula, I have 11 surgeries, 2 setons, 2 clips there's no secret, mine take 3,5 years to heal completely and hope never return, so what kind fistula do you have

@jaypuropuro1941

2 жыл бұрын

@@charitysalud4314 how are you now ma'am what procedure do to your fistula

@mufalalimuwana2489

10 ай бұрын

I usually have both fissure and fistula am always in pain when passing bowel movements 😢😢

I had surgery for my fistula 2 days ago. I was expecting the ring of fire down there after surgery. But I don't have that much pain at all. Now hoping it heals up pretty well.

@dakimohamed1384

Жыл бұрын

What procedure did they do?

@sillesrepa8249

Жыл бұрын

@@dakimohamed1384 Fistulotomy. Soo they cut open the fistula to heal. Its been 8 days now and I'm back to work with no pain at all. Only using toilet paper is annoying and having to jump under the shower after a bowel movement is kind of annoying but I'm glad thats the only thing that is bothering me.

@TechyAviral

Жыл бұрын

@@sillesrepa8249 how was the pain after bowel movements. Bearable?

@tenderpawsm473

Жыл бұрын

@@TechyAviral After a standard, lay open fistulotomy, there was not much pain. I just hope this works. This was my second time having fistula procedures. (A year ago, I had a seton placed for 7 weeks). I think if you have Lift, that is quite a bit more painful.

@TechyAviral

Жыл бұрын

@@sillesrepa8249 ?

The doctor removed my fistula and put a stitch on the rectal wall and it fell off in 6 days...so I am afraid that this fistula will happen again..

Mulțumesc frumos dacă puteți traduce ln Romaneste

Where is the VAAFT available please

Hi doctor, is it possible after fistulatomy surgery there is popp out at the open wound? I already done the surgery last week and evertime i cleaned the open wound there is a pop at the area.

@turagsoy6719

Жыл бұрын

You should need the siltz bath to clean the area, 2 to 3 times a day.

I undergone fistulectomy a week ago. It was just a simple fistula. After a week of recovery, it shows signs of infection and the surgical wound was starting to opening day by day. Went back to see the dr but all he said was just do dressings after sitz bath. Now the surgical wound, I guess, is opened completely that I myself can even see the opening hole going inside. I don't even know what I should do anymore

@rioindrawan4773

Жыл бұрын

Hi , are you recover now ?

@ety3144

Жыл бұрын

Get a different doctor to check it.

@tenderpawsm473

Жыл бұрын

Naszsigoreng, your doctor performed fistulECTOMY? My doc said that technique was not preferable.

Hey doc kindly reply. I've had constipation issue since childhood. On random and first checkup regarding this I've visited doc in January 2023 she diagnosed me with fistula and pus in it. I took antibiotics course of 7 days. After 2 weeks when I went to that doctor again there was another doctor she said there's nothing except fissures. On my insisting she call the first doctor who diagnosed me with fistula n then they said if it's not bothering you then there's no need of surgery. I've never seen pus on my cloths, I've increased my water intake there's no constipation n bleeding after that. So what should I do? Should I still go for surgery? Or for how often should I go for an exam? Please answer as it was shocking for me.

@sagartripti

4 ай бұрын

How are you now??

I want to ask something dr. > I had fistula in ano 5-6months ago and i got it removed by surgery (fistulotomy). What i want to ask is that is it inevitable for fistula to return ? I mean will it reoccur to me again? >Also there is a kind of hard tissue in the place of surgical scar (it doesn't hurt or something). Is it signs of it recurring? Pls reply sir

@yourfriendlyproctologist

2 жыл бұрын

Time is the best test for recurrence. In terms of the scar, you will need to ask your surgeon as I don't know your details.

It's a painful process and depression does kick in. I have had four surgery or operation. But the pus is power high and I don't know how I can manage it any more . And I usually put a pad to trap the pus. How long can a person live with such a condition?

@yourfriendlyproctologist

2 жыл бұрын

Sorry to hear your story. People can live a very long time with anal fistulas. Wish the best for you.

@MohsinAli-lx3hp

2 жыл бұрын

How is your condition now?

@juantejada9148

2 жыл бұрын

I have had 5 surgeries and this final one I thought was going to be my last and instead they placed a seton again. It definitely takes a toll on my mood and my depression kicks in. Im hoping one day I wont be dealing with this. My doc says I have a really long track.

@techstark4503

Жыл бұрын

@@juantejada9148 hey how are you now?

Hi Dr. Chung can you make a Vedio how the proper hygiene after post op of fistula please and Thank you

@yourfriendlyproctologist

2 жыл бұрын

Sure! it has been added to the list.

@SreekanthEnglish

2 жыл бұрын

@@yourfriendlyproctologist Please make a video on Post operation care & healing process of fistula wound... No where I find this.

Hello Dr. I got my fistulotomy a month back. Everything is going fine except the drainage little yellow pale colored liquid. Is it normal?

@msgrubbgrubb8347

Ай бұрын

I highly recommend you go get the surgery go get a checked out it may be superficial. Go now before I continues to grow.

Hi Dr. Chung, I had a Fistulotomy 18 months ago. Will the fistula return to the same spot after the surgery?

@xyz000-km2nv

7 ай бұрын

How u feeling now, is it completely ok

I've had an abscess before and it's come back about 4 times now but it only came back super small and didn't hurt much at all. It healed over and had a small bump then burst. The only thing I can think of is a fistula, but it doesn't hurt at all or give off a smelly discharge. Are there cases of "mild fistulas"?

@yourfriendlyproctologist

2 жыл бұрын

There are simple and complicated fistulas.

@TechyAviral

Жыл бұрын

how you doing now?

Had my lazer operations about 5-6 week ago it heal and burst again , and it always heal on the outside first which makes it frustrating for me

@sagartripti

4 ай бұрын

How are you now?

@tankimpoh7212

4 ай бұрын

@@sagartripti doing good

@sagartripti

4 ай бұрын

@@tankimpoh7212 did you have another surgery? Or it healed on its own?

@tankimpoh7212

4 ай бұрын

@@sagartripti i have two surgery 1 month apart and after that it heals slowly

@sagartripti

4 ай бұрын

@@tankimpoh7212 and was it both laser treatment? How long has it been since your surgery and have you recovered fully?

Hi doc, just want to ask i just april11,2024 had my fistulectomy for 5months now, no symtons and nor pain. I just notice near my anus there was deform small hole and watery,creamy white coloured drainage but small amount only. Is it part of healing process or sign to concer and worried about it?

@vossboss220

2 ай бұрын

I have the exact same small hole near the operation area along the scar tissue. It's concerning. I had to reschedule my follow up appointment because I want to know asap

i went to a doctor like you as i was having itch and bleed and he saw nothing but told me to make the skin tag operation ,which i did but still the itch still there and they didn,t say anything about me having this problem but i,m beginning to suspect it,s this i got cause i feel it but they only see the hemmoroids cause they came out again and it,s right behing the lower hemmoroid but doesn,t show i can only feel it

@sagartripti

4 ай бұрын

How are you now? Did you get a diagnosis??

@nadiabonnici7788

4 ай бұрын

after i think 2 years it healed on it,s own, who knows what it was

The outer tunnel of my fistula is clogged and turning black, its red now, am I in risk of cancer?

@yourfriendlyproctologist

2 жыл бұрын

I'm unable to comment since I haven't seen you. I recommend you see a specialist in your area.

@aniutrahim1742

11 ай бұрын

How is your fistula today? Is it healed?

I had a fistula repair surgery 14 months ago, I'm definitely feeling better but I'm still having some mild pain when I'm sitting and some burning and itching after bowel movement. I went back to my doctor, she couldn't figure out the issue. What could be the problem?

@yourfriendlyproctologist

2 жыл бұрын

It's very hard to say over comments. I would seek out another opinion.

@vrankyrule

2 жыл бұрын

What kind of surgery

@khalidboulesbaaarchtpmp2221

2 жыл бұрын

Anal fissure and fistula repair. First the surgeon cleaned the fistula and placed a Seton for 2 months. then She took the seton out and closed the fistula from inside. I think this procedure is called "Anal Fistulotomy" Thank you.

@vrankyrule

2 жыл бұрын

@@khalidboulesbaaarchtpmp2221 this is not fistulectomy...

@TechyAviral

Жыл бұрын

@@khalidboulesbaaarchtpmp2221 how you doing now? all ok?

I had fistula surgery 2 times first one is fistulotomy and it come back. The second one is lift Fistulectomy today my 23rd day after surgery i still feel some pain in my butt and I think it's back again 😔 I'm from Philippines

@TechyAviral

Жыл бұрын

How you doing now?

@ishpreetkaur4200

Жыл бұрын

how r you now did u have another surgery?

@robertcunanan1297

5 ай бұрын

Musta na ngayon sir

Hello doctor i had surgery already and that aera is fine now but now im having issues in another area now can that happen it comes back in a different area im so defeated

@sagartripti

4 ай бұрын

How are you now??

I had my fistulotomy about 3 weeks ago. Pain was horrible. Got constipated 4 days afterward, and that cleared up. The post surgical pain went away afterwards but here we aremay 27th and the pain is back 10 fold. I think its a recurrence. Whats your take. Im calling the suregon monday

@basmdaka6954

Жыл бұрын

Are you a frequent porn and masturbation addict? I would like to help

@abhilash6200

11 ай бұрын

I had the surgery 5days back... During dressing I am having unbearable pain..... Now wound is dried as per doctor observation but I am worried that it will repeat again

@abhilash6200

11 ай бұрын

Yes for me also it took 4 days for toilet but 1 day I suffered with blockage of urine too... Doctor cleared waste through his fingers

@sagartripti

4 ай бұрын

​@@abhilash6200how are you now?

Thank you for the information doctor. Can you live with a fistula ? cause all of these surgeries look to have no end. Im 42 with no history of medical ailments. 8 months dealing with an abscess . First had it opened and is still draining but a new abscess formed that made its own drain... level 6 of pain but not sidelined. Do tons of jiu jitsu and surf.. thoughts ? I have a proctologist that i trust , got a 2nd opnion and now im waiting for a MRI .

@haveks1215

2 жыл бұрын

I was wondering the same thing doctor? Can you live with anal fistula even if you want to go through the pain and other cons that come with it? Because I agree with the surgeries having no end, but I want a 2nd opinion about it. I’ve seen online that it says it could lead to cancer if left untreated is that true or false? Btw I’m only 23 & every doctor always tells that I’m very young to have this and that’s it’s very rare for my age.

@exploringnaturalbeauty2102

Жыл бұрын

​@@haveks1215 it's not rare for any age , I got it at 22 how are you now ??

@sagartripti

4 ай бұрын

​@@exploringnaturalbeauty2102how did you heal it??

@exploringnaturalbeauty2102

4 ай бұрын

@@sagartripti I had to ultimately go through surgery , but I am fine now..

Thank you doc but I have a question is it normal when your fistula opens a very little after surgery? And I did the surgery 1 year ago

@yourfriendlyproctologist

2 жыл бұрын

You will need go see a specialist for an examination.

Hi doc. I have a question for you can abscess make gassy or farting thank you.

@yourfriendlyproctologist

2 жыл бұрын

I'm sorry, I don't quite understand what you are asking.

@jaypuropuro1941

2 жыл бұрын

I mean doc. Can abscess trigger for always pass gas or farting are they related thank you for replying doc. God bless

@aiaangle1659

2 жыл бұрын

@@jaypuropuro1941 no they don't

I had fissure and internal and external haemorrhoids. I had gone through LIS and laser hemorrhoidectomy surgery 11 months ago. But this fissure and white discharge keeps coming back after surgery. From last 1 month, it is really painful but I tried to manage the pain but nothing helped. Yesterday I visited my surgeon again and he is suggesting for Trans rectal ultrasound because he think it’s fistula. Can my earlier surgeries cause fistulas?

@yourfriendlyproctologist

2 жыл бұрын

Consider a video consult with me. I would need more information.

I had anal fistula. Performed vaaft procedure 10 weak ago, now wound healed completely. mild mucoss in stool is present .no other problem.can I still perform sitz bath

@sagartripti

4 ай бұрын

How are you now??

@zen5704

15 күн бұрын

Where did you get this VAAFT please on NHS or private

@perfecthomebysk3490

15 күн бұрын

@@sagartripti completely healed

@perfecthomebysk3490

15 күн бұрын

@@zen5704 Peshawar Pakistan

I got preanal fistula 3 months ago it not getting better but lot of puss coming out and pain is getting settled my question is that do i need surgery

@naveenjatthr4072

3 ай бұрын

​@PritamThakur-th4piAbe gawar ye English bol rha ha thoda to akal lga ye Indian nahi hoga

@msgrubbgrubb8347

Ай бұрын

You should definitely get the surgery. My son did, go get checked asap.

Is it okay to breastfeed a newborn while having anal fistula?

@yourfriendlyproctologist

2 жыл бұрын

Yes!

@rohinijadhav2656

Жыл бұрын

Got anal fistula after normal delivery, dont know the reason why it happen I m also breastfeeding a newborn, had fistulotomy surgery 3 days ago, but afraid of recurrence

@shellashella5877

11 ай бұрын

⁠@@rohinijadhav2656hi, is it your surgery success? I also have a fistula after normal delivery. My surgeon told me to wait and see, they said no need to take a surgery. The fistula can be heal itself.

Hi Doctor, thanks for your video. I had surgery 5 weeks ago, surgeon said it was simple, healing went ok but feeling pain again sometimes which is quite similar to the pain I had before surgery. Wondering if normal and part of healing process or if I should consult. Thanks again.

@yourfriendlyproctologist

2 жыл бұрын

You will need to speak with your surgeon about your condition. I don't know what was done in your surgery.

I had my second surgery one month ago and I am afraid as hell for it to come back. I have anxiety disorder which does not help.

@sagartripti

4 ай бұрын

Was your surgery successful? How are you now?

@LupiFem

4 ай бұрын

@@sagartripti No, it came back. I had laser surgery and the fistula was not tight enough to be treated with laser. I changed my surgeon and he will use laser and a fistulotomy. Currently I am waiting for the third and, hopefully, final surgery. Thanks for asking :)

@sagartripti

4 ай бұрын

@@LupiFem oh sending prayers for your speedy recovery. These things are really difficult to navigate through 😞

@msgrubbgrubb8347

Ай бұрын

My son just had his surgery too make sure you’re keeping it clean like Super Duper clean.

Hello doctor! How can we clean before we puting any antibiotics ointment. Can you please help me .

@yourfriendlyproctologist

2 жыл бұрын

I would take a shower or a bath to clean yourself.

@kuangziangfoong3569

Жыл бұрын

In additional, please soak your ass in warm salt water, after pass through stool everyday.

Why are you so happy? Why? Answer me. WHY ARE YOU SMILING LIKE THAT?

i have a question my fistula hasnt healed for almost a year and it hasnt healed yet it got smaller but sometimes it gets bigger and im getting worried since most people heal in a month or so and mine hasnt healed for more than 6 months

@yourfriendlyproctologist

2 жыл бұрын

I advise you see a specialist near you.

@iccc998

Жыл бұрын

It doesn't heal on its own. You need surgery

What surgery method would you use if the fistula is right below the anus?

You said most of the surgeries are successful . Does that mean that (lets assume ) out of 100 patients most of the people won't be getting it back?

@yourfriendlyproctologist

2 жыл бұрын

It depends on many factors known and unknown. Most people do have success on the first try.

@goldyb787

2 жыл бұрын

@@yourfriendlyproctologist thank you very much sir for the reply. I have a kind of hard lump (no pain or anything just a tiny bit of hard tissue ) i am confused is it thick scar tissue or is it growing back? Pls sir 🤧

@rapunzelmaala1338

2 жыл бұрын

@@yourfriendlyproctologist doc.what do you called if you have a fistula on both side of butt.

@charitysalud4314

2 жыл бұрын

@@yourfriendlyproctologist for.me doc this my firts surgery fistulomy procedure .last February 2022. But today have a small wound present is natural ? How many months to complete closed and healed the wound up?

@TechyAviral

Жыл бұрын

@@charitysalud4314 how you doing now?

Deja vue 😢. I’m back, bad diarrhea and me trying to convince myself it’s IBS, please god give me a hemorrhoids instead. Let the blood be hemorrhoids. But I have puss now.

How can I contact you?

@yourfriendlyproctologist

2 жыл бұрын

You can email yourfriendlyproctologist@gmail.com if you are looking for a video consultation or you can call the office for an in-person consult.

Thank you doc . I got second surgery one month ago . Is so hard and painful . I still has a lot drainage . I got seton . Is it normal doc thanks . New sub.

@yourfriendlyproctologist

2 жыл бұрын

Drainage is very normal and expected. Definitely check with your surgeon if you are concerned. Wish you the best.

@MohsinAli-lx3hp

2 жыл бұрын

How is your condition now?

@respecteveryone8295

2 жыл бұрын

I got my three surgery still healing but it better then before . Because my seton it didn’t came out by it self. She said your seton it work very good it healed all most inside . Thank you for your asked b me

It Came again after my consumption of chicken meat

Thank you for information, just confirms that fistulas is not easy to cure...hip replacement, cancer cures, whatever problems seems to be do- able, yet pain in the bum problem...can- no- can- do- Thus (prayer) Body Please heal thy self.