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An anal fistula forms an abnormal channel between the anal canal and the skin near the anus, often following an intestinal infection or abscess in the anus. Surgery to drain the abscess, called a fistulotomy, allows the infection to heal and the abnormal channel to close. After anal fistulotomy, the right diet can help prevent complications. After having surgery to remove an anal fistula, you should be able to move around and eat and drink after the effects of the anaesthetic painkilling medication have worn off. If the fistula is relatively simple to operate on, you may be able to go home on the same day as the surgery. an anal fistula is a tunnel that runs from inside the anus-- the hole your body uses to get rid of solid waste -- to somewhere in the skin around it. Here you can read posts from all over the web from people who wrote about anal fistula and constipation, and check the relations between anal fistula and. He too had an anal fistula which he had surgery on, his was. My youngest ds became constipated after getting an anal fistula removed and wouldnt go for days either. Usually, you can expect to leave the doctors premises on the very same day of the surgery. The doctor will ask you to stay in rest for about 24 hours or at least for the remainder of the day. For the fistula to be completely healed, it takes quite some time about a few weeks or months as well. However, within a week or two, you would be able to return to work. This usually involves cutting a small portion of the anal sphincter muscle to open the passage, joining the external and internal opening, and converting the passage into a groove that will then heal from the inside out. You may notice a small amount of pus or blood draining from the opening of your fistula. You can put a gauze pad over the opening of the fistula to absorb the drainage, if needed. Most people can go back to work and their normal routine 1 to 2 weeks after surgery. To prevent constipation after starting a high-fiber diet, increase fiber gradually until you reach your desired intake. The american college of gastroenterology, or acg, recommends that you aim for 20 to 35 g of fiber each day to maintain digestive health 2.