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I am going to be having a seton put in due to an anal fistula. I am so nervous about this---for starters, how do you wipe? I have also been trying to workout----it causes the incision site to bleed (I had a prior surgery, which is what caused the fistula). Is it possible to exercise with this? I tried eliptical last week and walked today.....
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I'm not sure exactly where your outside fistula hole is, however, I have a rectal-vaginal fistula, so the seton runs along the perineum. I have found that if I overdo certain exercises, such as squats, lunges, etc., I will have some bleeding. It's not easy to know where the bleeding is actually coming from, but it's my suspicion that the pulling/rubbing of the seton on the exterior fistula opening causes the bleeding.

After the seton is placed, you may want to take a little time to let things settle/heal. And then slowly start your exercise program (with doctor's approval). You may find no problems at all, or there may be a few exercises you will have to be cautious with, or even avoid.

I'll add that the seton has not been a bad thing - I don't really know it's even there, and the drainage has nearly ended.

I wish you the best.
It does hurt once in a great while, if I pull or tug accidentally, or too hard - once again, it's the outside hole (the "v" side) that causes the few issues that I have had.

I strongly recommend a bidet - you can find a wide range of them, from a simple do-it-yourselfer (like mine: http://www.amazon.com/Luxe-MB1...=bidet+toilet+seat), or a bells and whistles: such as a toto - and everything in between. You will only have to gently pat dry after using the bidet, so you should have few problems in that area.

I was very nervous about having a seton, too, but physically - it's been a breeze.

If you have any other questions, feel free to pm me. Good luck!

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