Post-Surgery Concerns: Understanding Pain After Anal Fistula Repair
Post-anal fistula surgery Hello, Director: I had surgery for an anal fistula over two months ago. However, the doctor I saw only instructed me to take warm sitz baths with Betadine daily, without specifying for how long. I have been doing this until the wound heals, which has bee...
Dr. Ke Fangxu reply Surgery
Whether it is a recurrence of a fistula can only be determined through a physical examination, as online consultations cannot provide a diagnosis. However, based on your description, it seems less likely to be a recurrence. I recommend that you consult your surgeon for a further ...[Read More] Post-Surgery Concerns: Understanding Pain After Anal Fistula Repair
Post-Surgery Concerns: Sexual Activity and Childbirth After Anal Fistula Repair
Issues Related to Sexual Activity or Childbirth After Anal Fistula Surgery Hello Doctor, I underwent anal fistula surgery in early March, but from May to July, I experienced swelling and even pus formation. I consulted my original surgeon, who addressed the issues, and after a pr...
Dr. Ke Fangxu reply Surgery
1. If there is still swelling and purulent discharge, it may indicate a recurrence. As long as there is no anal intercourse, it should not affect sexual activity. 2. If the fistula is not connected to the vagina, then it should not be related. 3. It depends on the subsequent ...[Read More] Post-Surgery Concerns: Sexual Activity and Childbirth After Anal Fistula Repair
Severe Pain After Hemorrhoid Ligation: What to Do Next?
Severe pain after hemorrhoid ligation? Hello Doctor, three days ago I underwent a hemorrhoid ligation surgery at the Taipei City Hospital Zhongxiao Branch. I am experiencing severe pain, and prior to the surgery, I had repeatedly requested a minimally invasive procedure, but the ...
Dr. Ke Fangxu reply Surgery
Typically, severe pain after hemorrhoid ligation is caused by insufficient depth of the ligation. In such cases, the rubber band should be removed, and the patient should wait for the wound to heal before proceeding with the next stage of treatment planning.[Read More] Severe Pain After Hemorrhoid Ligation: What to Do Next?
Understanding Anal Fistulas: Treatment Options and When to Consider Surgery
Anal fistula Hello, Doctor. About a year ago, I noticed a hard lump near my anus. When it first appeared, I consulted a physician who said it was hemorrhoids, and I left it at that. Over the past year, the lump has been painless, itch-free, and without any discharge, and its size...
Dr. Ke Fangxu reply Surgery
The only definitive treatment for an anal fistula is surgery. If there is no infection, swelling, or discomfort, continuous observation is also an option. However, if there are recurrent infections, it is advisable to proceed with surgical treatment to prevent the development of ...[Read More] Understanding Anal Fistulas: Treatment Options and When to Consider Surgery
Managing Acute Anal Fissures: Tips for Pain-Free Bowel Movements
Anal fissure bowel movement issues? Hello, doctor. A few days ago, I experienced a problem with anal fissures due to excessive straining from constipation, and I have already seen a doctor. The doctor diagnosed it as an acute anal fissure, which is not serious and should heal in ...
Dr. Ke Fangxu reply Surgery
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding, and there may be frequent urges to defecate due to irritation from the wound. The pain often lasts for several days, sometimes exceeding a week. Common causes include const...[Read More] Managing Acute Anal Fissures: Tips for Pain-Free Bowel Movements
Two Painful White Bumps Near the Anus: What You Need to Know
Two small white bumps have appeared outside the anus? About two months ago, a bump appeared that I initially thought was a pimple. However, it hasn't gone away after all this time, and it hurts when water touches it while showering. Occasionally, it also itches (though infre...
Dr. Ke Fangxu reply Surgery
What issues require a physician's personal examination for diagnosis? It is impossible to make a definitive diagnosis based solely on a written description, and online consultations cannot replace actual medical evaluations. Based on your description, it is possible that you...[Read More] Two Painful White Bumps Near the Anus: What You Need to Know
Blood in Stool: Understanding Causes and When to Seek Help
Blood in the stool? Recently, I have been experiencing blood in my stool. Two days ago, I went for an examination, and after the doctor performed a digital rectal exam, he said there was no bleeding from the rectum and proceeded to perform a rubber band ligation for my internal h...
Dr. Ke Fangxu reply Surgery
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Spicy and irritating fo...[Read More] Blood in Stool: Understanding Causes and When to Seek Help
Long-term Use of Hemorrhoid Cream: Risks and Alternatives for Relief
Using hemorrhoid ointment for an extended period can cause discomfort in the anal area? Hello, doctor. I previously had an anal fissure, and the hospital prescribed a medication called "Hiyu Zhi" ointment, which I applied for about a week, and the fissure healed without...
Dr. Ke Fangxu reply Surgery
1. You might be overthinking; the probability of developing anal cancer at this age is extremely low, and anal cancer is a rare type of cancer. 2. The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The pain often lasts fo...[Read More] Long-term Use of Hemorrhoid Cream: Risks and Alternatives for Relief
Is Bleeding After Rubber Band Ligation for Hemorrhoids Normal?
Post-banding bleeding of internal hemorrhoids? Hello, Dr. Ke. I would like to ask, after undergoing rubber band ligation for hemorrhoids one month ago, I have had no discomfort. However, these past few days, after using the restroom, I noticed that when I wiped a bit harder, ther...
Dr. Ke Fangxu reply Surgery
One month after rubber band ligation for hemorrhoids, the wound should have healed. At this point, any bleeding may be due to bleeding from other locations of internal hemorrhoids. As long as the amount of bleeding is not significant, it is not a concern; otherwise, it is advisab...[Read More] Is Bleeding After Rubber Band Ligation for Hemorrhoids Normal?
Understanding Buttock Pain and Stool Shape Changes: A Gastrointestinal Perspective
Stool shape and dull pain in the buttocks? Hello, Doctor. I've been experiencing some issues for the past two months. About two months ago, I started having a dull pain in my buttocks. It's not constant; it occurs intermittently for a second or two. The pain is not loca...
Dr. Ke Fangxu reply Surgery
At the age of 34, the likelihood of developing colorectal cancer is not zero, but generally speaking, it is relatively low. Based on your description, it seems more like symptoms of hemorrhoidal swelling or anal fissure pain. It is advisable to maintain a light diet and a good li...[Read More] Understanding Buttock Pain and Stool Shape Changes: A Gastrointestinal Perspective
Post-Abscess Treatment: Managing Anal Fistula Risks and Recovery
Post-treatment for anal abscess? Hello, doctor. About six years ago, I had an anal abscess, with a small wound (approximately 1 cm) near the anus. After recovery, no fistula was detected at that time. Two weeks ago, after traveling and soaking in a hot spring, the anal abscess re...
Dr. Ke Fangxu reply Surgery
1. Currently, it is likely still in a subacute inflammatory state, and it will take about another month for the fistula to mature and stabilize before a more definitive assessment can be made. 2. If there are no recurrent infections, surgery may not be necessary; however, this ...[Read More] Post-Abscess Treatment: Managing Anal Fistula Risks and Recovery
Understanding Urinary and Fecal Incontinence in Older Men
Urinary incontinence and fecal incontinence? An elderly male in his 60s has recently experienced issues with urinary and fecal incontinence, which he has not encountered before. He feels an urgent need to use the restroom as soon as he has the urge, or he fears he will not make i...
Dr. Ke Fangxu reply Surgery
This phenomenon is often due to insufficient sphincter strength, and a minor stroke could also potentially cause this situation. It is advisable to first consult a neurologist for evaluation. If it is solely a sphincter issue, oral medications combined with Kegel exercises can ge...[Read More] Understanding Urinary and Fecal Incontinence in Older Men
Post-Surgery Swelling and Bowel Issues After Mole Removal: What to Expect
Post-operative swelling and difficulty in bowel movements after mole removal? Hello Doctor, I underwent minimally invasive excision of external moles two months ago and have been attending regular follow-up appointments (three visits so far). Two months post-surgery, I have notic...
Dr. Ke Fangxu reply Surgery
After hemorrhoid surgery, it is common to experience abnormal sensations for a short period, but typically, these should return to normal within about two weeks. If you are still experiencing these sensations after such a long time, it may be considered unusual. Whether this is r...[Read More] Post-Surgery Swelling and Bowel Issues After Mole Removal: What to Expect
Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Treatment options for anal abscesses? Hello, Doctor. About 5-6 years ago, I had an experience with an anal abscess that required incision and drainage, but it did not result in an anal fistula. Recently, about 6 days ago, I started feeling mild discomfort deep in the anal area, w...
Dr. Ke Fangxu reply Surgery
An anal abscess is indeed more effectively treated with incision and drainage; however, if the abscess is too small or located at a greater depth, antibiotic treatment can also be a viable option. It is also possible that the physician you consulted is not a specialist in colorec...[Read More] Understanding Treatment Options for Anal Abscess: Antibiotics vs. Drainage
Post-Appendectomy: Understanding Fever and Frequent Urination After Surgery
15 days post-appendectomy? It has been 15 days since your appendectomy (with some peritonitis), and the wound appears normal with no issues during your follow-up visit. Is it normal to experience frequent urination at night? Recently, you have also had a fever for the past two da...
Dr. Ke Fangxu reply Surgery
If a urinary catheter was inserted during surgery, there is a possibility of developing a urinary tract infection, which may require a urinalysis for confirmation. If it is related to surgical complications, an intra-abdominal abscess could also be a possibility. This diagnosis w...[Read More] Post-Appendectomy: Understanding Fever and Frequent Urination After Surgery
Is This Varicose Veins? Understanding Symptoms and Treatment Options
Is this varicose veins? Hello, Doctor: I have purple, indented marks on the inner sides of both thighs (in the groin area) that have been present for about 20 years. They look quite unattractive, but they are painless and itch-free. Could this be considered varicose veins? Do I n...
Dr. Ke Fangxu reply Surgery
This appears to be skin stretch marks rather than varicose veins. The mechanism of occurrence is similar to that of striae gravidarum. Individuals who experience rapid weight loss or have a long-term use of corticosteroids are more prone to this phenomenon. To eliminate them, it ...[Read More] Is This Varicose Veins? Understanding Symptoms and Treatment Options
Post-Surgery Concerns: Three Months After Anal Fistula Procedure
Questions regarding the condition three months after anal fistula surgery? Hello, doctor. I underwent anal fistula surgery at the end of February this year, where the doctor performed a fistulotomy. During this period, I took about 20 days off work to rest. I have been taking sit...
Dr. Ke Fangxu reply Surgery
Postoperative hard lumps at the wound site may be scar tissue resulting from good healing, but there is also a possibility of recurrence. If both physicians do not suspect recurrence, then the likelihood of it being scar tissue is greater. Scar tissue generally takes about six mo...[Read More] Post-Surgery Concerns: Three Months After Anal Fistula Procedure
Managing Diarrhea After Colorectal Surgery: Tips and Treatment Options
Colorectal issues, Irritable Bowel Syndrome (IBS) In the past, I often experienced diarrhea due to exam-related anxiety during my school years. Later, in my early twenties, I underwent a colostomy due to rectal cancer, with the stoma located approximately between the ascending co...
Dr. Ke Fangxu reply Surgery
It is normal to experience frequent bowel movements as a postoperative complication after rectal cancer surgery. This is due to the shortening of the rectum, which reduces the capacity for stool storage. Besides taking medications to control the frequency of bowel movements, ther...[Read More] Managing Diarrhea After Colorectal Surgery: Tips and Treatment Options
Post-Surgery Discharge Concerns: What to Expect After Anal Surgery
Post-operative discharge issues after anal surgery? Hello, Director. I underwent an anal fistula incision and drainage surgery at the end of August last year, and then had another surgery at the end of February this year. This time, the surgery was a bit more complex, involving h...
Dr. Ke Fangxu reply Surgery
The healing period for complex anal surgeries can be quite lengthy. However, if there is still discharge after three months, it may not be normal. If the surgeon has examined the area and found no issues, it is likely not a recurrence. Additionally, if a flap surgery was performe...[Read More] Post-Surgery Discharge Concerns: What to Expect After Anal Surgery
Understanding and Managing Thrombosed External Hemorrhoids After Surgery
Thrombosed external hemorrhoid Two weeks ago, I went to the hospital to treat an internal hemorrhoid (which was very painful this time). As a result, a week later, I noticed a fleshy lump outside the anus, skin-colored and about the size of a peanut, which is swollen and extremel...
Dr. Ke Fangxu reply Surgery
If the ligation of internal hemorrhoids is performed too superficially, it can lead to complications such as pain and swelling due to the proximity of the wound to external hemorrhoids. Currently, the best approach is to take warm sitz baths and wait for the wound to heal. If the...[Read More] Understanding and Managing Thrombosed External Hemorrhoids After Surgery