Understanding Abdominal Hard Tissue: When to Seek Further Medical Evaluation
Abdominal hard tissue Hello, doctor. I would like to ask if it is necessary for me to undergo further examinations. At the beginning of September, I sought medical attention due to persistent dull pain in the lower right abdomen, which was not very severe—about 1/10 of the pain o...
Dr. Ke Fangxu reply Surgery
The so-called hardened tissue cannot provide a possible answer without a personal examination. However, at this age, it is mostly likely a benign subcutaneous tumor. Abdominal ultrasound generally does not pay much attention to subcutaneous tissue. Malignant tumors do not necessa...[Read More] Understanding Abdominal Hard Tissue: When to Seek Further Medical Evaluation
Post-Hemorrhoid Banding: Understanding Bleeding After Surgery
Post-banding bleeding after internal hemorrhoid ligation? Hello Doctor, I underwent a hemorrhoid ligation surgery for grade II internal hemorrhoids three weeks ago. Until now, I still notice a small amount of blood on the toilet paper after wiping, although the amount is minimal....
Dr. Ke Fangxu reply Surgery
1. Mild bleeding after hemorrhoid ligation is a normal phenomenon; however, if it persists for an extended period, medication treatment may be necessary. 2. The indications for hemorrhoid ligation should be hemorrhoidal bleeding that is unresponsive to medical treatment. If the a...[Read More] Post-Hemorrhoid Banding: Understanding Bleeding After Surgery
Blood in Stool: Is It Related to My Recent Hemorrhoid Banding?
Blood in the stool? Hello Doctor, I have been experiencing bowel movements with blood for four consecutive days this week. One day, the blood was at the front of the stool, and today it was in the middle of the stool, both times just a small amount that seemed to be attached to t...
Dr. Ke Fangxu reply Surgery
Mild bleeding after hemorrhoid ligation is a normal occurrence; as long as there is no significant bleeding, there is no need to rush back for a follow-up appointment. The rubber band has likely already fallen off, but even if it hasn't, there is no need to worry excessively...[Read More] Blood in Stool: Is It Related to My Recent Hemorrhoid Banding?
Managing Recurring Hemorrhoids After Surgery: A Patient's Journey
Recurrence of hemorrhoids after surgery? Hello Dr. Ke: My husband underwent hemorrhoid surgery at National Taiwan University several years ago. Initially, everything was normal post-surgery, but due to severe anxiety over the past six months, he has experienced a loss of appetite...
Dr. Ke Fangxu reply Surgery
After hemorrhoid surgery, it is generally possible to remain symptom-free for up to ten years. However, if good bowel habits and dietary practices are not maintained, recurrence of symptoms within 1-2 years is also a common occurrence. Aiofuro is a type of venous constrictor and ...[Read More] Managing Recurring Hemorrhoids After Surgery: A Patient's Journey
Managing Perianal Skin Tears: Tips for Healing and Prevention
Perianal skin fissure? Last week, I inquired about a wound located on the left posterior near the groin, which was caused by allergic dermatitis due to medication irritation. The more I applied the ointment, the more it irritated the skin, and it did not improve until I stopped u...
Dr. Ke Fangxu reply Surgery
Visual observation of skin issues is crucial; it is difficult to make a judgment based solely on written descriptions. If symptoms persist for more than a week without improvement, please seek medical attention promptly to prevent the condition from worsening.[Read More] Managing Perianal Skin Tears: Tips for Healing and Prevention
Post-Surgery Anal Stenosis: Managing Pain and Leakage After Treatment
Post-mole excision? Hello Doctor, I underwent ultrasound knife surgery on July 26. Due to pain and difficulty during bowel movements, a month and a half later, the surgeon diagnosed me with anal stenosis and performed anal dilation. For the past month, the doctor has instructed m...
Dr. Ke Fangxu reply Surgery
If the anal stenosis is not severe, the anal sphincter may potentially return to normal. However, if the stenosis is severe enough that it cannot be resolved through sphincter function or if there are recurrent episodes of stenosis with pain, surgical intervention such as analopl...[Read More] Post-Surgery Anal Stenosis: Managing Pain and Leakage After Treatment
Post-Banding Bleeding After Internal Hemorrhoid Treatment: What to Know
Post-banding bleeding after hemorrhoid banding? Hello, Doctor. I had a hemorrhoid ligation on October 11, and since then, I have not had a bowel movement until today, October 13. However, during today's bowel movement, there was some bleeding. Unlike the previous bleeding fr...
Dr. Ke Fangxu reply Surgery
After hemorrhoid ligation, it is indeed possible to experience slight bleeding. As long as there is no significant or continuous bleeding, it should not be a concern. If the stool is too hard after the procedure, this may exacerbate the issue. A follow-up visit is generally not n...[Read More] Post-Banding Bleeding After Internal Hemorrhoid Treatment: What to Know
Understanding Thrombosed External Hemorrhoids: Symptoms and Treatment Options
The issue of thrombosed external hemorrhoids? Hello Doctor, four days ago on my way home from work, I felt pain in my anal area. When I got home and looked in the mirror, I noticed a small lump (about 0.5 cm in diameter). That night and the next day, I experienced significant pai...
Dr. Ke Fangxu reply Surgery
Thrombotic external hemorrhoids do not necessarily require treatment if there is no pain or discomfort. The time for spontaneous absorption varies depending on the size of the thrombus, typically ranging from 2 to 8 weeks. Warm sitz baths can be done, but there is no need to add ...[Read More] Understanding Thrombosed External Hemorrhoids: Symptoms and Treatment Options
Understanding How Genital Warts Can Be Transmitted Beyond Sexual Contact
I don't know how to get infected with a virus? Dear Doctor, Is it true that anal warts (condyloma acuminatum) can only be contracted through unprotected anal intercourse? I have never engaged in such sexual practices. However, in June of this year, I noticed a growth at th...
Dr. Ke Fangxu reply Surgery
Genital warts, commonly known as "cauliflower," are a type of viral infection transmitted through contact. In addition to anal intercourse, bodily fluids are also a route of transmission. It is possible for the virus to remain dormant for years before reactivating. It i...[Read More] Understanding How Genital Warts Can Be Transmitted Beyond Sexual Contact
Understanding Hemorrhoids: Types, Treatment Options, and Risks
Inquiry Consultation Hello Dr. Ke: I have a hemorrhoid located on the right side inside my anus. When touched, it feels like a semi-spherical shape and is usually retracted into the anus when not swollen, approximately 0.5 to 1 cm in size. I need to exert a little force to open t...
Dr. Ke Fangxu reply Surgery
1. It is considered an internal hemorrhoid. 2. If there is no prolapse or bleeding, the improvement after ligation treatment may not be significant, and there are no indications for this treatment according to health insurance and clinical guidelines. 3. The pain experienced ...[Read More] Understanding Hemorrhoids: Types, Treatment Options, and Risks
Understanding Seton Management Surgery: Potential Complications and Recovery Insights
Anal fistula is a condition that may have potential complications when treated with seton management surgery? Dear Director Ke, I have an anal fistula that began treatment with a seton placement surgery on February 25, 2022. One-third of the fistula's total length is locate...
Dr. Ke Fangxu reply Surgery
The indentation and the rubber band should not be related, and there is no reason for it not to heal on its own. It is more likely a remnant left from wound healing. If there is no pain or infection, no special treatment is necessary. If surgical repair is considered, I cannot an...[Read More] Understanding Seton Management Surgery: Potential Complications and Recovery Insights
Managing Perianal Skin Irritation: Tips for Healing and Care
Perianal skin fissures? Previously, due to internal hemorrhoids and anal fissures, I consulted doctors who advised me to take sitz baths without any restrictions on frequency. I diligently followed this advice and applied medication, but after more than a month, I noticed skin ir...
Dr. Ke Fangxu reply Surgery
The anal area is naturally a moist and warm environment, and intentionally maintaining excessive dryness may not be beneficial. If there are no abnormal secretions, there is no need to be overly concerned. Applying petroleum jelly is acceptable as it contains no medicinal ingredi...[Read More] Managing Perianal Skin Irritation: Tips for Healing and Care
Understanding Thrombosed External Hemorrhoids: Symptoms and Treatment Options
The issue of thrombosed external hemorrhoids? Hello Doctor, four days ago on my way home from work, I felt pain in my anal area. When I got home and looked in the mirror, I discovered a small lump (about 0.5 cm in diameter). That night and the next day, I experienced significant ...
Dr. Ke Fangxu reply Surgery
Thrombotic external hemorrhoids do not necessarily require treatment if there is no pain or discomfort. The time for spontaneous absorption varies depending on the size of the thrombus, typically ranging from 2 to 8 weeks. Warm sitz baths can be beneficial, but there is no need t...[Read More] Understanding Thrombosed External Hemorrhoids: Symptoms and Treatment Options
Understanding Long-Term Bowel Irregularities: Causes and Concerns
Long-term irregular bowel movements? Hello, doctor. I have been experiencing irregular bowel movements since I was 17 years old, which is now 7 years ago. Although I have a regular daily bowel movement, the stool feels formed when it passes through the anal opening but disintegra...
Dr. Ke Fangxu reply Surgery
Although the probability of developing colorectal cancer at the age of 24 is not zero, it is generally very low. Based on your description, it seems more likely to be irritable bowel syndrome (IBS), which is often related to diet and stress. It is recommended to start with a ligh...[Read More] Understanding Long-Term Bowel Irregularities: Causes and Concerns
Understanding Post-Surgery Discharge After Anal Fistula Surgery
Regarding the discharge after anal fistula surgery? Hello Dr. Fang: I had anal fistula surgery over two months ago, but I am still experiencing green discharge that has a foul odor. Could this be a recurrence of the fistula?
Dr. Ke Fangxu reply Surgery
Two months after anal fistula surgery, the wound should be mostly healed. If there are still abnormal secretions, it is likely due to infection or poor healing. It is recommended that you consult your surgeon to determine if medication or a repeat surgery is necessary.[Read More] Understanding Post-Surgery Discharge After Anal Fistula Surgery
Post-Surgery Complications: Managing Colostomy Closure Wound Issues
The surgical wound from the closure of the stoma has opened after the sutures were removed, resulting in continuous leakage of fecal matter? Hello, Dr. Ke. My father is 68 years old and had a temporary colostomy placed in the right upper abdomen after undergoing surgery for recta...
Dr. Ke Fangxu reply Surgery
The issue your father is facing is a leak at the site of the stoma closure. There are two viable options. The first is to temporarily withhold food and wait for the leak to heal on its own. The benefits of this approach are that it avoids the need for another surgery. However, th...[Read More] Post-Surgery Complications: Managing Colostomy Closure Wound Issues
Understanding Thrombosed External Hemorrhoids: When to Consider Surgery
Thrombosed external hemorrhoid Hello doctor, I felt uncomfortable while using the restroom a week ago and discovered a thrombosed external hemorrhoid. Currently, there is no bleeding and it doesn't hurt much, but it hasn't gone down. Do I need to consider aggressive sur...
Dr. Ke Fangxu reply Surgery
If thrombosed external hemorrhoids are not accompanied by severe pain, it is advisable to patiently wait for the thrombus to be reabsorbed, which typically takes 2 to 4 weeks. If there is swelling or discomfort, over-the-counter hemorrhoid creams can be applied to alleviate sympt...[Read More] Understanding Thrombosed External Hemorrhoids: When to Consider Surgery
Understanding Surgical Options for Colon Polyps: Resection vs. Electrocautery
Surgical methods During a health check-up, occult blood was detected, leading to a colonoscopy at Minsheng Hospital. A polyp measuring three to five centimeters was found in the colon. I saw it on the screen; it had an elongated shape, matched the color of the intestine, and show...
Dr. Ke Fangxu reply Surgery
Colon polyps are generally removed directly unless they are difficult to excise or there is suspicion of malignancy, in which case a biopsy may be performed before considering the next steps. If the polyp is benign, surgery is typically not recommended, and efforts will be made t...[Read More] Understanding Surgical Options for Colon Polyps: Resection vs. Electrocautery
Post-Surgery Recovery Questions for Anal Fistula Treatment
Postoperative Recovery Questions Regarding Anal Fistula Surgery Hello Dr. Ke: I underwent anal fistula surgery on July 28th of this year. On August 21st, the doctor told me that I no longer needed to see him. Now, on September 20th, the external appearance of the wound seems fine...
Dr. Ke Fangxu reply Surgery
The wound from a typical fistula surgery usually takes about a month to fully heal, while larger wounds may require a longer time. If there is no redness, swelling, or pain, it should not be a concern; otherwise, it is advisable to consult the surgeon to check whether the wound i...[Read More] Post-Surgery Recovery Questions for Anal Fistula Treatment
Understanding Bowel Issues: Hemorrhoids, Constipation, and Treatment Options
Bowel movements and issues related to hemorrhoids and gastrointestinal medications? I am currently 28 years old. Previously, I experienced a week without bowel movements, accompanied by abdominal discomfort (bloating). After consulting a gastroenterologist and undergoing X-ray ex...
Dr. Ke Fangxu reply Surgery
1. It should be 2. This is the normal rectal distension reflex caused by feces entering the rectum, which leads to rectal distension and the sensation of urgency. 3. Similarly, both gas and solid matter can trigger the distension reflex. 4. It could be 5. Surgery is not necessary...[Read More] Understanding Bowel Issues: Hemorrhoids, Constipation, and Treatment Options